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01 December 2012

Multiple carcinoid tumors of the small intestine preoperatively diagnosed by double-balloon endoscopy

Se-Yong LeeABCDEF, Shibuya TomoyoshiABCDEF, Keiichi HagaBDE, Hitosi SasakiBCD, Chie OgataB, Osamu NomuraB, Yuka FukuoB, Wataru AbeBC, Taro OsadaBCD, Akihito NagaharaCD, Tatsuo OgiharaCD, Hirohiko KamiyamaBD, Kazuhiro SakamotoBD, Sumio WatanabeABCDEF

DOI: 10.12659/MSM.883588

Med Sci Monit 2012; 18(12): CS109-112

Abstract

Background: Multiple carcinoid tumors of the small intestine are rare and are very difficult to detect preoperatively.
Case Report: A 75-year-old woman in whom the bleeding focus could not be found by upper and lower endoscopy and abdominal CT was admitted for evaluation of anemia. We examined the patient with total double-balloon endoscopy (DBE) and located multiple submucosal tumors. The multiple carcinoid tumors were resected successfully under laparoscopy.
Conclusions: We report a case of a successful laparoscopic operation for multiple carcinoid tumors in the small intestine without intraoperative endoscopy. Total digestive tract observation using DBE is very useful for laparoscopic operation for multiple tumors in the small intestine.

Keywords: Laparoscopy, Intestine, Small - surgery, Intestinal Neoplasms - surgery, Epithelial Cells - pathology, Carcinoid Tumor - surgery, Preoperative Care

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Medical Science Monitor eISSN: 1643-3750
Medical Science Monitor eISSN: 1643-3750