Murino Alberto, Nakamura Masanao, Watanabe Osamu, Yamamura Takeshi, Nagura Asuka, Yoshimura Toru, Nakano Arihiro, Goto Hidemi, Hirooka Yoshiki
Department of Gastroenterology and Hepatology, Nagoya University Graduate School of Medicine, Nagoya, Japan.
Department of Gastroenterology and Hepatology, Nagoya University Graduate School of Medicine, Nagoya, Japan.
Dig Liver Dis. 2016 Oct;48(10):1187-93. doi: 10.1016/j.dld.2016.06.026. Epub 2016 Jun 28.
Characterization of small bowel submucosal tumours is challenging, requiring additional investigations. Endoscopic Ultrasonography performed during Double Balloon Enteroscopy, appeared a promising technique although it has not been fully evaluated. The aim was to determine the effectiveness of this technique for characterization and management of sub mucosal tumours in a large cohort of patients.
Patients with suspected small bowel tumours, who underwent Endoscopic Ultrasonography performed during Double Balloon Enteroscopy in our Institution between 2005 and 2013, were reviewed. Demographic data, clinical, endoscopic and radiological findings, therapeutic management, final diagnosis and follow-up were analyzed.
30 patients (19 male; median age 61.5) affected by submucosal tumours were included in the study. Endoscopic Ultrasonography performed during Double Balloon Enteroscopy was successfully performed in all cases providing a correct characterization of 19 submucosal tumours (63%). Based on the ultrasonographic characteristics 8 patients were treated endoscopically, 16 were referred to surgery, and 6 were managed conservatively.
Our results suggest that Endoscopic Ultrasonography performed during Double Balloon Enteroscopy is a safe and useful technique for submucosal tumours characterization. This procedure may be applied in clinical practice when small bowel tumours are encountered, to confirm the diagnosis and provide the most appropriate management.
小肠黏膜下肿瘤的特征描述具有挑战性，需要进行额外的检查。双气囊小肠镜检查时进行的内镜超声检查似乎是一种很有前景的技术，尽管尚未得到充分评估。目的是确定该技术在一大群患者中对黏膜下肿瘤进行特征描述和管理的有效性。
回顾了2005年至2013年期间在我们机构接受双气囊小肠镜检查时进行内镜超声检查的疑似小肠肿瘤患者。分析了人口统计学数据、临床、内镜和放射学检查结果、治疗管理、最终诊断和随访情况。
30例受黏膜下肿瘤影响的患者（19例男性；中位年龄61.5岁）纳入研究。所有病例均成功进行了双气囊小肠镜检查时的内镜超声检查，正确描述了19例黏膜下肿瘤（63%）。根据超声特征，8例患者接受了内镜治疗，16例转诊至外科手术，6例进行了保守治疗。
我们的结果表明，双气囊小肠镜检查时进行的内镜超声检查是一种用于黏膜下肿瘤特征描述的安全且有用的技术。当遇到小肠肿瘤时，该检查可应用于临床实践，以确诊并提供最合适的管理。
