Suzuki Hirobumi, Yamada Atsuo, Watabe Hirotsugu, Kobayashi Yuka, Hirata Yoshihiro, Yamaji Yutaka, Yoshida Haruhiko, Koike Kazuhiko
Department of Gastroenterology, The University of Tokyo, 7-3-1 Hongo, Bunkyo-ku, Tokyo 113-8655, Japan.
Diagn Ther Endosc. 2012;2012:521960. doi: 10.1155/2012/521960. Epub 2012 Jul 10.
Small bowel adenocarcinoma (SBA) has generally been considered to have a poor prognosis because of nonspecific presentations and difficulties in detection of the disease. The advent of capsule endoscopy (CE) and double-balloon endoscopy (DBE) makes it possible to access to the small intestine for endoscopic interventions. We describe a successful case of early jejunum adenocarcinoma completely resected by endoscopic mucosal resection (EMR) using double-balloon endoscopy (DBE). Early diagnosis and EMR using new technologies such as CE and DBE may improve the recognition of this disease that, at present, has a poor prognosis.
小肠腺癌(SBA)由于临床表现不具特异性且疾病检测存在困难,一般被认为预后较差。胶囊内镜(CE)和双气囊内镜(DBE)的出现使得进入小肠进行内镜干预成为可能。我们描述了一例通过使用双气囊内镜(DBE)进行内镜黏膜切除术(EMR)成功切除早期空肠腺癌的病例。使用CE和DBE等新技术进行早期诊断和EMR可能会改善目前预后较差的这种疾病的诊疗情况。