Capsule endoscopy findings in celiac disease associated enteropathy-type intestinal T-cell lymphoma.
Capsule endoscopy is a new technology developed to investigate diseases of the small intestine. It has been shown to be superior to current modalities such as small-bowel radiography and enteroscopy. We describe a patient with long-standing celiac disease who presented with abdominal pain, diarrhea, and weight loss, after many years on a gluten-free diet. The symptom complex and results from small-bowel radiography and computerized tomography raised concern about progression to lymphoma, and ultimately a laparoscopy and small-bowel resection were done for diagnosis. A capsule endoscopy was performed to assess the extent of the patient's enteropathy-type intestinal T-cell lymphoma after three cycles of chemotherapy. We report the first use of capsule endoscopy in the setting of celiac disease associated enteropathy-type intestinal T-cell lymphoma. These endoscopic findings are correlated with those from gross and microscopic pathology and barium small-bowel radiography.
Joyce
A M
AM
Gastroenterology Division, Hospital of the University of Pennsylvania, Philadelphia, Pennsylvania 19104, USA. ann.marie.joyce@uphs.upenn.edu
Burns
D L
DL
Marcello
P W
PW
Tronic
B
B
Scholz
F J
FJ
D001706:Biopsy; D002446:Celiac Disease / Q000150:complications / Q000175:diagnosis*; D003937:Diagnosis, Differential; D016145:Endoscopy, Digestive System / Q000379:methods*; D006801:Humans; D007413:Intestinal Mucosa / Q000473:pathology; D007580:Jejunal Neoplasms / Q000150:complications / Q000175:diagnosis*; D016399:Lymphoma, T-Cell / Q000150:complications / Q000175:diagnosis*; D008297:Male; D008875:Middle Aged; D008904:Miniaturization / Q000295:instrumentation*; D011860:Radiography, Abdominal; D014057:Tomography, X-Ray Computed