Capsule endoscopy in small bowel tumors: A multicenter Korean study

被引：56

作者：

Cheung, Dae Young ^{[2
]}

Lee, In-Seok ^{[2
]}

Chang, Dong Kyung ^{[3
]}

Kim, Jin Oh ^{[4
]}

Cheon, Jae Hee ^{[5
]}

Jang, Byung Ik ^{[6
]}

Kim, Yong-Sik

Park, Cheol Hee ^{[7
]}

Lee, Kwang Jae ^{[8
]}

Shim, Ki-Nam ^{[9
]}

Ryu, Ji-Kon ^{[10
]}

Do, Jae-Hyuk ^{[11
]}

Moon, Jeong-Seop ^{[12
]}

Ye, Byong Duk ^{[13
]}

Kim, Kyung-Jo ^{[13
]}

Lim, Yun Jeong ^{[14
]}

Choi, Myung-Gyu ^{[2
]}

Chun, Hoon-Jai ^{[1
]}

机构：

[1] Korea Univ, Coll Med, Dept Internal Med, Div Gastroenterol, Seoul 136705, South Korea

[2] Catholic Univ Korea, Coll Med, Dept Internal Med, Gyeonggido, South Korea

[3] Sungkyunkwan Univ, Dept Internal Med, Sch Med, Gyeonggido, South Korea

[4] Soon Chun Hyang Univ, Coll Med, Dept Internal Med, Gyeonggido, South Korea

[5] Younsei Univ, Coll Med, Dept Internal Med, Gyeonggido, South Korea

[6] Yeungnam Univ, Coll Med, Dept Internal Med, Gyeonggido, South Korea

[7] Hallym Univ, Coll Med, Dept Internal Med, Gyeonggido, South Korea

[8] Ajou Univ, Coll Med, Dept Internal Med, Gyeonggido, South Korea

[9] Ewha Womans Univ, Dept Internal Med, Coll Med, Seoul, South Korea

[10] Seoul Natl Univ, Coll Med, Dept Internal Med, Seoul 151, South Korea

[11] Chung Ang Univ, Coll Med, Dept Internal Med, Seoul 156756, South Korea

[12] Inje Univ Coll Med, Dept Internal Med, Seoul, South Korea

[13] Univ Ulsan, Coll Med, Seoul, South Korea

[14] Dongguk Univ Coll Med, Seoul, South Korea

来源：

JOURNAL OF GASTROENTEROLOGY AND HEPATOLOGY | 2010年 / 25卷 / 06期

关键词：

capsule endoscopy; small intestine; tumor; DOUBLE-BALLOON ENTEROSCOPY; PUSH ENTEROSCOPY; DIAGNOSTIC YIELD; DISEASES; TOMOGRAPHY; EXPERIENCE; IMPACT; SERIES;

D O I：

10.1111/j.1440-1746.2010.06292.x

中图分类号：

R57 [消化系及腹部疾病];

学科分类号：

摘要：

Background and Aim: Capsule endoscopy (CE) has proven to be highly effective at detecting small bowel lesions in a variety of clinical conditions, but studies concerning the practical impact of CE on small bowel tumors are still scarce, especially in the Asian population. The aim of this study was to evaluate the diagnostic and therapeutic impact of CE in the field of small bowel tumors. Methods: CE records consecutively pooled from the beginning of use of CE in Korea, October 2001 until April 2008, in 14 centers throughout Korea were reviewed. Clinical information and CE video images of small bowel tumors were analyzed. Results: A total of 1332 cases undergoing CE were reviewed with all clinical indications. Small bowel tumors were diagnosed with CE in 57 (4.3%) of 1332 patients. The tumors were malignant in 33 cases, and included three adenocarcinomas, eight lymphomas, 20 gastrointestinal stromal tumors, and two metastatic cancers. The most frequent indications for CE in malignant tumors were obscure gastrointestinal bleeding, followed by abdominal pain and weight loss. Thirty of 57 tumors were identified exclusively by CE (diagnostic impact = 30/57), and they were smaller in size (mean, range: 14.3 mm, 2-35 mm) compared to the other tumors detected in radiological studies (48.7 mm, 10-110 mm). Seven patients underwent surgical resection (therapeutic impact = 7/57). Conclusion: CE effectively identifies small bowel tumors that are undetectable by conventional radiological studies (diagnostic impact = 52.6%) and can critically change the therapeutic course (therapeutic impact = 12.3%).

引用

页码：1079 / 1086

页数：8