Small intestine cancer other imaging findings

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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1]Associate Editor(s)-in-Chief: Qurrat-ul-ain Abid, M.D.[2]

Overview

Other diagnostic studies for small intestine cancer include ultrasound, capsule endoscopy, double balloon enteroscopy, and barium x-rays.

Other Imaging Findings

Enteroscopy:

  • X-ray, CT, MRI, and PET-CT are the foremost examination modalities for small intestinal tumors. However, with the advancement of radiology, a series of new diagnostic techniques have been developed, such as electronic enteroscopy, multi-slice spiral CT enteroclysis and capsule endoscopy. [1]
  • On enteroscopy, gastrointestinal stromal tumor present as a nodule with enlarged mucosal folds or as a mass with abnormal surface vessels.
  • Carcinoid tumors present with submucosal nodule or bulge, which can be associated with an ulcer.
  • Lymphomas present with variable degrees of nodular mucosa and occasional ulcerations and strictures [2]

Capsule endoscopy:

  • In this procedure, the patient is not detected with an actual endoscope but with a capsule (about the size of a large vitamin pill) which contains a light source and a very small camera.
  • After swallowed, the capsule goes through the small intestine for a period of 8 hours. It takes thousands of pictures which can be downloaded onto a computer for the doctor to analyze.

Double balloon enteroscopy:

  • This is a newer way of looking at the small intestine. At first the patient need to anesthesia.

This technology makes the doctor to see the intestine a foot at a time and even take a biopsy if something abnormal.

Barium x-rays:

  • This is an x-ray test that a person is given a medication that will temporarily slow bowel movement, so structures can be more easily seen on the x-rays.
  • For this test, the patient drinks a millkshake-like substance called barium.
  • X-ray method called fluroscopy tracks how the barium moves through your esophagus, stomach, and small intestine. Pictures are taken in a variety of positions.
  • It includes upper GI series, enteroclysis and a barium enema.

References

  1. Zhao Z, Guan X, Chen Y, Wang X (January 2017). "[Progression of diagnosis and treatment in primary malignant small bowel tumor]". Zhonghua Wei Chang Wai Ke Za Zhi (in Chinese). 20 (1): 117–120. PMID 28105627.
  2. Bartel MJ, Stark ME, Lukens FJ (November 2014). "Clinical Review of Small-Bowel Endoscopic Imaging". Gastroenterol Hepatol (N Y). 10 (11): 718–726. PMC 5395713. PMID 28435408.

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