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Surgical Endoscopy

, Volume 7, Issue 3, pp 188–190 | Cite as

Diagnostic value of push-type jejunal endoscopy in primary jejunal carcinoma

  • Shotaro Nakamura
  • Mitsuo Iida
  • Yuzuru Nakao
  • Toshiyuki Matsui
  • Takashi Yao
  • Masatoshi Fujishima
Technique

Summary

Push-type jejunal endoscopy using a long forward-viewing duodenofiberscope was performed in two patients with primary jejunal carcinoma. Patient 1, a 48-year-old female, complained of nausea, vomiting, and weight loss, whereas patient 2, a 65-year-old female, presented epigastric pain. The lesion was located in the upper portion of the jejunum, and diagnosis was made by a double-contrast X-ray study of the small intestine in both patients. Endoscopic examinations revealed a reddish, nodular polypoid lesion with an annular constriction and an irregular central ulceration. Endoscopic biopsy confirmed a diagnosis of adenocarcinoma in both patients. Push-type jejunal endoscopy is valuable for an accurate preoperative diagnosis of primary jejunal carcinoma.

Key words

Carcinoma Jejunum Endoscopy Radiography Double-contrast study 

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Copyright information

© Springer-Verlag New York Inc 1993

Authors and Affiliations

  • Shotaro Nakamura
    • 1
    • 2
  • Mitsuo Iida
    • 1
  • Yuzuru Nakao
    • 1
  • Toshiyuki Matsui
    • 1
  • Takashi Yao
    • 2
  • Masatoshi Fujishima
    • 1
  1. 1.Second Department of Internal Medicine, Faculty of MedicineKyushu UniversityFukuokaJapan
  2. 2.Second Department of Pathology, Faculty of MedicineKyushu UniversityFukuokaJapan

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