Document Detail


Usefulness of double-balloon endoscopy in the diagnosis of malignant small-bowel tumors.
MedLine Citation:
PMID:  18799359     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
BACKGROUND & AIMS: Double-balloon endoscopy (DBE) enables endoscopic and histopathologic diagnosis of malignant small-bowel tumors (MSBT). This study examined the clinical features of patients with MSBT and evaluated the usefulness of DBE in the diagnosis of MSBT. METHODS: We retrospectively examined consecutive DBE studies of 358 patients who underwent DBE in our hospital between December 2003 and October 2007 because of suspected or established small-bowel disease. RESULTS: Fourteen patients with MSBT were diagnosed by DBE. The most common type was primary adenocarcinoma (8 patients), followed by metastatic carcinoma (3 patients) and malignant lymphoma (3 patients). Half of these patients presented with obscure gastrointestinal bleeding (OGIB). Histopathologic diagnosis was obtained in 11 of 14 patients. CONCLUSIONS: Of 180 patients with OGIB, MSBT accounted for only 3.9%, however, 50% of patients with MSBT presented with OGIB. OGIB is an important clinical feature of small-bowel malignancy, which can be diagnosed by DBE.
Authors:
Hirokazu Yamagami; Nobuhide Oshitani; Shuhei Hosomi; Takehisa Suekane; Noriko Kamata; Mitsue Sogawa; Hirotoshi Okazaki; Kenji Watanabe; Kazunari Tominaga; Toshio Watanabe; Yasuhiro Fujiwara; Tetsuo Arakawa
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Publication Detail:
Type:  Journal Article     Date:  2008-09-17
Journal Detail:
Title:  Clinical gastroenterology and hepatology : the official clinical practice journal of the American Gastroenterological Association     Volume:  6     ISSN:  1542-7714     ISO Abbreviation:  Clin. Gastroenterol. Hepatol.     Publication Date:  2008 Nov 
Date Detail:
Created Date:  2008-11-10     Completed Date:  2008-12-10     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  101160775     Medline TA:  Clin Gastroenterol Hepatol     Country:  United States    
Other Details:
Languages:  eng     Pagination:  1202-5     Citation Subset:  IM    
Affiliation:
Department of Gastroenterology, Osaka City University Graduate School of Medicine, Abeno-ku, Osaka, Japan. yamagami@med.osaka-cu.ac.jp
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MeSH Terms
Descriptor/Qualifier:
Adenocarcinoma / diagnosis*,  pathology,  secondary
Adolescent
Adult
Aged
Aged, 80 and over
Endoscopy, Gastrointestinal / methods*
Female
Humans
Intestinal Neoplasms / diagnosis*,  pathology
Intestine, Small / pathology*
Lymphoma / diagnosis*,  pathology
Male
Middle Aged
Retrospective Studies

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