Double-balloon enteroscopy in small bowel tumors: A Chinese single-center study

Chen, Wenguo; Guo, Siyu; Zhang, Hong; Li, Lin; Yue, Min; Xiang, Zun; Cheng, Yuansheng; Wu, Chenjiao; Fang, Ying; Chen, Li‐Hua

doi:10.3748/wjg.v19.i23.3665

Cited by 52 publications

(46 citation statements)

References 24 publications

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“…Of the 25 patients with an age range from 34-to 70-year-old (mean: 54 ± 12 years), 8 were male and 17 were female. Obscure gastrointestinal bleeding, including tarry or bloody stool and intermittent melena, was observed in all cases, and one case also involved hematemesis.…”

Section: Resultsmentioning

confidence: 99%

“…The lack of specific clinical manifestations and the location of the tumors make the diagnosis difficult. Routine diagnostic imaging modalities mainly consist of endoscopic examination, computed tomography (CT) scanning, and magnetic resonance imaging (MRI) [7][8][9][10][11][12] . However, doctors who admit patients with acute or subacute obscure gastrointestinal bleeding (OGIB) prefer to conduct emergency interventional digital subtraction angiography (DSA), whereas some routine exams are not able to identify the bleeding [13][14][15] .…”

Section: Introductionmentioning

confidence: 99%

“…However, other studies showed that the CT detection rate was low for tumors with intraluminal growth and for smaller sized tumors (< 35 mm) [22,23] . Capsule endoscopy (CE) and double-balloon enteroscopy (DBE) have completely changed the approach and launched a new era for clinical management of small bowel diseases [7,8,22,23] . Some studies suggested that these two modalities are diagnostically superior to other routine procedures, such as push enteroscopy, abdominal CT and small bowel angiography, in detecting small bowel lesions [24] .…”

mentioning

confidence: 99%

“…Compared with the diagnostic approaches mentioned above, interventional DSA is helpful and timely for detecting small bowel GISTs in patients with bleeding due to several advantages. Unlike the abdominal CT/MRI, CE or DBE procedures, DSA is more convenient and timely and patients do not need rigorous preoperative preparation [7][8][9][10]12,24] . In addition, the procedure time was not too long.…”

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confidence: 99%

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Interventional digital subtraction angiography for small bowel gastrointestinal stromal tumors with bleeding

Chen¹,

Sun²,

Luo³

et al. 2014

WJG

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AIM:To retrospectively evaluate the diagnostic efficacy of interventional digital subtraction angiography (DSA) for bleeding small bowel gastrointestinal stromal tumors (GISTs). METHODS:Between January 2006 and December 2013, small bowel tumors in 25 consecutive patients undergoing emergency interventional DSA were histopathologically confirmed as GIST after surgical resection. The medical records of these patients and the effects of interventional DSA and the presentation and management of the condition were retrospectively reviewed. RESULTS:Of the 25 patients with an age range from 34-to 70-year-old (mean: 54 ± 12 years), 8 were male and 17 were female. Obscure gastrointestinal bleeding, including tarry or bloody stool and intermittent melena, was observed in all cases, and one case also involved hematemesis. Nineteen patients required acute blood transfusion. There were a total of 28 small bowel tumors detected by DSA. Among these, 20 were located in the jejunum and 8 were located in the ileum. The DSA characteristics of the GISTs included a hypervascular mass of well-defined, homogeneous enhancement and early developed draining veins. One case involved a complication of intussusception of the small intestine that was discovered during surgery. No pseudoaneurysms, arteriovenous malformations or fistulae, or arterial rupture were observed. The completely excised size was approximately 1.20 to 5.50 cm (mean: 3.05 ± 1.25 cm) in maximum diameter based on measurements after the resection. There were ulcerations (n = 8), erosions (n = 10), hyperemia and edema (n = 10) on the intra-luminal side of the tumors. Eight tumors in patients with a large amount of blood loss were treated with transcatheter arterial embolization with gelfoam particles during interventional DSA. CONCLUSION:Emergency interventional DSA is a useful imaging option for locating and diagnosing small bowel GISTs in patients with bleeding, and is an effective treatment modality.© 2014 Baishideng Publishing Group Inc. All rights reserved. Key words:Gastrointestinal stromal tumors; Small bowel; Digital subtraction angiography; Interventional; Embolization; Bleeding Core tip: This study sample is the largest of its kind, and this article includes a detailed report on the patients with small bowel gastrointestinal stromal tumors (GISTs) based on digital subtraction angiography (DSA) visualization. The data indicate that an exact location can be determined and a diagnosis of the small bowel GISTs can be made even in patients undergoing emergency interventional DSA for obscure gastrointestinal bleeding. For cases of severe anemia, these patients can also tolerate interventional DSA and management. Therefore, interventional DSA is an alternative effective imaging modality for locating and diagnosing small bowel GISTs, even in patients with bleeding.

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Section: Resultsmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

mentioning

confidence: 99%

mentioning

confidence: 99%

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Interventional digital subtraction angiography for small bowel gastrointestinal stromal tumors with bleeding

Chen¹,

Sun²,

Luo³

et al. 2014

WJG

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“…While data from Japan multicentre study in patient underwent DBE showed that lymphomas and GIST were the most common small bowel tumour 5 . The result from single centre Chinese study from 78 patients with small bowel tumour shows adenocarcinoma was the most common tumour, followed by lymphoma and GIST 6 . From our case series (Table 1) we found most of the tumours were gastrointestinal stromal tumor.…”

Section: Discussionmentioning

confidence: 99%

Small Bowel Malignancy in Patient with Obscure Gastrointestinal Bleeding in Cipto Mangunkusumo Hospital, Diagnosed Using Double Balloon Enteroscopy: A Case Series

Maulahela¹,

Fauzi²

2020

InaJGHE

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The role of pre‐operative imaging and double balloon enteroscopy in the surgical management of small bowel neuroendocrine tumors: Is it necessary?

Manguso

Gangi

Johnson

et al. 2017

Journal of Surgical Oncology

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Double-balloon enteroscopy in small bowel tumors: A Chinese single-center study

Abstract: DBE is a useful diagnostic tool with high clinical practice value and should be considered the gold standard for the investigation of small bowel tumors.

Cited by 52 publications

References 24 publications

Interventional digital subtraction angiography for small bowel gastrointestinal stromal tumors with bleeding

Interventional digital subtraction angiography for small bowel gastrointestinal stromal tumors with bleeding

Small Bowel Malignancy in Patient with Obscure Gastrointestinal Bleeding in Cipto Mangunkusumo Hospital, Diagnosed Using Double Balloon Enteroscopy: A Case Series

The role of pre‐operative imaging and double balloon enteroscopy in the surgical management of small bowel neuroendocrine tumors: Is it necessary?

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