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The usefulness of capsule endoscopy for small bowel tumors

Title
The usefulness of capsule endoscopy for small bowel tumors
Authors
Cheung D.Y.Kim J.S.Shim K.-N.Choi M.-G.Korean Gut Image Study Group
Ewha Authors
심기남
SCOPUS Author ID
심기남scopus
Issue Date
2016
Journal Title
Clinical Endoscopy
ISSN
2234-2400JCR Link
Citation
vol. 49, no. 1, pp. 21 - 25
Keywords
Capsule endoscopyNeoplasmsSmall bowel
Publisher
Korean Society of Gastrointestinal Endoscopy
Indexed
SCOPUS; KCI scopus
Abstract
Video capsule endoscopy (VCE) has expanded the range of endoscopic examination of the small bowel. The clinical application of VCE is mainly for obscure gastrointestinal bleeding (OGIB) and small bowel tumor is one of the clinically significant diagnoses of VCE, often requiring subsequent invasive interventions. Small bowel tumors are detected with a frequency of around 4% with VCE in indications of OGIB, iron deficiency anemia, unexplained abdominal pain, and others. Protruding mass with bleeding, mucosal disruption, irregular surface, discolored area, and white villi are suggested as the VCE findings of small bowel tumor. Device assisted enteroscopy (DAE), computed tomography enteroclysis/enterography and magnetic resonance enteroclysis/enterography also have clinical value in small bowel examination and tumor detection, and they can be used with VCE, sequentially or complementarily. Familial adenomatous polyposis, Peutz-Jeghers syndrome, melanoma, lymphoma, and neuroendocrine tumor with hepatic metastasis are the high risk groups for small bowel tumors, and surveillance programs for small bowel tumors are needed. VCE and radiological imaging have value in screening, and in selected cases, DAE can provide more accurate diagnosis and endoscopic treatment. This review describes the usefulness and clinical impact of VCE on small bowel tumors. © 2016 Korean Society of Gastrointestinal Endoscopy.
DOI
10.5946/ce.2016.49.1.21
Appears in Collections:
의학전문대학원 > 의학과 > Journal papers
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