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Small Bowel Tumors in Patients Undergoing Capsule Endoscopy: a Single Center Experience.

Authors :
Trifan, Anca
Singeap, Ana-Maria
Cojocariu, Camelia
Sfarti, Catalin
Stanciu, Carol
Source :
Journal of Gastrointestinal & Liver Diseases. Mar2010, Vol. 19 Issue 1, p21-25. 5p. 3 Color Photographs, 2 Charts.
Publication Year :
2010

Abstract

Background and Aims: Small bowel tumors (SBTs) are rare, accounting for 1-3% of all gastrointestinal malignancies. Since the introduction of capsule endoscopy (CE), several studies have suggested that their frequency may be substantially higher. The present study is aimed at evaluating the prevalence, clinical presentation, laboratory parameters, endoscopic appearance, and diagnostic work-up of SBTs in patients undergoing CE in a single referral center. Patients and Methods: During 2003 - 2009, 102 patients underwent CE. For each patient with lesions suggesting SBT at CE, with subsequent diagnostic/ therapeutic work-up leading to histological confi rmation, we registered: clinical presentation, hemoglobin level, small bowel follow-through, red blood cells scintigraphy, CT-enterography, enteroscopy, histological confi rmation and management. Results: SBTs were detected in 5 patients (mean age 55.2 ± 15.8 years) of 102 undergoing CE (4.9%). The main indication for CE was obscure gastrointestinal bleeding, occult or overt. All patients had undergone, before CE, at least one procedure evaluating the small bowel after negative upper endoscopy and colonoscopy. All patients had iron-defi ciency anemia, three had abdominal pain, two had episodes of nausea /vomiting and one had diarrhoea and abdominal distension. The main SBT type was gastrointestinal stromal tumor. After CE, 3 patients underwent single-balloon enteroscopy; surgery was performed in all patients. Mean follow-up time was 19 ± 17 (range 2- 36) months; one patient died during follow-up. No retention of capsule occurred. Conclusions: CE could be used as fi rst choice for diagnostic investigation in patients suspected to have SBTs. [ABSTRACT FROM AUTHOR]

Details

Language :
English
ISSN :
18418724
Volume :
19
Issue :
1
Database :
Academic Search Index
Journal :
Journal of Gastrointestinal & Liver Diseases
Publication Type :
Academic Journal
Accession number :
49174360