| Yulan Liu,Weiguo Dong,Jixiang Zhang,Liang Zhao,Konglin Li,Ximing Xu. Characteristics of Small Bowel Tumors Detected by Double Balloon Endoscopy: A Chinese Single-center Study. Oncol Transl Med, 2014, 13: 584-588. |
| 双气囊小肠镜诊断小肠肿瘤的临床研究 |
| Characteristics of Small Bowel Tumors Detected by Double Balloon Endoscopy: A Chinese Single-center Study |
| Received:November 11, 2014 Revised:December 05, 2014 |
| DOI：10.1007/s10330-314-0023-7 |
| 中文关键词: 小肠肿瘤； 双气囊小肠镜； 胶囊内镜； 临床表现 |
| 英文关键词: small bowel tumors (SBTs); double-balloon enteroscopy (DBE); capsule endoscopy (CE); clinical characteristics |
| 基金项目: |
| Author Name | Affiliation | E-mail | | Yulan Liu | Department of Gastroenterology,Remin Hospital of Wuhan University | lanyu0991@163.com | | Weiguo Dong* | Department of Gastroenterology,Remin Hospital of Wuhan University | dwg@whu.edu.cn | | Jixiang Zhang | Department of Gastroenterology,Remin Hospital of Wuhan University | | | Liang Zhao | Department of Gastroenterology,Remin Hospital of Wuhan University | | | Konglin Li | Department of Gastroenterology,Remin Hospital of Wuhan University | | | Ximing Xu | Cancer Center,Renmin Hospital of Wuhan University | |
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| 中文摘要: |
| 背景：小肠长度长、位置深，导致术前诊断小肠肿瘤（small intestinal tumors, SBTs）是比较困难的。双气囊小镜（double-balloon enteroscopy, DBE）和胶囊内镜（capsule endoscopy, CE）的应用提高了对SBTs的术前诊断率。然而，DBE对SBTs的诊断价值及SBTs的临床特征，中国少有相关报道。目的：进一步阐明SBTs的临床特征，并分析DBE发现并诊断SBTs的价值。方法：回顾性分析2011年6月至2014年7月，在我院行DBE检查并诊断为SBTs患者。结果：316位患者共行321次小肠镜检查，无DBE相关并发症发生，其中80（25.3%）位患者怀疑SBT，最终有59位诊断为SBT。此59位患者的平均年龄是61.8岁（SD ±11.0y）。行小肠镜的主要的指征是不明原因消化道出血（66.1%）、腹痛（16.9%）。最常见的SBTs依次是:间质瘤（24/59, 40.7%）、腺癌（13/59, 22.0%）、淋巴瘤（6/59, 10.2%）、良性息肉（6/59, 10.2%）。最常见部位是空肠。在3个月至3年的随访过程中，14位患者接受了化学药物治疗，2位患者因SBT死亡。结论：我院SBT的类型及常见部位发生率与西方国家有较大差异，DBE在诊断SBTs是有效、安全的。 |
| 英文摘要: |
| Objective: Small intestinal tumors (SBTs) were difficult to be discovered before surgery. The emergence of double-balloon enteroscopy (DBE) and capsule endoscopy (CE) have greatly improved the evaluation of SBTs and facilitated a more precise preoperative diagnosis. Yet little data exist in China regarding clinical efficacy of DBE and clinical characteristics of SBTs. The aim of our study was to clarify the clinical characteristics of SBTs and analyze the efficacy of DBE examination in the detection and diagnosis of SBTs. Methods: We retrospectively reviewed patients who underwent DBE in our hospital between June 2011 and July 2014. Patients who were diagnosed with SBTs by DBE were included in the study. Results: A total of 316 patients underwent 321 DBE procedures, 80 (25.3%) of whom were suspected to have an SBT. And 59 of the 80 subjects were diagnosed with SBT finally. The majorities (59.3%, 35/59) of the patients diagnosed with SBT were males, whose average age was 61.8 years (SD ±11.0 years). DBE were frequently performed in patients with obscure gastrointestinal bleeding (66.1%), abdominal pain (16.9%). The common SBTs identified were: gastrointestinal stromal tumors (GISTs) (24/59, 40.7%), adenocarcinomas (13/59, 22.0%), lymphomas (6/59, 10.2%) and benign polyps (6/59, 10.2%). Jejunum had the highest detection rate (47.5%, 29/61). During the follow-up period (3 months to 3 years), 14 patients were submitted to chemotherapy and two patients died of tumor. Conclusion: The most high frequency type and location of SBTs detected in
our hospital were different from western countries. DBE is a valuable and safe examination for SBTs. |
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