Small-bowel tumors detected by wireless capsule endoscopy

Gregory D. Schwartz, Jamie S Barkin

Research output: Contribution to journalArticle

98 Citations (Scopus)

Abstract

Small bowel tumors are difficult to diagnose because of their endoscopic inaccessibility. This has been overcome by the use of the Pillcam™ SB capsule (Given Imaging, Yoqneam, Israel). The purpose of this report is to describe the largest series of patients with small bowel tumors detected by capsule endoscopy. Eighty six patients were derived from the Given Imaging clinical database on a survey of Pillcam™ SB capsule users who were diagnosed with 87 small bowel tumors, 1 cecal tumor, and 1 gastric tumor. The population consisted of 55 males and 31 females. 69% of patients were referred for capsule endoscopy for obscure gastrointestinal bleeding (59/86 patients) and 31% (27/86 patients) were referred for other indications including anemia, polyposis, and abdominal pain. All patients have histologically confirmed tumors. Eighty six patients reported 395 previous negative procedures (average of 4.6 per patient). Malignant tumors comprised 61% (54/89) and benign 39% (35/89). Of the 87 reported small bowel tumors, 4 were identified in the duodenum, 43 tumors were identified in the jejunum, 18 tumors were identified in the ileum, and 22 tumors were located in the mid to distal small bowel. The most common malignant tumors were adenocarcinoma, carcinoids, melanomas, lymphomas, and sarcomas. The most common benign tumors were GIST, hemangiomas, hamartomas, adenomas, and granulation tissue polyps. Capsule endoscopy is the diagnostic procedure of choice in patients with suspected small bowel tumors.

Original languageEnglish
Pages (from-to)1026-1030
Number of pages5
JournalDigestive Diseases and Sciences
Volume52
Issue number4
DOIs
StatePublished - Apr 1 2007

Fingerprint

Capsule Endoscopy
Neoplasms
Capsules
Hamartoma
Granulation Tissue
Carcinoid Tumor
Israel
Jejunum
Hemangioma
Polyps
Ileum
Duodenum
Sarcoma
Adenoma

Keywords

  • Small bowel tumors
  • Wireless capsule endoscopy

ASJC Scopus subject areas

  • Gastroenterology

Cite this

Small-bowel tumors detected by wireless capsule endoscopy. / Schwartz, Gregory D.; Barkin, Jamie S.

In: Digestive Diseases and Sciences, Vol. 52, No. 4, 01.04.2007, p. 1026-1030.

Research output: Contribution to journalArticle

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