Multiple carcinoid tumors of the ileum preoperatively diagnosed by enteroscopy with the double-balloon technique

Yamaguchi, Toshiki; Manabe, Noriaki; Tanaka, Shinji; Fukumoto, Atsushi; Shimamoto, Masaru; Nakao, Masakazu; Kamino, Daisuke; Chayama, Kazuaki

doi:10.1016/s0016-5107(05)01569-5

Cited by 39 publications

(18 citation statements)

References 12 publications

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“…A large review of the SEER database from 1977 to 2004 found that 67% of 6,380 primary small bowel neuroendocrine tumors were located in the ileum [21]. As many as 30% of neuroendocrine tumors of the small intestine are multifocal [22,23]. Importantly, two of our eight patients had multiple tumors.…”

Section: Discussionmentioning

confidence: 74%

Small Bowel Cancers Diagnosed by Device-Assisted Enteroscopy at a U.S. Referral Center: A Five-Year Experience

et al. 2011

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Small bowel cancer is a rare but important finding on DAE. The per-patient incidence in our series was 3.6%. A recent multicenter Japanese series showing a higher incidence of small bowel tumors (14%) included polyposis syndrome patients and benign lesions, which were excluded from our study. The high frequency of neuroendocrine tumors in our series was also in contrast to the Japanese series, where lymphoma and GIST were more common. This may reflect a difference between our referral populations. Most of our patients underwent surgery as a consequence of these findings, underscoring the importance of identifying these tumors. DAE provides direct endoscopic access to the small bowel and is a valuable tool in the diagnosis of small bowel cancers.

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Section: Discussionmentioning

confidence: 74%

Small Bowel Cancers Diagnosed by Device-Assisted Enteroscopy at a U.S. Referral Center: A Five-Year Experience

et al. 2011

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“…An advantage of DBE is the possibility to take targeted biopsies from suspicious lesions. Although a recent case report described the use of DBE for the diagnosis of small bowel-NET in one patient, the role of DBE in the evaluation of small bowel tumors and NET is as yet unknown [14]. The aim of our study was to evaluate the utility of DBE in detecting the primary tumor in patients with suspected NET or with liver metastases of a NET.…”

Section: Introductionmentioning

confidence: 99%

Detection of Neuroendocrine Tumors of the Small Bowel by Double Balloon Enteroscopy

et al. 2008

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“…First, intestinal carcinoid tumors are uncommon tumors and multiple tumors are extremely rare. Carcinoids of the small intestine account for 15.4% of all gastrointestinal carcinoids and are multicentric in 20-30% of patients [4,5]. Second, carcinoid tumors are mostly asymptomatic but can sometimes cause small bowel obstruction and rarely, bleeding too.…”

Section: Discussionmentioning

confidence: 99%

The Hidden Evil: Gastrointestinal Bleed and Small Bowel Obstruction Caused by Carcinoid Tumor Found on Exploratory Laparotomy

2016

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Intestinal carcinoid tumors are uncommon malignancies which grow slowly and rarely cause any symptoms. Small bowel tumors can, at times, cause bowel obstruction and rarely, bleeding. We present a 52-year-old male who presented to the hospital for evaluation of melena. His endoscopy and colonoscopy came back negative and patient unfortunately failed to get capsule endoscopy as an outpatient. One year later, patient presented with excruciating abdominal pain and was found to have small bowel obstruction with multiple transition points. Patient was found to have four nodular lesions in the small intestine which were found to be carcinoid tumor. Surgical resection definitely improved his outcome and patient did not need adjuvant therapy after surgery. This patient was a diagnostic challenge due to unusual presentation and negative CT scan imaging during both presentations. Carcinoid tumors are highly infiltrating tumors; hence, high degree of suspicion should be kept for earlier detection and better outcome.

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Multiple carcinoid tumors of the ileum preoperatively diagnosed by enteroscopy with the double-balloon technique

Cited by 39 publications

References 12 publications

Small Bowel Cancers Diagnosed by Device-Assisted Enteroscopy at a U.S. Referral Center: A Five-Year Experience

Small Bowel Cancers Diagnosed by Device-Assisted Enteroscopy at a U.S. Referral Center: A Five-Year Experience

Detection of Neuroendocrine Tumors of the Small Bowel by Double Balloon Enteroscopy

The Hidden Evil: Gastrointestinal Bleed and Small Bowel Obstruction Caused by Carcinoid Tumor Found on Exploratory Laparotomy

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