A case of jejunal adenocarcinoma diagnosed by preoperative double balloon enteroscopy.
Despite a thorough history, physical examination, and complete diagnostic workup, the correct diagnosis of small-intestinal malignancy is established preoperatively in only 50% of cases; an exploratory laparotomy is often required. However, recent advances in endoscopic technologies, such as double-balloon enteroscopy (DBE), have been shown to facilitate the preoperative diagnosis of these tumors. Confirmation of malignancy using DBE in equivocal cases may greatly increase both patients' acceptance of surgery and the confidence of the physician planning a surgical resection. We describe herein the case of a 53-year-old woman with a stage I jejunal adenocarcinoma that was diagnosed by DBE and treated by laparoscopic jejunectomy. Histopathological examination revealed a stage I jejunal adenocarcinoma (T2N0M0) without muscularis propria invasion, lymphovascular invasion, or lymph-node metastasis.
Lee
Hong Joo
HJ
Department of Internal Medicine, Kyung Hee University College of Medicine, Seoul, Korea.
Cha
Jae Myung
JM
Lee
Joung Il
JI
Joo
Kwang Ro
KR
Jung
Sung Won
SW
Shin
Hyun Phil
HP