Pseudogastroparesis as a Presentation of Adenocarcinoma of the Proximal Jejunum.

Autor: Osias, Glenn L., Tepper, Robert E., Zanzi, Italo, Katz, Seymour
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Zdroj: American Journal of Gastroenterology (Springer Nature); Jun1998, Vol. 93 Issue 6, p994-996, 3p, 1 Black and White Photograph
Abstrakt: Establishing the presence of adenocarcinoma of the small bowel is exceedingly difficult. Survival is contingent on prompt diagnosis. We describe a patient with an atypical presentation of jejunal adenocarcinoma visualized via small bowel enteroclysis. She was referred with "gastroparesis," based on both a radionucleotide scan that revealed markedly delayed gastric emptying and a "normal" small bowel series. A markedly abnormal scintigraphic study and a negative small bowel series does not exclude disease of the small intestine and should provide the impetus to further pursue the possibility of an obstructing lesion. The enteroclysis is a relatively safe and effective study in the preoperative diagnosis of small bowel tumors. [ABSTRACT FROM AUTHOR]
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