经双气囊小肠镜诊断的小肠肿瘤的内镜及组织学特征
Endoscopic and histological characteristics of small bowel tumors diagnosed by double-balloon enteroscopy.
作者信息
Dolu Suleyman, Onem Soner, Htway Zarni, Hajıyev Farid, Bilgen Ali, Binicier Hatice Cilem, Kalemoglu Ecem, Sagol Ozgul, Akarsu Mesut
机构信息
Department of Gastroenterology, Faculty of Medicine, Dokuz Eylul University, Izmir, Turkey.
Department of Internal Medicine, Faculty of Medicine, Dokuz Eylul University, Izmir, Turkey.
出版信息
Clin Endosc. 2023 Jan;56(1):83-91. doi: 10.5946/ce.2022.131. Epub 2022 Oct 27.
BACKGROUND/AIMS: Double-balloon enteroscopy (DBE) allows for the diagnoses and treatment of small bowel tumors (SBTs). This study aimed to evaluate the utility of DBE for the diagnosis and treatment of SBTs.
METHODS
Patients diagnosed with SBTs who underwent DBE were included in this study. According to their endoscopic appearances, they were categorized as polyps or masses, and according to their histological characteristics, they were categorized as benign or malignant SBTs.
RESULTS
A total of 704 patients were retrospectively analyzed, and 90 (12.8%) were diagnosed with SBTs. According to their endoscopic appearance, 48 (53.3%) had polyps and 42 (46.7%) had masses. Additionally, 53 (58.9%) and 37 (41.1%) patients had malignant and benign SBTs, respectively, depending on their histological characteristics. Patients diagnosed with polyps were younger than those diagnosed with masses (p<0.001). Patients diagnosed with benign SBTs were younger than those diagnosed with malignant SBT (p<0.001). Overall, histological diagnosis was determined using DBE in 73 (81.1%) patients.
CONCLUSION
DBE is a useful method for diagnosing SBTs. Additionally, the histological type of the lesion can be determined using DBE.
背景/目的：双气囊小肠镜检查（DBE）可用于小肠肿瘤（SBT）的诊断和治疗。本研究旨在评估DBE在SBT诊断和治疗中的效用。
方法
本研究纳入了接受DBE检查且被诊断为SBT的患者。根据内镜表现，将其分为息肉或肿块型，根据组织学特征，将其分为良性或恶性SBT。
结果
共对704例患者进行了回顾性分析，其中90例（12.8%）被诊断为SBT。根据内镜表现，48例（53.3%）为息肉型，42例（46.7%）为肿块型。此外，根据组织学特征，分别有53例（58.9%）和37例（41.1%）患者患有恶性和良性SBT。诊断为息肉的患者比诊断为肿块的患者年轻（p<0.001）。诊断为良性SBT的患者比诊断为恶性SBT的患者年轻（p<0.001）。总体而言，73例（81.1%）患者通过DBE确定了组织学诊断。
结论
DBE是诊断SBT的一种有用方法。此外，使用DBE可以确定病变的组织学类型。
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