| Theme | Update of Endoscopy for Small Intestine | |
|---|---|---|
| Title | Diagnosis of Small Intestinal Tumors with Double Balloon Endoscopy | |
| Publish Date | 2007/03 | |
| Author | Tatsuya Mikami | First Department of Internal Medicine, Hirosaki University School of Medicine |
| Author | Shinsaku Fukuda | First Department of Internal Medicine, Hirosaki University School of Medicine |
| Author | Norihiro Hanabata | First Department of Internal Medicine, Hirosaki University School of Medicine |
| Author | Tsuyotoshi Tsuji | First Department of Internal Medicine, Hirosaki University School of Medicine |
| Author | Daisuke Nishiya | First Department of Internal Medicine, Hirosaki University School of Medicine |
| Author | Tetsuro Yoshimura | First Department of Internal Medicine, Hirosaki University School of Medicine |
| Author | Akihiro Munakata | First Department of Internal Medicine, Hirosaki University School of Medicine |
| [ Summary ] | Most small intestinal tumors have been diagnosed after laparotomy, because we could approach very little of the small intestine endoscopically, except the oral part of the jejunum and the terminal ileum. However, double balloon endoscopy (DBE) enables us to observe all of the small intestine. We can now diagnose small intestinal tumors preoperatively with biopsies. Furthermore, we can perform polypectomies or EMR (endoscopic mucosal resection) when tumors are in the early stages. Small intestinal tumors are rare in the gastrointestinal tract. Cancers, lymphomas, and leiomyosarcomas are three major tumors associated with small intestinal malignancies. GISTs (gastrointestinal tumors), lipomas, hamartomas, and anginal tumors are also observed as benign tumors. Salient points concerning these types of tumors are discussed. |
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