Endoscopy 2013; 45(01): 67-70
DOI: 10.1055/s-0032-1325867
Case report/series
© Georg Thieme Verlag KG Stuttgart · New York

Endoscopic diagnosis of follicular lymphoma with small-bowel involvement using video capsule endoscopy and double-balloon endoscopy: a case series

M. Nakamura
1   Department of Gastroenterology and Hepatology, Nagoya University Graduate School of Medicine, Nagoya, Japan
,
N. Ohmiya
1   Department of Gastroenterology and Hepatology, Nagoya University Graduate School of Medicine, Nagoya, Japan
,
Y. Hirooka
2   Department of Endoscopy, Nagoya University Hospital, Nagoya, Japan
,
R. Miyahara
1   Department of Gastroenterology and Hepatology, Nagoya University Graduate School of Medicine, Nagoya, Japan
,
T. Ando
1   Department of Gastroenterology and Hepatology, Nagoya University Graduate School of Medicine, Nagoya, Japan
,
O. Watanabe
1   Department of Gastroenterology and Hepatology, Nagoya University Graduate School of Medicine, Nagoya, Japan
,
A. Itoh
1   Department of Gastroenterology and Hepatology, Nagoya University Graduate School of Medicine, Nagoya, Japan
,
H. Kawashima
1   Department of Gastroenterology and Hepatology, Nagoya University Graduate School of Medicine, Nagoya, Japan
,
E. Ohno
2   Department of Endoscopy, Nagoya University Hospital, Nagoya, Japan
,
T. Kinoshita
3   Department of Hematology and Cell Therapy, Aichi Cancer Center Hospital, Nagoya, Japan
,
H. Goto
1   Department of Gastroenterology and Hepatology, Nagoya University Graduate School of Medicine, Nagoya, Japan
› Institutsangaben
Weitere Informationen

Publikationsverlauf

submitted21. September 2011

accepted after revision07. September 2012

Publikationsdatum:
03. Dezember 2012 (online)

The aims of this study were to compare the detection rates of gastrointestinal follicular lymphoma lesions by video capsule endoscopy (VCE) and double-balloon endoscopy (DBE), and to determine the pathologic diagnostic yields of DBE-directed biopsies. A total of 27 consecutive patients were enrolled. No significant difference in detection rates was observed in 12 patients who underwent total enteroscopy at both VCE and DBE. Pathologic diagnostic yields stratified by location were 91 % in the proximal duodenum at esophagogastroduodenoscopy, 88 % in the jejunum at antegrade DBE, 52 % in the ileum at retrograde DBE, and 57 % in the terminal ileum at colonoscopy. VCE and DBE were helpful in determining treatment in 44 % of patients.

 
  • References

  • 1 Yoshino T, Miyake K, Ichimura K et al. Increased incidence of follicular lymphoma in the duodenum. Am J Surg Pathol 2000; 24: 688-693
  • 2 Matsumoto T, Nakamura S, Esaki M et al. Double-balloon endoscopy depicts diminutive small bowel lesions in gastrointestinal lymphoma. Dig Dis Sci 2010; 55: 158-165
  • 3 Chowdhury M, Endo M, Chiba T et al. Characterization of follicular lymphoma in the small intestine using double-balloon endoscopy. Gastroenterol Res Pract 2009; 2009 835258. Epub 2009 Nov 5. PubMed PMID: 19901998; PubMed Central PMCID: PMC2773429
  • 4 Takaka K, Okada H, Ohmiya N et al. Primary gastrointestinal follicular lymphoma involving the second portion is a distinct entity: a multicenter, retrospective analysis in Japan. Cancer Sci 2011; 102: 1532-1536
  • 5 Higuchi N, Sumida Y, Nakamura K et al. Impact of double-balloon endoscopy on the diagnosis of jejunoileal involvement in primary intestinal follicular lymphomas: a case series. Endoscopy 2009; 41: 175-178
  • 6 Kodama M, Kitadai Y, Shishido T et al. Primary follicular lymphoma of the gastrointestinal tract: a retrospective case series. Endoscopy 2008; 40: 343-346
  • 7 Flieger D, Keller R, May A et al. Capsule endoscopy in gastrointestinal lymphomas. Endoscopy 2005; 37: 1174-1180
  • 8 Akamatsu T, Kaneko Y, Ota H et al. Usefulness of double balloon enteroscopy and video capsule endoscopy for the diagnosis and management of primary follicular lymphoma of the gastrointestinal tract in its early stages. Dig Endosc 2010; 22: 33-38
  • 9 Ohmiya N, Taguchi A, Shirai K et al. Endoscopic resection of Peutz–Jeghers polyps throughout the small intestine at double-balloon enteroscopy without laparotomy. Gastrointest Endosc 2005; 61: 140-147
  • 10 Nakamura M, Niwa Y, Ohmiya N et al. Preliminary comparison of capsule endoscopy and double-balloon enteroscopy in patients with suspected small-bowel bleeding. Endoscopy 2006; 38: 59-66
  • 11 Arakawa D, Ohmiya N, Nakamura M et al. Outcome after enteroscopy for patients with obscure GI bleeding: diagnostic comparison between double-balloon endoscopy and videocapsule endoscopy. Gastrointest Endosc 2009; 69: 866-874
  • 12 Ohmiya N, Nakamura M, Takenaka H et al. Management of small-bowel polyps in Peutz–Jeghers syndrome by using enteroclysis, double-balloon enteroscopy, and videocapsule endoscopy. Gastrointest Endosc 2010; 72: 1209-1216
  • 13 Mac Manus MP, Hoppe RT. Is radiotherapy curative for stage I and II low-grade follicular lymphoma? Results of a long-term follow-up study of patients treated at Stanford University.. J Clin Oncol 1996; 14: 1282-1290
  • 14 Advani R, Rosenberg SA, Horning SJ. Stage I and II follicular non-Hodgkin’s lymphoma: long-term follow-up of no initial therapy. J Clin Oncol 2004; 22: 1454-1459