Application value of small intestinal endoscopic ultrasonography for protruding lesions of the small intestine.

IF 2.7 2区医学 Q2 SURGERY

Surgical Endoscopy And Other Interventional Techniques Pub Date : 2025-05-01 Epub Date: 2025-03-17 DOI:10.1007/s00464-025-11653-0

Liu Zhongcheng, Chen Dongting, Wang Biyao, Liu Xinyu, Guo Qin

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引用次数: 0

Abstract

Background: Small intestinal endoscopic ultrasonography (SIEUS) enables the comprehensive analysis of the origin and sonographic characteristics of protruding submucosal lesions. Current evidence is limited to case reports. We aimed to investigate the application value of SIEUS for protruding lesions of the small intestine.

Methods: Clinical data of patients who underwent double-balloon enteroscopy combined with SIEUS at the Sixth Affiliated Hospital of Sun Yat-Sen University between January 2023 and December 2024 were retrospectively collected. A total of 28 patients had concurrently received a diagnosis of protruding lesions of the small intestine and pathological results during their first visit. SIEUS findings were compared with the pathological results.

Results: Patient cases included stromal tumor (n = 10), ectopic pancreas (n = 7), hemangioma (n = 5), lipoma (n = 3), neuroendocrine tumor (n = 2), and invaginated Meckel's diverticulum (n = 1). All cases were initially detected via white light endoscopy (WLE) and subsequently characterized by endoscopic ultrasonography during the first visit. Pathological specimens were obtained for all lesions through biopsy, endoscopic minimally invasive surgery, or surgery. Our results indicated 100% diagnostic agreement (28/28) between endoscopic ultrasonography and pathology findings.

Conclusion: The combination of WLE and SIEUS provides a comprehensive assessment of protruding lesions, with WLE enabling detection and SIEUS facilitating detailed submucosal characterization.

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小肠超声内镜对小肠突出性病变的应用价值。

背景：小肠超声内镜（SIEUS）可以全面分析粘膜下突出病变的起源和超声特征。目前的证据仅限于病例报告。我们的目的是探讨SIEUS在小肠突出病变中的应用价值。方法：回顾性收集中山大学附属第六医院2023年1月至2024年12月行双气囊肠镜联合SIEUS的患者的临床资料。共有28例患者在首次就诊时同时接受了小肠突出病变的诊断和病理结果。将SIEUS检查结果与病理结果进行比较。结果：间质瘤（10例）、异位胰腺（7例）、血管瘤（5例）、脂肪瘤（3例）、神经内分泌瘤（2例）、梅克尔憩室内陷（1例）。所有病例最初通过白光内窥镜（WLE）发现，随后在首次就诊时进行内窥镜超声检查。所有病变均通过活检、内镜微创手术或手术获得病理标本。我们的结果显示超声内镜诊断结果与病理结果100%一致（28/28）。结论：WLE和SIEUS联合应用可对突出病变进行全面评估，WLE可用于检测，SIEUS可用于详细的粘膜下表征。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Surgical Endoscopy And Other Interventional Techniques 医学-外科

CiteScore

6.10

自引率

12.90%

发文量

890

审稿时长

6 months

期刊介绍： Uniquely positioned at the interface between various medical and surgical disciplines, Surgical Endoscopy serves as a focal point for the international surgical community to exchange information on practice, theory, and research. Topics covered in the journal include: -Surgical aspects of: Interventional endoscopy, Ultrasound, Other techniques in the fields of gastroenterology, obstetrics, gynecology, and urology, -Gastroenterologic surgery -Thoracic surgery -Traumatic surgery -Orthopedic surgery -Pediatric surgery