RT Journal Article
T1 Role of double-balloon enteroscopy in malignant small bowel tumors.
A1 Enrique, Pérez-Cuadrado Robles
A1 Pilar, Esteban Delgado
A1 Paloma, Bebia Conesa
A1 Blanca, Martínez Andrés
A1 Franulic, Milivoj Guggiana
A1 Eduardo, Alcaraz Mateos
A1 Mariana, Fernández Caballero
A1 José Luis, Rodrigo Agudo
A1 Silvia, Chacón Martínez
A1 Rafael, Latorre
A1 Federico, Soria
A1 Juan Manuel, Herrerías Gutiérrez
A1 Enrique, Pérez-Cuadrado Martínez
K1 Double balloon enteroscopy
K1 Malignant small bowel tumors
K1 Obscure gastrointestinal bleeding
K1 Gastrointestinal stromal tumor
K1 Occlusion syndrome
K1 Adenocarcinoma
K1 Enteroscopía de doble Balón
K1 Hemorragia gastrointestinal
K1 Intestino delgado
K1 Tumores neuroendocrinos
K1 Sarcoma de Kaposi
AB AIMTo assess the double-balloon enteroscopy (DBE) role in malignant small bowel tumors (MSBT).METHODSThis is a retrospective descriptive study performed in a single center. All consecutive patients who underwent a DBE with final diagnosis of a malignant neoplasm from 2004 to 2014 in our referral center were included. Patient demographic and clinical pathological characteristics were recorded and reviewed. MSBT diagnosis was achieved either by DBE directed biopsy with multiple tissue sampling, endoscopic findings or histological analysis of surgical specimen. We have analyzed double-balloon enteroscopy impact in outcome and clinical course of these patients.RESULTSOf 627 patients, 28 (4.5%) (mean age = 60 ± 17.3 years) underwent 30 procedures (25 anterograde, 5 retrograde) and were diagnosed of a malignant tumor. Patients presented with obscure gastrointestinal bleeding (n = 19, 67.9%), occlusion syndrome (n = 7, 25%) and diarrhea (n = 1, 3.6%). They were diagnosed by DBE biopsy (n = 18, 64.3%), histological analysis of surgical specimen (n = 7, 25%) and unequivocal endoscopic findings (n = 2, 7.1%). Gastrointestinal stromal tumor (n = 8, 28.6%), adenocarcinoma (n = 7, 25%), lymphoma (n = 4, 14.3%), neuroendocrine tumor (n = 4, 14.3%), metastatic (n = 3, 10.7%) and Kaposi sarcoma (n = 1, 3.6%) were identified. DBE modified outcome in 7 cases (25%), delaying or avoiding emergency surgery (n = 3), modifying surgery approach (n = 2) and indicating emergency SB partial resection instead of elective approach (n = 2).CONCLUSIONDBE may be critical in the management of MSBT providing additional information that may be decisive in the clinical course of these patients.
PB Baishideng Publishing Group Co. Limited
YR 2015
FD 2015-06-10
LK http://hdl.handle.net/10668/2154
UL http://hdl.handle.net/10668/2154
LA en
NO Robles EP, Delgado PE, Conesa PB, Andrés BM, Guggiana MF, Mateos EA, et al. Role of double-balloon enteroscopy in malignant small bowel tumors. World J Gastrointest Endosc. 2015; 7(6):652-8
NO Journal Article;
DS RISalud
RD Apr 12, 2025