双气囊小肠镜诊断小肠间质瘤致消化道出血的价值.PDFVIP

2015 42 2  Cancer Res Prev Treat,2015,Vol.42,No.2 177 肿瘤防治研究 年第 卷第 期 · · doi:10.3971/j.issn.1000-8578.2015.02.017 ·临床诊断· 双气囊小肠镜诊断小肠间质瘤致消化道 出血的价值 俞媛洁，赵亮，陈继红，沈倩妮，谭诗云，罗和生 Value of Double-Balloon Enteroscopy in Diagnosing Alimentary Tract Hemorrhage Induced by Stromal Tumor of Small Bowel YU Yuanjie, ZHAO Liang, CHEN Jihong, SHEN Qianni, TAN Shiyun, LUO Hesheng Department of Gastroenterology, Renmin Hospital of Wuhan University, Wuhan 430060, China Corresponding Author: CHEN Jihong, E-mail: chenjihong2@ Abstract: Objective To investigate the diagnostic value of double balloon enteroscopy(DBE) in diagnosing alimentary tract hemorrhage induced by stromal tumor of small bowel(STSB) and analyze the morphological features of small bowel under endoscopy. Methods We retrospectively analyzed the clinical manifestation, endoscopic appearance, tumor size, location, imageological characteristics and postoperative pathological diagnosis data of 40 patients with alimentary tract hemorrhage induced by STSB. Results Alimentary tract hemorrhage induced by STSB was more common in the elderly [(50.50±10.21) year-old) ], with melena, bloody stool or positive in occult test as the main characteristics, and mostly suffered from anemia, abdominal pain, distension and loss of body weight. Lesion was detected by abdomen CT or angiography prior to DBE in 15.00% (6/40) of patients; 95.00% (38/40) stromal tumor of small intestine was detected by DBE; 5.00%(2/40) of the patients was missed diagnosis. Stromal tumor appeared as hard, spherical or hemispherical submucosal protrusion with clearly demarcated borders. The mucosal was intact or of superficial erosion, with part of luminal narrowing. Risk factors were defined after the operation: very low risk (6 cases), low risk (15 cases), i