title: Multiple carcinoid tumors of the small intestine preoperatively diagnosed by double-balloon endoscopy.
abstract: BACKGROUND
  Multiple carcinoid tumors of the small intestine are rare and are very difficult to detect preoperatively.
  
  
  METHODS
  A 75-year-old woman in whom the bleeding focus could not be found by upper and lower endoscopy and abdominal CT was admitted for evaluation of anemia. We examined the patient with total double-balloon endoscopy (DBE) and located multiple submucosal tumors. The multiple carcinoid tumors were resected successfully under laparoscopy.
  
  
  CONCLUSIONS
  We report a case of a successful laparoscopic operation for multiple carcinoid tumors in the small intestine without intraoperative endoscopy. Total digestive tract observation using DBE is very useful for laparoscopic operation for multiple tumors in the small intestine.
authors.affiliation: Department of Gastroenterology, Juntendo University School of Medicine, Tokyo, Japan.
authors.forename: Se-Yong
authors.initials: SY
authors.lastname: Lee
authors.forename: Shibuya
authors.initials: S
authors.lastname: Tomoyoshi
authors.forename: Keiichi
authors.initials: K
authors.lastname: Haga
authors.forename: Hitosi
authors.initials: H
authors.lastname: Sasaki
authors.forename: Chie
authors.initials: C
authors.lastname: Ogata
authors.forename: Osamu
authors.initials: O
authors.lastname: Nomura
authors.forename: Yuka
authors.initials: Y
authors.lastname: Fukuo
authors.forename: Wataru
authors.initials: W
authors.lastname: Abe
authors.forename: Taro
authors.initials: T
authors.lastname: Osada
authors.forename: Akihito
authors.initials: A
authors.lastname: Nagahara
authors.forename: Tatsuo
authors.initials: T
authors.lastname: Ogihara
authors.forename: Hirohiko
authors.initials: H
authors.lastname: Kamiyama
authors.forename: Kazuhiro
authors.initials: K
authors.lastname: Sakamoto
authors.forename: Sumio
authors.initials: S
authors.lastname: Watanabe
mesh_terms: D000368:Aged; D002276:Carcinoid Tumor / Q000175:diagnosis* / Q000473:pathology / Q000601:surgery*; D004847:Epithelial Cells / Q000473:pathology; D005260:Female; D006801:Humans; D007414:Intestinal Neoplasms / Q000175:diagnosis / Q000473:pathology / Q000601:surgery; D007421:Intestine, Small / Q000473:pathology* / Q000601:surgery*; D010535:Laparoscopy; D011300:Preoperative Care