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Metastatic Tumor of the Small Intestine Makoto Nishimura 1 , Hiroto Kita 2 , Tomonori Yano 3 , Hironori Yamamoto 3 1Department of Endoscopy, Tokyo Metropolitan Geriatric Hospital, Tokyo 2Department of Gastroenterology, Teikyo University School of Medicine, Tokyo 3Department of Internal Medicine, Division of Gastroenterology, Jichi Medical University, Shimotsuke, Japan Keyword: 転移性小腸腫瘍 , 原発性小腸癌 , バルーン内視鏡 pp.1481-1486
Published Date 2013/9/25
DOI https://doi.org/10.11477/mf.1403113948
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 Small intestine tumors are rare disease, and various tumor cells from esophagus, stomach, colon, lung, pancreas, and kidney have the possibility of metastasizing to the small intestine. Symptoms are nausea, bloating, abdominal pain, constipation and so on ; therefore, diagnosis before surgery is difficult to be found, and often pointed out by autopsy. There are 3 main pathways of metastasis :(1)intra-mesenteric metastasis,(2)disseminated metastasis,(3)intra-intestinal metastasis. Radiological enteroclysis, CT scan, MRI, and transabdominal ultrasound have been used. Recently, DBE(double-balloon endoscopy)and SBE(single-balloon endoscopy)has been developed to facilitate pathological diagnosis. Based on the diagnostic imaging and pathological results, a definite diagnosis is made on which are a metastasis or primary tumor of the small intestine.


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電子版ISSN 1882-1219 印刷版ISSN 0536-2180 医学書院

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