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Cited 10 time in webofscience Cited 11 time in scopus
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Clinicopathological Features of Small Bowel Tumors Diagnosed by Video Capsule Endoscopy and Balloon-Assisted Enteroscopy: A Single Center Experienceopen access

Authors
Yoo, Ah YoungLee, Beom JaeKim, Won ShikKim, Seong MinKim, Seung HanJoo, Moon KyungKim, Hyo JungPark, Jong-Jae
Issue Date
Jan-2021
Publisher
대한소화기내시경학회
Keywords
Capsule endoscopy; Endoscopy; Neoplasms; Small intestine
Citation
Clinical Endoscopy, v.54, no.1, pp 85 - 91
Pages
7
Indexed
SCOPUS
ESCI
KCI
Journal Title
Clinical Endoscopy
Volume
54
Number
1
Start Page
85
End Page
91
URI
https://scholarworks.korea.ac.kr/kumedicine/handle/2020.sw.kumedicine/52234
DOI
10.5946/ce.2020.047
ISSN
2234-2400
2234-2443
Abstract
Background/Aims Small bowel malignancies often present a diagnostic challenge due to their relative rarity and nonspecific clinical symptoms. However, technical developments in endoscopic instruments, including video capsule endoscopy (VCE) and enteroscopy, have allowed for the visualization of the entire small bowel. This study aimed to investigate the clinicopathological features of small bowel malignant tumors diagnosed by VCE and double-balloon enteroscopy (DBE) in a single tertiary center. Methods We retrospectively analyzed VCE and DBE findings from Korea University Guro Hospital from January 2010 through September 2018. Results A total of 510 VCE and 126 DBE examinations were performed in 438 patients. Small bowel malignancies were diagnosed in 28 patients (15 males; mean age, 61.0 years; range, 42 to 81 years). Among them, 8 had lymphoma, 8 had primary adenocarcinoma, 7 had gastrointestinal stromal tumor (GIST) and 5 had metastatic cancer. Abdominal pain and obstructive symptoms were the most common findings in metastatic cancers (4/5, 80%). On the other hand, obscure gastrointestinal bleeding was the most common symptom of GIST (6/7, 85.7%) and adenocarcinoma (3/8, 37.5%). Conclusions Approximately 6% of the patients who underwent either VCE or DBE were diagnosed with small bowel malignancy. These findings demonstrated the different clinical characteristics among small bowel malignancies and merit further study.
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Park, Jong Jae
Guro Hospital (Department of Gastroenterology and Hepatology, Guro Hospital)
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