Osias G L, Tepper R E, Zanzi I, Katz S
Department of Medicine, North Shore University Hospital, Manhasset, New York, USA.
Am J Gastroenterol. 1998 Jun;93(6):994-6. doi: 10.1111/j.1572-0241.1998.00296.x.
Establishing the presence of adenocarcinoma of the small bowel is exceedingly difficult. Survival is contingent on prompt diagnosis. We describe a patient with an atypical presentation of jejunal adenocarcinoma visualized via small bowel enteroclysis. She was referred with "gastroparesis," based on both a radionucleotide scan that revealed markedly delayed gastric emptying and a "normal" small bowel series. A markedly abnormal scintigraphic study and a negative small bowel series does not exclude disease of the small intestine and should provide the impetus to further pursue the possibility of an obstructing lesion. The enteroclysis is a relatively safe and effective study in the preoperative diagnosis of small bowel tumors.
确诊小肠腺癌极其困难。生存与否取决于能否及时诊断。我们描述了一位空肠腺癌表现不典型的患者，通过小肠灌肠造影得以确诊。她因“胃轻瘫”前来就诊，依据放射性核素扫描显示胃排空明显延迟以及小肠造影“正常”。闪烁扫描研究明显异常而小肠造影正常并不能排除小肠疾病，应促使进一步探究存在梗阻性病变的可能性。小肠灌肠造影在小肠肿瘤的术前诊断中是一项相对安全有效的检查。
