Small Bowel Metastatic Cancer Observed With Double Balloon Enteroscopy in a Patient With a Past History of Multiple Cancers

Song, Ji Young; Lee, Beom Jae; Yu, Eun-Jeong; Na, Young Ju; Park, Jong‐Jae; Kim, Jae Seon; Bak, Young‐Tae

doi:10.5217/ir.2015.13.4.350

Cited by 3 publications

(3 citation statements)

References 12 publications

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“…Small bowel tumors are rare, representing only around 5% of all gastrointestinal neoplasms, with a progressively increasing incidence of 0.3-2 cases/100,000 individuals; more specifically, metastatic tumors occur more frequently than primary tumors [6]. Due to its nonspecific clinical features, diagnosis is usually delayed by 6-10 months from symptom onset [7], which is reflected in a poor patient prognosis.…”

Section: Discussionmentioning

confidence: 99%

Obscure Bleeding from a Metastatic Small Bowel Tumor Diagnosed Using Motorized Spiral Enteroscopy: A Case Study and a Literature Review

Banciu,

Munteanu,

Aprotosoaie

et al. 2024

Diagnostics

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Small bowel tumors are relatively rare, representing only around 5% of all gastrointestinal neoplasms, with a progressively increasing incidence. Currently, there are no established guidelines for diagnostic approaches, screening procedures, or management strategies for small bowel tumors. We present here the case of a patient with a rare type of metastatic tumor of the small bowel originating from primary lung adenocarcinoma who presented with abdominal pain, severe iron-deficiency anemia, and melena. The initial investigations, gastroscopy and colonoscopy, failed to identify the bleeding source. The obscure bleeding source and diagnosis were achieved through power motorized spiral enteroscopy (MSE), which allowed the visualization and biopsy of the tumor. Histopathological examination established the presence of a poorly differentiated non-mucinous adenocarcinoma originating from the lung. This case is reported to provide evidence of the efficiency of MSE in the diagnosis of small bowel tumors, with the method providing higher insertion depth in a reduced amount of time.

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Section: Discussionmentioning

confidence: 99%

Obscure Bleeding from a Metastatic Small Bowel Tumor Diagnosed Using Motorized Spiral Enteroscopy: A Case Study and a Literature Review

Banciu,

Munteanu,

Aprotosoaie

et al. 2024

Diagnostics

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“…4 SBTs are most commonly observed in the jejunum and are rarely diagnosed using conventional endoscopy. 7,8 Small bowel polyps are less common than colorectal polyps, and histological diagnosis is essential for follow-up. 9 Adenomatous polyps, hemangiomas, neurofibromas, lipomas, leiomyomas, nodular lymphoid hyperplasia, and hamartomatous polyps are the most common polyps in the small intestine.…”

Section: Introductionmentioning

confidence: 99%

“… 4 SBTs are most commonly observed in the jejunum and are rarely diagnosed using conventional endoscopy. 7 , 8 …”

Section: Introductionmentioning

confidence: 99%

Endoscopic and histological characteristics of small bowel tumors diagnosed by double-balloon enteroscopy

et al. 2023

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Background/Aims: Double-balloon enteroscopy (DBE) allows for the diagnoses and treatment of small bowel tumors (SBTs). This study aimed to evaluate the utility of DBE for the diagnosis and treatment of SBTs.Methods: Patients diagnosed with SBTs who underwent DBE were included in this study. According to their endoscopic appearances, they were categorized as polyps or masses, and according to their histological characteristics, they were categorized as benign or malignant SBTs.Results: A total of 704 patients were retrospectively analyzed, and 90 (12.8%) were diagnosed with SBTs. According to their endoscopic appearance, 48 (53.3%) had polyps and 42 (46.7%) had masses. Additionally, 53 (58.9%) and 37 (41.1%) patients had malignant and benign SBTs, respectively, depending on their histological characteristics. Patients diagnosed with polyps were younger than those diagnosed with masses (p<0.001). Patients diagnosed with benign SBTs were younger than those diagnosed with malignant SBT (p<0.001). Overall, histological diagnosis was determined using DBE in 73 (81.1%) patients.Conclusions: DBE is a useful method for diagnosing SBTs. Additionally, the histological type of the lesion can be determined using DBE.

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Unusual cause of intestinal obstruction: Breast cancer with solitary ileal metastasis diagnosed after enteroscopy

Chen

Yen

2017

Adv in Digestive Medicine

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SummaryAlthough extremely rare, small intestinal metastasis of tumors from the breast has been increasingly reported and reviewed as an uncommon cause of intestinal obstruction. We report a case of a 41‐year‐old Taiwanese woman with small bowel obstruction by a tumor metastasized from the breast, which was diagnosed after enteroscopy. Enteroscopy as well as enteroscopy‐assisted enterography can be very helpful in identifying such disease. In particular, in patients with a history of breast cancer, clinicians should consider the possibility of small intestinal obstructive tumor metastasized from the breast even after a long cancer‐free latency.Copyright © 2017, The Gastroenterological Society of Taiwan, The Digestive Endoscopy Society of Taiwan and Taiwan Association for the Study of the Liver.

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Small Bowel Metastatic Cancer Observed With Double Balloon Enteroscopy in a Patient With a Past History of Multiple Cancers

Cited by 3 publications

References 12 publications

Obscure Bleeding from a Metastatic Small Bowel Tumor Diagnosed Using Motorized Spiral Enteroscopy: A Case Study and a Literature Review

Obscure Bleeding from a Metastatic Small Bowel Tumor Diagnosed Using Motorized Spiral Enteroscopy: A Case Study and a Literature Review

Endoscopic and histological characteristics of small bowel tumors diagnosed by double-balloon enteroscopy

Unusual cause of intestinal obstruction: Breast cancer with solitary ileal metastasis diagnosed after enteroscopy

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