有助于诊断小肠瘤的症状
Kozo Tsuruta1, Hidetoshi Takedatsu2, Shinichiro Yoshioka2
1Division of Gastroenterology, Department of Medicine, Kurume University School of Medicine, Fukuoka, Japan, tsuruta_kouzou@med.kurume-u.ac.jp.
Digestion
|July 12, 2023
概括
诊断小肠瘤 (SBTs) 是一个挑战. 腹部疼痛是大多数SBTs的关键症状,但胃肠层瘤 (GISTs) 通常是无症状的.
科学领域:
- 胃肠病学 胃肠病学
- 在瘤学瘤学.
- 诊断成像 诊断成像 诊断成像
背景情况:
- 小肠瘤 (SBTs) 由于评估机会有限和非特异性症状,存在诊断挑战.
- 恶性淋巴瘤 (ML),腺癌和胃肠层瘤 (GIST) 是亚洲常见的SBTs.
研究的目的:
- 确定小肠瘤 (SBTs) 的临床特征.
- 分析SBTs呈现的症状和诊断方式.
主要方法:
- 从2013年1月到2020年7月,对66名被诊断为SBTs的患者进行了回顾性研究.
- 利用计算机断层扫描 (CT),正子发射断层扫描,MRI,超声波和内镜进行检测和诊断.
- 收集有关症状,瘤位置,病理和治疗的数据.
主要成果:
- 恶性淋巴瘤 (ML) 和腺癌是最常见的 (22.7%),其次是GIST (21.2%).
- 腹部疼痛 (44.5%) 是主要症状,尽管28.8%的患者无症状.
- CT是最常见的诊断方式;GIST和良性瘤更常无症状.
结论:
- 腹痛是腺癌,ML和转移性SBTs的关键症状.
- 在亚洲普遍存在的胃肠道 stromal 瘤 (GISTs) 经常出现较少的症状.
- 了解这些多样化的临床特征有助于SBTs的实际诊断和管理.
相关概念视频
Assessment of the Rectum and Anus
280
Evaluating the rectum and anus plays a crucial role in conducting a thorough physical examination of the gastrointestinal system. Although it may be uncomfortable and often embarrassing for the patient, it holds immense diagnostic value, particularly in detecting gastrointestinal diseases and abnormalities. This guide will explain how to perform this assessment using inspection and palpation methods.
Rectal Inspection
Begin by inspecting the perianal and anal areas for color, texture, rashes,...
Rectal Inspection
Begin by inspecting the perianal and anal areas for color, texture, rashes,...
280
Irritable Bowel Syndrome II: Clinical Features and Diagnostic Evaluation
195
Irritable Bowel Syndrome II: Clinical Features and Diagnostic Evaluation
Irritable Bowel Syndrome (IBS) is classified into subtypes based on the predominant bowel habits as determined by the Bristol Stool Form Scale (BSFS). The subtypes are:
Irritable Bowel Syndrome (IBS) is classified into subtypes based on the predominant bowel habits as determined by the Bristol Stool Form Scale (BSFS). The subtypes are:
195
Inflammatory Bowel Disease II: Crohn's Disease
298
Introduction
Inflammatory bowel disease, commonly known as IBD, refers to a collection of disorders that lead to persistent inflammation of the gastrointestinal tract. The two types of IBD are ulcerative colitis, which impacts the colon, and Crohn's disease, which can involve any part of the gastrointestinal segment.
Crohn's disease
Crohn's disease is a chronic, systemic inflammatory bowel disease (IBD) that predominantly affects the gastrointestinal tract. It is marked by...
Inflammatory bowel disease, commonly known as IBD, refers to a collection of disorders that lead to persistent inflammation of the gastrointestinal tract. The two types of IBD are ulcerative colitis, which impacts the colon, and Crohn's disease, which can involve any part of the gastrointestinal segment.
Crohn's disease
Crohn's disease is a chronic, systemic inflammatory bowel disease (IBD) that predominantly affects the gastrointestinal tract. It is marked by...
298
Irritable Bowel Syndrome I: Introduction
322
Irritable Bowel Syndrome (IBS) is characterized by functional disturbances in the gastrointestinal system, presenting a cluster of symptoms without evident structural or biochemical abnormalities. It primarily affects the large intestine and may cause abdominal pain, bloating, excessive gas, diarrhea, constipation, or both.
IBS is a chronic condition that can persist over a long period or recur frequently.
The pathogenesis of IBS involves a complex interplay of the following factors:
Altered...
IBS is a chronic condition that can persist over a long period or recur frequently.
The pathogenesis of IBS involves a complex interplay of the following factors:
Altered...
322
Chronic Bowel Disorders: Introduction
489
Chronic bowel diseases are a group of long-term conditions affecting the digestive tract, characterized by inflammation and damage to the gut lining. These conditions primarily include irritable bowel syndrome and inflammatory bowel disease.
Irritable Bowel Syndrome (IBS) is a common disorder affecting the gastrointestinal tract. The distinctive feature is recurrent abdominal pain associated with altered bowel movements, manifesting as constipation, diarrhea, or fluctuating between both. The...
Irritable Bowel Syndrome (IBS) is a common disorder affecting the gastrointestinal tract. The distinctive feature is recurrent abdominal pain associated with altered bowel movements, manifesting as constipation, diarrhea, or fluctuating between both. The...
489
Serum Laboratory Studies, Stool Test, Breath Test
385
Gastrointestinal (GI) diagnostic studies are pivotal in confirming, ruling out, diagnosing, or staging various diseases, including cancers. Following diagnosis, allocating time for discussions with the patient and providing informational resources is crucial. Diagnostic assessments of the GI tract often occur in outpatient settings like endoscopy suites or GI labs. Preparation for these tests may include dietary restrictions, fasting, liquid bowel preparations, laxatives, enemas, and the...
385


