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Clinical Efficacy of Various Diagnostic Tests for Small Bowel Tumors and Clinical Features of Tumors Missed by Capsule Endoscopy
Joint Authors
Han, Jung Wan
Hong, Sung Noh
Jang, Hyun Joo
Jeon, Seong Ran
Cha, Jae Myung
Park, Soo Jung
Byeon, Jung Sik
Ko, Bong Min
Kim, Eun Ran
Chang, Dong Kyung
Choi, Hwang
Source
Gastroenterology Research and Practice
Issue
Vol. 2015, Issue 2015 (31 Dec. 2015), pp.1-6, 6 p.
Publisher
Hindawi Publishing Corporation
Publication Date
2015-07-02
Country of Publication
Egypt
No. of Pages
6
Main Subjects
Abstract EN
Background.
We aimed to evaluate the efficacy of various diagnostic tools such as computerized tomography (CT), small bowel follow-through (SBFT), and capsule endoscopy (CE) in diagnosing small bowel tumors (SBTs).
Additionally, we aimed to evaluate the clinical features of SBTs missed by CE.
Methods.
We retrospectively studied 79 patients with histologically proven SBT.
Clinical data were analyzed with particular attention to the efficacy of CT, SBFT, and CE in detecting SBT preoperatively.
We also analyzed the clinical features of SBTs missed by CE.
Results.
The most common symptoms of SBT were bleeding (43%) and abdominal pain (13.9%).
Diagnostic yields were as follows: CT detected 55.8% of proven SBTs; SBFT, 46.1%; and CE, 83.3%.
The sensitivity for detecting SBTs was 40.4% for CT, 43.9% for SBFT, and 79.6% for CE.
Two patients with nondiagnostic but suspicious findings on CE and seven patients with negative findings on CE were eventually found to have SBT.
These nine patients were eventually diagnosed with gastrointestinal stromal tumor (4), small polyps (3), inflammatory fibroid polyp (1), and adenocarcinoma (1).
These tumors were located in the proximal jejunum (5), middle jejunum (1), distal jejunum (1), and proximal ileum (1).
Conclusion.
CE is more efficacious than CT or SBFT for detecting SBTs.
However, significant tumors may go undetected with CE, particularly when located in the proximal jejunum.
American Psychological Association (APA)
Han, Jung Wan& Hong, Sung Noh& Jang, Hyun Joo& Jeon, Seong Ran& Cha, Jae Myung& Park, Soo Jung…[et al.]. 2015. Clinical Efficacy of Various Diagnostic Tests for Small Bowel Tumors and Clinical Features of Tumors Missed by Capsule Endoscopy. Gastroenterology Research and Practice،Vol. 2015, no. 2015, pp.1-6.
https://search.emarefa.net/detail/BIM-1064070
Modern Language Association (MLA)
Han, Jung Wan…[et al.]. Clinical Efficacy of Various Diagnostic Tests for Small Bowel Tumors and Clinical Features of Tumors Missed by Capsule Endoscopy. Gastroenterology Research and Practice No. 2015 (2015), pp.1-6.
https://search.emarefa.net/detail/BIM-1064070
American Medical Association (AMA)
Han, Jung Wan& Hong, Sung Noh& Jang, Hyun Joo& Jeon, Seong Ran& Cha, Jae Myung& Park, Soo Jung…[et al.]. Clinical Efficacy of Various Diagnostic Tests for Small Bowel Tumors and Clinical Features of Tumors Missed by Capsule Endoscopy. Gastroenterology Research and Practice. 2015. Vol. 2015, no. 2015, pp.1-6.
https://search.emarefa.net/detail/BIM-1064070
Data Type
Journal Articles
Language
English
Notes
Includes bibliographical references
Record ID
BIM-1064070