캡슐내시경과 단일풍선 소장내시경으로 진단된 공장의 간질종양 1예
A Case of Jejunal Gastrointestinal Stromal Tumor Diagnosed by Videocapsule Endoscopy and Single-Balloon Enteroscopy

The Ewha Medical Journal 2012년 35권 2호 p.114 ~ p.118

송도경(Song Do-Kyeung) - 이화여자대학교 의학전문대학원 내과학교실
심기남(Shim Ki-Nam) - 이화여자대학교 의학전문대학원 내과학교실
태정현(Tae Chung-Hyun) - 이화여자대학교 의학전문대학원 내과학교실
김경진(Kim Kyung-Jin) - 이화여자대학교 의학전문대학원 내과학교실
송명은(Song Myung-Eun) - 이화여자대학교 의학전문대학원 내과학교실
송하응(Song Ha-Eung) - 이화여자대학교 의학전문대학원 내과학교실
윤혜원(Yun Hye-Won) - 이화여자대학교 의학전문대학원 내과학교실
정가영(Jung Ka-Young) - 이화여자대학교 의학전문대학원 내과학교실
정정화(Chung Jung-Hwa) - 이화여자대학교 의학전문대학원 내과학교실

Abstract

Gastrointestinal stromal tumors (GISTs) are common mesenchymal tumors that arise in the wall of the gastrointestinal tract. We report a case of obscure gastrointestinal bleeding due to a GIST of the jejunum successfully documented by videocapsule endoscopy (VCE) and single-balloon enteroscopy (SBE). A 36-year-old man with hematochezia was referred for further evaluation of no evidence of bleeding focus on esophagogastroduodenoscopy and colonoscopy. A VCE showed a suspicious ulcerative hyperemic mass that located in about 1 hour apart from duodenal second portion. SBE revealed a nonbleeding 4×2 cm mass with an ulcer at the proximal jejunum. The patient underwent laparoscopic resection without complication. Histological examination revealed a well circumscribed, dumbbell-shaped firm mass comprised of spindle cells. Immunohistochemical staining for CD 117 was diffusely positive, whereas staining for S-100, CD 34 and MIB-1 was all negative. It was confirmed to be a low-grade GIST at the proximal jejunum.

키워드

Capsule endoscopy, Enteroscopy, Gastrointestinal stromal tumor, Jejunum
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KoreaMed 
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주제명(Target field)
연구대상(Population)
연구참여(Sample size)
대상성별(Gender)
질병특성(Condition Category)
연구환경(Setting)
연구설계(Study Design)
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중재명칭(Intervention Name)
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유효성결과(Recomendation)
A VCE showed a suspicious ulcerative hyperemic mass that located in about 1 hour apart from duodenal second portion. SBE revealed a nonbleeding 4×2 cm mass with an ulcer at the proximal jejunum.
연구비지원(Fund Source)
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DOI
KCD코드
ICD 03
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