Video capsule enteroscopy in the diagnosis of GIST of the ileum
https://doi.org/10.24884/0042-4625-2022-181-6-79-82
Abstract
The OBJECTIVE was to show the effectiveness of video capsule and balloon-assisted enteroscopy in the diagnosis of gastrointestinal stromal tumor of the ileum.
METHODS AND MATERIALS. A clinical observation of a patient with a suspected tumor of the small intestine is presented. During the examination, video capsule endoscopy of the small intestine was performed using the Given Imaging capsule. In the ileum, mucosal infiltration and fresh blood were found. Conclusion: tumor of the small intestine. The patient underwent resection of the ileum with a tumor. Histological conclusion: malignant gastrointestinal stromal tumor with moderate mitotic activity and single metastasis to the mesenteric lymph node.
CONCLUSION. The difficulty in diagnosing tumors of the small intestine is due to the lack of specific clinical symptoms and the complexity of visualizing the neoplasm. In such cases, it is advisable to include video capsule enteroscopy in the diagnostic algorithm, which according to indications can be supplemented with balloon-assisted enteroscopy by oral or transanal access.
About the Authors
A. T. Kortieva
Regional Clinical Hospital №2
Russian Federation
Competing Interests:
Russian Federation
Kortieva Alena T., Endoscopist of the Endoscopy Department
Krasnodar
Competing Interests:
The authors declare no conflict of interest
V. S. Krushelnitskiy
Regional Clinical Hospital №2; Kuban State Medical University
Russian Federation
Competing Interests:
Russian Federation
Krushelnitskiy Vladimir S., Cand. of Sci. (Med.), Head of the Consultative and Diagnostic Center, First Deputy Chief Physician, Endoscopist of the Endoscopy Department
Krasnodar
Competing Interests:
The authors declare no conflict of interest
A. S. Gabriel
Regional Clinical Hospital №2
Russian Federation
Competing Interests:
Russian Federation
Gabriel Sergey A., Dr. of Sci. (Med.), Professor of the Department, Endoscopist, Chief Physician
Krasnodar
Competing Interests:
The authors declare no conflict of interest
V. Yu. Dynko
Regional Clinical Hospital №2
Russian Federation
Competing Interests:
Russian Federation
Dynko Viktor Yu., Cand. of Sci. (Med.), Head of the Endoscopy Department
Krasnodar
Competing Interests:
The authors declare no conflict of interest
A. Ya. Guchetl
Regional Clinical Hospital №2
Russian Federation
Competing Interests:
Russian Federation
Guchetl Aleksandr Yа., Cand. of Sci. (Med.), Head of the Center for Endoscopic Methods of Diagnosis and Treatment
Krasnodar
Competing Interests:
The authors declare no conflict of interest
R. M. Tlekhurai
Regional Clinical Hospital №2
Russian Federation
Competing Interests:
Russian Federation
Tlekhurai Ruslan M., Cand. of Sci. (Med.), Endoscopist of the Endoscopy Department
Krasnodar
Competing Interests:
The authors declare no conflict of interest
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For citations:
Kortieva A.T., Krushelnitskiy V.S., Gabriel A.S., Dynko V.Yu., Guchetl A.Ya., Tlekhurai R.M. Video capsule enteroscopy in the diagnosis of GIST of the ileum. Grekov's Bulletin of Surgery. 2022;181(6):79-82. (In Russ.) https://doi.org/10.24884/0042-4625-2022-181-6-79-82
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