Small bowel adenocarcinoma. Two case reports

Anania, Gabriele and Santini, Mirco and Vedana, Laura and Marzetti, Alice and Scagliarini, Lucia and Zelante, A. and Pezzoli, A. and Resta, Giuseppe and Cavallesco, Giorgio Narciso (2012) Small bowel adenocarcinoma. Two case reports. Il giornale di chirurgia, 33 (6/7). pp. 225-228. ISSN 1971-145X

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Abstract

Introduction. Small bowel adenocarcinoma is a rare tumor, with a still not well studied tumorigenesis process, and non-specific symptoms that cause a delay in the diagnosis and consequently a worst outcome for the patient. Videocapsule endoscopy (VCE) and double-balloon enteroscopy (DBE) have revolutionized the diagnosis and management of patients with small bowel diseases. Surgery is the treatment of choice when feasible, while the chemotherapeutic approach is still not well standardized. Case reports. Two cases in 2 months (two women 52 and 72-yr-old) of primary bowel adenocarcinoma is reported. The site of the tumor was in jejunum, instead of the most common site in duodenum. The patients underwent DBE with biopsy and ink mark. Laparoscopic-assisted bowel segmental resection was performed. The pathologic diagnosis was primary jejunum adenocarcinoma. No post-operative mortality or significant morbidities were noted. Conclusion. The combination of DBE and laparocopic-assisted bowel surgery represents an ideal diagnostic and therapeutic method.

Item Type:	Article
Uncontrolled Keywords:	Small bowel - Adenocarcinoma - Laparoscopy
Subjects:	600 Tecnologia - Scienze applicate > 610 Medicina e salute (Classificare qui la tecnologia dei servizi medici) > 617 Rami vari della medicina; Chirurgia > 617.4 Chirurgia secondo il Sistema e Regioni
Depositing User:	Nadia Del Gobbo
Date Deposited:	03 Aug 2016 10:32
Last Modified:	03 Aug 2016 10:32
URI:	http://eprints.bice.rm.cnr.it/id/eprint/8001

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