Sporadic small bowel tumors detected by capsule endoscopy in patients with occult gastrointestinal bleeding

Internal and Emergency Medicine
Carlo CalabreseFernando Rizzello

Abstract

Intestinal tumors represent less than 6% of digestive tumors, and, because of the limitations of intestinal investigations, these tumors are difficult to diagnose. In this context, capsule endoscopy has proven effective, especially in patients with obscure digestive bleeding. In a large series of patients undergoing capsule endoscopy, small bowel tumors are found in 2.4-8.9% of cases. The aim of this retrospective, single-center study, based on prospective database, is to evaluate the frequency of small bowel tumors detected by capsule endoscopy in patients with occult gastrointestinal bleeding. During 2004-2014, 849 consecutive patients underwent CE at our Department for occult gastrointestinal bleeding. Following capsule endoscopy, the medical records of the study population were reviewed. Results of double-balloon enteroscopy or surgery performed after capsule endoscopy were retrieved. Capsule endoscopy identified 55 small bowel tumors (6.5%), of which 28 malignancies (51%) and 27 benign neoplasms (49%) underwent surgery or endoscopic treatment. Malignancies included adenocarcinoma (18.7%), gastrointestinal stromal tumors (GIST) (12%) and lymphoma (6.7%). Benign neoplasms included dysplastic adenomatous polyps (36%) and hype...Continue Reading

References

Oct 13, 2006·The American Journal of Gastroenterology·Adam A BaileyWarwick S Selby
Feb 7, 2008·Endoscopy·G Gay, M Delvaux
Mar 22, 2008·Clinical Gastroenterology and Hepatology : the Official Clinical Practice Journal of the American Gastroenterological Association·Shabana F PashaVirender K Sharma
May 9, 2008·Endoscopy·E RondonottiUNKNOWN Iberian Group for Capsule Endoscopy
Jul 3, 2010·Journal of Gastroenterology and Hepatology·Dae Young CheungUNKNOWN Korean Gut Images Study Group
Jun 2, 2011·Gastrointestinal Endoscopy·Mathieu PiocheUNKNOWN French Society of Digestive Endoscopy
Oct 1, 2011·Internal and Emergency Medicine·Carlo CalabreseMassimo Campieri
Jan 1, 2014·World Journal of Gastroenterology : WJG·Edyta S ZagorowiczJaroslaw Regula

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Citations

Jan 11, 2017·Gastrointestinal Endoscopy·Mona RezapourLauren B Gerson

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