KMID : 1188320090030040311
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Gut and Liver 2009 Volume.3 No. 4 p.311 ~ p.314
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A Case of Jejunal Adenocarcinoma Diagnosed by Preoperative Double Balloon Enteroscopy
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Lee Hong-Joo
Cha Jae-Myung Lee Joung-Il Joo Kwang-Ro Jung Sung-Won Shin Hyun-Phil
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Abstract
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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.
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KEYWORD
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Adenocarcinoma, Double ballon enteroscopy, Jejunum
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