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小肠肿瘤。

Small intestinal tumours.

机构信息

2nd Department of Medicine, Charles University in Praha, Faculty of Medicine at Hradec Kralove, University Teaching Hospital, Sokolska 581, 500 05 Hradec Kralove, Czech Republic.

出版信息

Gastroenterol Res Pract. 2013;2013:702536. doi: 10.1155/2013/702536. Epub 2013 Nov 17.

DOI:10.1155/2013/702536
PMID:24348540
原文链接:https://pmc.ncbi.nlm.nih.gov/articles/PMC3855980/
Abstract

Objective. Balloon enteroscopy (BE) and capsule enteroscopy (CE) are enteroscopy methods that allow examination and treatment of the small bowel. Before the CE and BE era, the small intestine was difficult to access for investigation. Small intestinal tumours are infrequent conditions, but about half of them are malignant. Materials and Methods. A total of 303 BEs were performed in 179 patients. Oral insertion was performed in 240 and anal in 63 BEs. Indications for the procedure in our patients with small bowel tumours were anaemia and/or bleeding, obstruction, suspicion of carcinoid tumour, or suspicion of Peutz-Jeghers syndrome. Results. In 50 of our 179 patients (28%), we diagnosed some small intestinal tumours: hamartomas in Peutz-Jeghers syndrome in 16 patients, adenocarcinoma in 7, lymphoma in 6, carcinoid tumour in 4, melanoma and stromal tumour in 3, adenoma, lipoma, and inflammatory polyps in 2, and granular cell tumour, cavernous lymphangioma, fibrolipoma, Cronkhite-Canada polyps, and metastatic involvement in individual cases. Conclusion. BE facilitates exploration and treatment of the small intestine. The procedure is generally safe and useful. BE and CE are essential modalities for the management of small intestinal diseases.

摘要

目的。球囊式内镜（BE）和胶囊内镜（CE）是允许检查和治疗小肠的内镜方法。在 CE 和 BE 时代之前，小肠难以进行检查。小肠肿瘤是罕见的疾病，但其中约一半是恶性的。

材料和方法。对 179 例患者中的 303 例进行了 BE，其中 240 例经口插入，63 例经肛门插入。我们对有小肠肿瘤的患者进行该手术的指征是贫血和/或出血、梗阻、类癌瘤的怀疑或 Peutz-Jeghers 综合征的怀疑。

结果。在我们的 179 例患者中的 50 例（28%）中，我们诊断出了一些小肠肿瘤：16 例 Peutz-Jeghers 综合征中的错构瘤、7 例腺癌、6 例淋巴瘤、4 例类癌瘤、3 例黑色素瘤和间质瘤、2 例腺瘤、脂肪瘤和炎性息肉，以及个别病例中的颗粒细胞瘤、海绵状淋巴管瘤、纤维脂肪瘤、Cronkhite-Canada 息肉和转移性浸润。

结论。BE 有助于探索和治疗小肠。该手术通常是安全且有用的。BE 和 CE 是治疗小肠疾病的重要手段。

https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2867/3855980/ec04a5dcdbf8/GRP2013-702536.012.jpg
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https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2867/3855980/957d7fdd9cdf/GRP2013-702536.006.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2867/3855980/73dfc028bcdf/GRP2013-702536.007.jpg
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https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2867/3855980/ec04a5dcdbf8/GRP2013-702536.012.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2867/3855980/18ed7b826ed8/GRP2013-702536.001.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2867/3855980/b1b9a724d7f0/GRP2013-702536.002.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2867/3855980/df9663cf6121/GRP2013-702536.003.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2867/3855980/47728b06ff23/GRP2013-702536.004.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2867/3855980/26e6630f10a0/GRP2013-702536.005.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2867/3855980/957d7fdd9cdf/GRP2013-702536.006.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2867/3855980/73dfc028bcdf/GRP2013-702536.007.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2867/3855980/3b4d41df1082/GRP2013-702536.008.jpg
https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2867/3855980/de0b40dac3f9/GRP2013-702536.009.jpg
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https://cdn.ncbi.nlm.nih.gov/pmc/blobs/2867/3855980/ec04a5dcdbf8/GRP2013-702536.012.jpg

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