Endoscopy 2003; 35(10): 865-868
DOI: 10.1055/s-2003-42625
Case Report
© Georg Thieme Verlag Stuttgart · New York

Small-Bowel Tumors Diagnosed by Wireless Capsule Endoscopy: Report of Five Cases

M.  N.  G.  de Mascarenhas-Saraiva1 , L.  M.  da Silva Araújo Lopes1
  • 1Dept. of Gastroenterology, Trofa Hospital and Trindade Hospital, Porto, Portugal
Further Information

Publication History

Submitted 11 March 2003

Accepted after Revision 21 May 2003

Publication Date:
10 October 2003 (online)

Tumors of the small bowel, both benign and malignant, are relatively uncommon. As the symptoms are vague and conventional diagnostic tests are unsatisfactory, these tumors often present a clinical, radiological, and endoscopic challenge. We report here on five patients in whom small-bowel tumors were diagnosed using wireless capsule endoscopy. The indications for capsule endoscopy were: obscure gastrointestinal bleeding in four patients (one jejunal capillary hemangioma, one ileal hemangiosarcoma, and two jejunal gastrointestinal stromal tumors) and chronic abdominal pain in one patient (ileal carcinoid). Wireless capsule endoscopy, a new endoscopic method, promises to improve the diagnosis of deep small-bowel pathology.

References

  • 1 Rossini F P, Risio M. Small bowel tumours. In: Rossini F, Gay G (ed) Atlas of enteroscopy. Milan; Springer 1998: 125-135
  • 2 Williamson R CM, Welch C E, Malt R A. Adenocarcinomas and lymphomas of the small intestine: distribution and etiologic associations.  Ann Surg. 1983;  197 172-178
  • 3 Desa L, Bridger J, Grace P. et al . Primary jejunoileal tumors: a review of 45 cases.  World J Surg. 1991;  15 81-87
  • 4 North J H, Pack M S. Malignant tumors of the small intestine: a review of 144 cases.  Am Surg. 2000;  66 46-51
  • 5 Gill S S, Heuman D M, Mihas A A. Small intestinal neoplasms.  J Clin Gastroenterol. 2001;  33 267-282
  • 6 Meron G. The development of the swallowable video capsule (M2A).  Gastrointest Endosc. 2000;  6 817-819
  • 7 Zuckerman G R, Prakash C, Askin M P. et al . AGA technical review on the evaluation and management of occult and obscure gastrointestinal bleeding.  Gastroenterology. 2000;  118 201-221
  • 8 Brucher B L, Stein H J, Roder J D. et al . New aspects of prognostic factors in adenocarcinomas of the small bowel.  Hepatogastroenterology. 2001;  48 727-732
  • 9 Rustgi A. Small intestinal neoplasms. In: Feldman M, Friedman LS, Sleisenger MH (ed) Sleisenger and Fordtran’s gastrointestinal and liver disease: pathophysiology, diagnosis, management. 7th ed. Philadelphia; Saunders 2002: 2169-2174
  • 10 Dissario J, Burt R W, Vargas H. et al . Small bowel cancer: epidemiological and clinical characteristics from a population-based registry.  Am J Gastroenterol. 1994;  89 699-701
  • 11 O’Riordan B G, Vilor M, Herrera L. Small bowel tumors: an overview.  Dig Dis. 1996;  14 245-257
  • 12 Minardi A, Zibari G, Aultman D. Small bowel tumors.  J Am Coll Surg. 1998;  186 664-668
  • 13 Pennazio M, Arrigoni A, Rossini F P. Enteroscopic identification of an adenocarcinoma of the small bowel in a patient with previously unrecognized hereditary nonpolyposis colorectal cancer syndrome.  Am J Gastroenterol. 1999;  94 1962-1966
  • 14 Rossini F P, Risio M, Pennazio M. Small bowel tumors and polyposis syndromes.  Gastrointest Endosc Clin N Am. 1999;  9 93-114
  • 15 Ell C, Remke S, May A. et al . The first prospective controlled trial comparing wireless capsule endoscopy with push enteroscopy on chronic gastrointestinal bleeding.  Endoscopy. 2002;  9 685-689
  • 16 Rossini F P, Pennazio M. Small-bowel endoscopy.  Endoscopy. 2002;  34 13-20
  • 17 Rösch T. Small-bowel endoscopy: DDW report.  Endoscopy. 2002;  34 896-899
  • 18 Lewis B S, Swain P. Capsule endoscopy in the evaluation of patients with suspected small intestinal bleeding: results of a pilot study.  Gastrointest Endosc. 2002;  56 349-353
  • 19 Lewis B S. Enteroscopy: endangered by the capsule?.  Endoscopy. 2002;  34 416-417
  • 20 Ginsberg G G, Barkun A N, Bosco J J. et al . Wireless capsule endoscopy.  Gastrointest Endosc. 2002;  56 621-624
  • 21 Hahne M, Adamek H E, Schilling D. et al . Wireless capsule endoscopy in a patient with obscure occult bleeding.  Endoscopy. 2002;  34 588-590
  • 22 Costamagna G, Shah S K, Riccioni M E. et al . A prospective trial comparing small bowel radiographs and video capsule endoscopy for suspected small bowel disease.  Gastroenterology. 2002;  123 999-1005
  • 23 Maglinte D D, Kelvin F M, O’Connor K. et al . Current status of small bowel radiography.  Abdom Imaging. 1996;  21 247-257

M. N. G. de Mascarenhas-Saraiva

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Email: Miguelms@manoph.pt

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