A Case of Jejunal Adenocarcinoma Diagnosed by Preoperative Double Balloon Enteroscopy.
- Author:
Hong Joo LEE
1
;
Jae Myung CHA
;
Joung Il LEE
;
Kwang Ro JOO
;
Sung Won JUNG
;
Hyun Phil SHIN
Author Information
1. Department of Internal Medicine, Kyung Hee University College of Medicine, Seoul, Korea. dramc@hanmail.net
- Publication Type:Case Report
- Keywords:
Adenocarcinoma;
Double ballon enteroscopy;
Jejunum
- MeSH:
Adenocarcinoma;
Double-Balloon Enteroscopy;
Female;
Humans;
Jejunum;
Laparotomy;
Middle Aged;
Neoplasm Metastasis;
Physical Examination
- From:Gut and Liver
2009;3(4):311-314
- CountryRepublic of Korea
- Language:English
-
Abstract:
Despite a thorough history, physical examination, and complete diagnostic workup, the correct diagnosis of small-intestinal malignancy is established preoperatively in only 50% of cases; an exploratory laparotomy is often required. However, recent advances in endoscopic technologies, such as double-balloon enteroscopy (DBE), have been shown to facilitate the preoperative diagnosis of these tumors. Confirmation of malignancy using DBE in equivocal cases may greatly increase both patients' acceptance of surgery and the confidence of the physician planning a surgical resection. We describe herein the case of a 53-year-old woman with a stage I jejunal adenocarcinoma that was diagnosed by DBE and treated by laparoscopic jejunectomy. Histopathological examination revealed a stage I jejunal adenocarcinoma (T2N0M0) without muscularis propria invasion, lymphovascular invasion, or lymph-node metastasis.
