Small bowel adenocarcinoma diagnosed by video capsule endoscopy
in a patient with celiac disease: a case report and review of
literature

J 2020

Small bowel adenocarcinoma diagnosed by video capsule endoscopy in a patient with celiac disease: a case report and review of literature

PACKOVÁ, Barbora, Lumír KUNOVSKÝ, Michal EID, Radek KROUPA, Milan DASTYCH et. al.

Základní údaje

Originální název

Small bowel adenocarcinoma diagnosed by video capsule endoscopy in a patient with celiac disease: a case report and review of literature

Název česky

Adenokarcinom tenkého střeva diagnostikovaný pomocí video kapslové endoskopie u pacientky s celiakií: kazuistika a přehled literatury

Autoři

PACKOVÁ, Barbora (203 Česká republika, domácí), Lumír KUNOVSKÝ (203 Česká republika, domácí), Michal EID (203 Česká republika, domácí), Radek KROUPA (203 Česká republika, domácí), Milan DASTYCH (203 Česká republika, domácí), Michal ŠENKYŘÍK (203 Česká republika, domácí), Tomáš GROLICH (203 Česká republika, domácí), Jakub HUSTÝ (203 Česká republika, domácí), Petr JABANDŽIEV (203 Česká republika, domácí), Václav KUBEŠ (203 Česká republika, domácí), Vladimír PROCHÁZKA (203 Česká republika, domácí) a Jiří DOLINA (203 Česká republika, domácí)

Vydání

Vnitřní lékařství, Praha, Ambit Media a.s. 2020, 0042-773X

Další údaje

Jazyk

angličtina

Typ výsledku

Článek v odborném periodiku

Obor

30219 Gastroenterology and hepatology

Stát vydavatele

Česká republika

Utajení

není předmětem státního či obchodního tajemství

Odkazy

URL

Kód RIV

RIV/00216224:14110/20:00117030

Organizační jednotka

Lékařská fakulta

Klíčová slova česky

adenokarcinom; celiakie; chirurgie; video kapslová endoskopie; tenké střevo

Klíčová slova anglicky

adenocarcinoma; video capsule endoscopy; celiac disease; small bowel; surgery

Štítky

rivok

Příznaky

Recenzováno

Změněno: 1. 4. 2021 13:49, Mgr. Tereza Miškechová

Anotace

V originále

Celiac disease is an immune mediated entheropathy triggered by gluten in genetically predisposed individuals. Patients with celiac disease are at a higher risk of gastrointestinal malignancies. Diagnosis at an advance stage is one of the factors of an unfavorable prognosis of these complications. Our patient is a woman who was diagnosed with celiac disease at 53 years of age. After two years on a gluten-free diet she developed sideropenic anemia. No source of bleeding was found on the esophagogastroduodenoscopy or colonoscopy. Video capsule endoscopy revealed exulcerated bleeding stenosis in the jejunum, in front of which the capsule lodged. There were no signs of infiltration on simultaneous CT enterography. The patient was operated on and the infiltration of the jejunum was resected. The specimen was evaluated by a histopathologist as a moderately differentiated adenocarcinoma. Due to the risk factors, the patient received adjuvant chemotherapy. The knowledge of the malignant complications of celiac disease, their risk factors and the possibilities of modern enteroscopic methods could help in the early diagnosis and improvement of the prognosis of these diseases. Due to a lack of data and an absence of guidelines, treatment of a small bowel adenocarcinoma is based on an expert agreement and guidelines for colon cancer. Surgical treatment is the only potentially curative option. For stage II with risk factors and stage III adjuvant chemotherapy should be considered.

Citovat

PACKOVÁ, Barbora, Lumír KUNOVSKÝ, Michal EID, Radek KROUPA, Milan DASTYCH, Michal ŠENKYŘÍK, Tomáš GROLICH, Jakub HUSTÝ, Petr JABANDŽIEV, Václav KUBEŠ, Vladimír PROCHÁZKA a Jiří DOLINA. Small bowel adenocarcinoma diagnosed by video capsule endoscopy in a patient with celiac disease: a case report and review of literature. Vnitřní lékařství. Praha: Ambit Media a.s., 2020, roč. 66, č. 7, s. "e39"-"e42", 4 s. ISSN 0042-773X.

@article{1697581,
   author = {Packová, Barbora and Kunovský, Lumír and Eid, Michal and Kroupa, Radek and Dastych, Milan and Šenkyřík, Michal and Grolich, Tomáš and Hustý, Jakub and Jabandžiev, Petr and Kubeš, Václav and Procházka, Vladimír and Dolina, Jiří},
   article_location = {Praha},
   article_number = {7},
   keywords = {adenocarcinoma; video capsule endoscopy; celiac disease; small bowel; surgery},
   language = {eng},
   issn = {0042-773X},
   journal = {Vnitřní lékařství},
   title = {Small bowel adenocarcinoma diagnosed by video capsule endoscopy in a patient with celiac disease: a case report and review of literature},
   url = {https://www.casopisvnitrnilekarstvi.cz/artkey/vnl-202007-0017_adenokarcinom-tenkeho-streva-diagnostikovany-pomoci-video-kapslove-endoskopie-u-pacientky-s-celiakii-kazuistik.php},
   volume = {66},
   year = {2020}
}

TY  - JOUR
ID  - 1697581
AU  - Packová, Barbora - Kunovský, Lumír - Eid, Michal - Kroupa, Radek - Dastych, Milan - Šenkyřík, Michal - Grolich, Tomáš - Hustý, Jakub - Jabandžiev, Petr - Kubeš, Václav - Procházka, Vladimír - Dolina, Jiří
PY  - 2020
TI  - Small bowel adenocarcinoma diagnosed by video capsule endoscopy in a patient with celiac disease: a case report and review of literature
JF  - Vnitřní lékařství
VL  - 66
IS  - 7
SP  - "e39"-"e42"
EP  - "e39"-"e42"
PB  - Ambit Media a.s.
SN  - 0042773X
KW  - adenocarcinoma
KW  - video capsule endoscopy
KW  - celiac disease
KW  - small bowel
KW  - surgery
UR  - https://www.casopisvnitrnilekarstvi.cz/artkey/vnl-202007-0017_adenokarcinom-tenkeho-streva-diagnostikovany-pomoci-video-kapslove-endoskopie-u-pacientky-s-celiakii-kazuistik.php
L2  - https://www.casopisvnitrnilekarstvi.cz/artkey/vnl-202007-0017_adenokarcinom-tenkeho-streva-diagnostikovany-pomoci-video-kapslove-endoskopie-u-pacientky-s-celiakii-kazuistik.php
N2  - Celiac disease is an immune mediated entheropathy triggered by gluten in genetically predisposed individuals. Patients with celiac disease are at a higher risk of gastrointestinal malignancies. Diagnosis at an advance stage is one of the factors of an unfavorable prognosis of these complications. Our patient is a woman who was diagnosed with celiac disease at 53 years of age. After two years on a gluten-free diet she developed sideropenic anemia. No source of bleeding was found on the esophagogastroduodenoscopy or colonoscopy. Video capsule endoscopy revealed exulcerated bleeding stenosis in the jejunum, in front of which the capsule lodged. There were no signs of infiltration on simultaneous CT enterography. The patient was operated on and the infiltration of the jejunum was resected. The specimen was evaluated by a histopathologist as a moderately differentiated adenocarcinoma. Due to the risk factors, the patient received adjuvant chemotherapy. The knowledge of the malignant complications of celiac disease, their risk factors and the possibilities of modern enteroscopic methods could help in the early diagnosis and improvement of the prognosis of these diseases. Due to a lack of data and an absence of guidelines, treatment of a small bowel adenocarcinoma is based on an expert agreement and guidelines for colon cancer. Surgical treatment is the only potentially curative option. For stage II with risk factors and stage III adjuvant chemotherapy should be considered.
ER  -

PACKOVÁ, Barbora, Lumír KUNOVSKÝ, Michal EID, Radek KROUPA, Milan DASTYCH, Michal ŠENKYŘÍK, Tomáš GROLICH, Jakub HUSTÝ, Petr JABANDŽIEV, Václav KUBEŠ, Vladimír PROCHÁZKA a Jiří DOLINA. Small bowel adenocarcinoma diagnosed by video capsule endoscopy in a patient with celiac disease: a case report and review of literature. \textit{Vnitřní lékařství}. Praha: Ambit Media a.s., 2020, roč.~66, č.~7, s.~''e39''-''e42'', 4 s. ISSN~0042-773X.

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