scholarly journals Jejunal Serrated Adenoma Diagnosed and Treated by Double-Balloon Enteroscopy

2018 ◽  
Vol 12 (2) ◽  
pp. 528-531 ◽  
Author(s):  
Anning Yin ◽  
Zhi Zeng ◽  
Xinyue Wan ◽  
Honggang Yu ◽  
Liang Zhao

Serrated polyps are most commonly located in the colorectum and have been well recognized as an important precursor lesion for colorectal cancer. Serrated adenoma in the small intestine has been reported more rarely but may represent a distinct morphological and biological subtype with malignant potential. Here, we present the case of a 65-year-old female who underwent double-balloon enteroscopy due to obscure gastrointestinal bleeding. A polyp sized 3.5 × 2.0 cm with a long pedicle in the jejunum, located 50 cm distal to the Treitz ligament, was detected. Endoscopic mucosal resection was done. The pathological results revealed a traditional serrated adenoma sized 3.5 × 2.2 cm.

2011 ◽  
Vol 103 (7) ◽  
pp. 373-374 ◽  
Author(s):  
Rosa Gómez-Espín ◽  
Eliana Fuentes ◽  
María Isabel López-Espín ◽  
Silvia Chacón ◽  
José Luis Rodrigo ◽  
...  

2018 ◽  
Author(s):  
A Martínez-Alcalá García ◽  
PT Kröner ◽  
S Peter ◽  
JP Gutierrez ◽  
AM Ahmed ◽  
...  

Digestion ◽  
2020 ◽  
pp. 1-9
Author(s):  
Roberta Elisa Rossi ◽  
Luca Elli ◽  
Federica Branchi ◽  
Dario Conte ◽  
Sara Massironi

<b><i>Background and Aim:</i></b> Small-bowel neuroendocrine neoplasm (sbNEN) diagnosis has improved with double-balloon enteroscopy (DBE). DBE efficacy in the detection of sbNENs is unknown. We aimed to report the experience at a single referral center for NENs. <b><i>Methods:</i></b> All consecutive patients with a suspected sbNEN selected for diagnostic DBE were enrolled. <b><i>Results:</i></b> Between 2011 and 2016, 25 patients were referred for a suspected sbNEN. In 15/25 patients, a primary NEN was detected outside the small bowel; in 4, NEN was excluded. After extensive workup, 6 patients (4 males, median age 50 years) underwent DBE (3 anterograde, 2 retrograde, and 1 both; median time: 60 min; median insertion 200 cm). DBE was positive in 3 patients: one had an ileal 2-cm NEN G1, one had an ileal 1.3-cm NEN G1, and one had an ileal 1-cm NEN G2, all surgically removed. Of the 3 other patients, one had a metastatic NEN of unknown primary, the other two had small intestinal NENs, both surgically removed (1.6-cm G1 and G2 NEN). DBE showed a sensitivity of 60% and, in absence of false-positive results, a specificity of 100%. Accuracy resulted 67%. No complications were observed. <b><i>Conclusions:</i></b> In line with data from the literature, the present series showed that DBE is a safe and effective procedure in the diagnosis of sbNENs. Further studies are needed to better clarify the diagnostic role of DBE in the neuroendocrine tumor setting and its relationship with other techniques.


2011 ◽  
Vol 73 (4) ◽  
pp. AB221
Author(s):  
J. Antonio Quiros ◽  
Sarah Boushey ◽  
Elizabeth A. Ruben ◽  
Brandy Lu ◽  
Phil McDonald

2008 ◽  
Vol 67 (5) ◽  
pp. AB263-AB264
Author(s):  
Vaibhav Mehendiratta ◽  
Mitchell Conn ◽  
Anthony Infantolino ◽  
Michael C. Dimarino ◽  
Leo C. Katz ◽  
...  

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