Adenocarcinoma of the third and fourth portions of the duodenum: The capsule endoscopy value

Abstract

Adenocarcinoma of the third and fourth portions of the duodenum is difficult to diagnose and capsule endoscopy is of great value.

The characteristics and outcomes of small bowel adenocarcinoma: a multicentre retrospective observational study

“…Recently, earlier detection of jejunoileal cancer has been possible due to technical progress in enteroscopic techniques including video capsule endoscopy (VCE) and balloon-assisted enteroscopy. The usefulness of VCE for the detection of small bowel tumours has been reported ( Cheung et al , 2010 , 2016 ; Paquissi et al , 2015 ). However, in this study, there were few patients with those predisposing conditions.…”

Pancreas-sparing and superior mesenteric artery first approach in duodenal adenocarcinoma of the fourth portion of duodenum: A case report

“…The patients are usually asymptomatic until the tumor has reached a certain size. Symptoms are then usually non-specific: abdominal pain, weight loss, anemia or intestinal obstruction [ 2 , 3 , 4 ]. The diagnosis of duodenal adenocarcinoma with gastroscopy is difficult, especially when the tumor occurs at the level of D3 or D4 [ 4 ].…”

“…As described by Solej et al, the final diagnosis is obtained from 1.8 to 8 months after onset of symptoms [ 4 ]. Videocapsule and double-balloon endoscopy are efficient and may diminish the diagnostic delay [ 3 , 5 , 11 ]. CT scan and 18-FDG-PET-CT are necessary to assess the loco-regional and distant extension of the tumor [ 4 , 5 , 12 ].…”

“…Surgery is the only chance of cure. The lesion usually occurs in patients older than 65 [ 1 , 3 ]. The third and the fourth portions of the duodenum are frequently involved [ 1 , 2 , 4 ].…”

“…The third and the fourth portions of the duodenum are frequently involved [ 1 , 2 , 4 ]. As symptoms are uncommon, the diagnosis is generally delayed [ 3 , 4 ]. The prognosis is very poor, regardless of the stage of the disease.…”