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Three cases of jejunal tumors detected by standard upper gastrointestinal endoscopy:A case series

World Journal of Clinical Cases 2023年第4期11卷 962-971页

作者： Jaesun Lee Sunmoon Kim Daesung Kim Sangeok Lee kihyun ryu Department of Gastroenterology Konyang University Myunggok Medical Research InstituteDaejeon 35365South Korea Department of Surgery Konyang University HospitalKonyang University College of MedicineDaejeon 35365South Korea

BACKGROUND In patients with obscure gastrointestinal bleeding,re-examination with standard upper endoscopes by experienced physicians will identify culprit lesions in a substantial proportion of patients.A common practice is to insert an adult-sized forward-viewing endoscope into the second part of the *** the endoscope tip enters after the papilla,which is a marker for the descending part of the duodenum,it is difficult to endoscopically judge how far the duodenum has been traversed beyond the second *** SUMMARY We experienced three cases of proximal jejunal masses that were diagnosed by standard upper gastrointestinal endoscopy and confirmed with *** patients visited the hospital with a history of melena;during the initial upper gastrointestinal endoscopy and colonoscopy,the bleeding site was not *** gastrointestinal bleeding was suspected;thus,according to guidelines,upper endoscopy was performed again.A hemorrhagic mass was discovered in the small *** lesion of the first patient was thought to be located in the duodenum when considering the general insertion depth of a typical upper gastrointestinal endoscope;however,during surgery,it was confirmed that it was in the *** the first case,lesions in the second and third patients were detected at the jejunum by inserting the standard upper endoscope as deep as *** The deep insertion of standard endoscopes is useful for the diagnosis of obscure gastrointestinal bleeding.

关键词： Esophagogastroduodenoscopy Obscure gastrointestinal bleeding Jejunal neoplasm Case report

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