Diagnosis of the jejunoileal lymphoma by double-balloon endoscopy

查看全文 作　　者：Takashi [1]Ibuka;Hiroshi [1,2]Araki;Tomohiko [1]Sugiyama;Takayuki [1]Nakanishi;Fumito [1]Onogi;Masahito [1]Shimizu;Takeshi [1]Hara;Tsuyoshi [3]Takami;Hisashi [1]Tsurumi;Hisataka [1]Moriwaki

机构地区：[1]First Department of Internal Medicine,Gifu University Graduate School of Medicine,Gifu 501-1194,Japan;[2]Department of Gastroenterology,Gifu University School of Medicine,Gifu 501-1194,Japan;[3]Department of Immunopathology,Gifu University Graduate School of Medicine,Gifu 501-1194,Japan

出　　处：《World Journal of Gastrointestinal Endoscopy》索引2013年第5卷第3期,共6页

摘　　要：AIM:To investigate the feasibility of double-balloon endoscopy(DBE) to detect jejunoileal lymphoma,compared with fluorodeoxyglucose positron emission tomography(FDG-PET).METHODS:Between March 2004 and January 2011,we histologically confirmed involvement of malignant lymphoma of the jejunoileum in 31 patients by DBE and biopsy.In 20 patients of them,we performed with FDGPET.We retrospectively reviewed the records of these 20 patients.Their median age was 64 years(range 50-81).In the 20 patients,the pathological diagnosis of underlying non-Hodgkin's lymphoma(NHL) comprised follicular lymphoma(FL,n = 12),diffuse large B cell lymphoma(DLBCL,n = 4),mantle cell lymphoma(MCL,n = 2),enteropathy associated T cell lymphoma(ETL,n = 1) and anaplastic large cell lymphoma(ALCL,n = 1).RESULTS:Ten cases showed accumulation by FDGPET(50%).FDG-PET was positive in 3 of 12 FL cases(25%) while in 7 of 8 non-FL cases(88%,P < 0.05).Intestinal FL showed a significantly lower rate of positive FDG-PET,in comparison with other types of lymphoma.Cases with endoscopically elevated lesions(n = 10) showed positive FDG-PET in 2(20%),but those with other type NHL did in 8 of 10(80%,P < 0.05).When the cases having elevated type was compared with those not having elevated type lesion,the number of cases that showed accumulation of FDG was significantly smaller in the former than in the latter.CONCLUSION:In a significant proportion,small intestinal involvement cannot be pointed out by FDG-PET.Especially,FL is difficult to evaluate by FDG-PET but essentially requires DBE. 关键词：Double-balloon ENDOSCOPY Non-Hodgkin’s LYMPHOMA Jejunoileum FLUORODEOXYGLUCOSE POSITRON emission tomography FOLLICULAR LYMPHOMA

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Diagnosis of the jejunoileal lymphoma by double-balloon endoscopy

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