Clinical Endoscopy

The Korean Society of Gastrointestinal Endoscopy (대한소화기내시경학회)
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Endoscopic and histological characteristics of small bowel tumors diagnosed by double-balloon enteroscopy

  • Suleyman Dolu (Department of Gastroenterology, Faculty of Medicine, Dokuz Eylul University) ;
  • Soner Onem (Department of Gastroenterology, Faculty of Medicine, Dokuz Eylul University) ;
  • Zarni Htway (Department of Gastroenterology, Faculty of Medicine, Dokuz Eylul University) ;
  • Farid Hajıyev (Department of Gastroenterology, Faculty of Medicine, Dokuz Eylul University) ;
  • Ali Bilgen (Department of Gastroenterology, Faculty of Medicine, Dokuz Eylul University) ;
  • Hatice Cilem Binicier (Department of Gastroenterology, Faculty of Medicine, Dokuz Eylul University) ;
  • Ecem Kalemoglu (Department of Internal Medicine, Faculty of Medicine, Dokuz Eylul University) ;
  • Ozgul Sagol (Department of Pathology, Faculty of Medicine, Dokuz Eylul University) ;
  • Mesut Akarsu (Department of Gastroenterology, Faculty of Medicine, Dokuz Eylul University)
  • Received : 2022.04.19
  • Accepted : 2022.08.09
  • Published : 2023.01.30
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Abstract

Background/Aims: Double-balloon enteroscopy (DBE) allows for the diagnoses and treatment of small bowel tumors (SBTs). This study aimed to evaluate the utility of DBE for the diagnosis and treatment of SBTs. Methods: Patients diagnosed with SBTs who underwent DBE were included in this study. According to their endoscopic appearances, they were categorized as polyps or masses, and according to their histological characteristics, they were categorized as benign or malignant SBTs. Results: A total of 704 patients were retrospectively analyzed, and 90 (12.8%) were diagnosed with SBTs. According to their endoscopic appearance, 48 (53.3%) had polyps and 42 (46.7%) had masses. Additionally, 53 (58.9%) and 37 (41.1%) patients had malignant and benign SBTs, respectively, depending on their histological characteristics. Patients diagnosed with polyps were younger than those diagnosed with masses (p<0.001). Patients diagnosed with benign SBTs were younger than those diagnosed with malignant SBT (p<0.001). Overall, histological diagnosis was determined using DBE in 73 (81.1%) patients. Conclusions: DBE is a useful method for diagnosing SBTs. Additionally, the histological type of the lesion can be determined using DBE.

Keywords

Acknowledgement

All the authors would like to thank "Basak Oguz Yolcular" for all the support provided in the statistical analysis process of this study.

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