生命性静脉镜检查:在便隐性血液测试中,除了结肠镜检查之外的一步是积极的
Andrés Mauricio Silva-Silva1, Margarita Delgado Portela2, Bartolomé López Viedma3
1Gastroenterology and Endoscopy, Instituto Manchego de Gastroenterología y Endoscopia / Quirónsalud Ciudad Real, Spain .
Revista espanola de enfermedades digestivas
|September 29, 2025
概括
在正常结肠镜检查中,便隐性血液检查 (FOBT) 呈阳性,导致终端结肠镜检查,揭示了非霍奇金淋巴瘤. 这突出了终端静脉透镜.
科学领域:
- 胃肠道学和瘤学
- 诊断成像和病理学
背景情况:
- 便隐性血液检测 (FOBT) 是结直肠癌的主要查方法.
- 阳性FOBT结果通常导致结肠镜检查,但有时需要进一步调查才能发现正常发现.
研究的目的:
- 报告一种非霍奇金淋巴瘤的病例,在阳性FOBT和正常结肠镜检查后通过终端结肠镜诊断.
- 强调终端静脉透镜在无法解释的积极FOBT病例中的诊断实用性.
主要方法:
- 一名54岁的无症状男性,FOBT阳性,结肠镜检查正常,接受了终端结肠镜检查.
- 在确定的病变上进行了组织学和免疫组织化学分析.
- 进行了手术切除和诊断的病理确认.
主要成果:
- 终端静脉镜检查发现了导致光阻塞的亚皮质性病变.
- 组织病理学证实了病变是具有攻击性的大型B细胞非霍奇金淋巴瘤.
- 患者被转诊进行化疗术后切除.
结论:
- 终端胆管镜对于检测阳性FOBT和正常结肠镜的患者的隐性病理有价值.
- 这一案例表明,在必要时扩大标准结肠镜评估的重要性.
- 早期检测罕见的胃肠道淋巴瘤可以通过先进的内镜技术实现.
更多相关视频
相关概念视频
Imaging Studies III: Gastrointestinal Motility Studies and Virtual Colonoscopy
340
This lesson explores three gastrointestinal imaging techniques: radionuclide testing, colonic transit studies, and virtual colonoscopy.
Radionuclide Testing
Radionuclide testing is a sophisticated medical technique for assessing gastrointestinal motility. It focuses on gastric emptying and colonic transit time. Radioactive markers track the movement of food through the digestive system, providing insights into gastrointestinal disorders.
In gastric emptying studies, a meal's liquid and...
Radionuclide Testing
Radionuclide testing is a sophisticated medical technique for assessing gastrointestinal motility. It focuses on gastric emptying and colonic transit time. Radioactive markers track the movement of food through the digestive system, providing insights into gastrointestinal disorders.
In gastric emptying studies, a meal's liquid and...
340
Endoscopic Procedures II: Colonoscopy
541
The colon, or large intestine, is the final segment of the digestive system. Its primary functions include absorbing water and vitamins produced by gut bacteria and transforming waste from liquid to solid to form stool. In adults, the large intestine is approximately 5 feet long and consists of four main sections:
541
Endoscopic Procedures IV: Sigmoidoscopy and Laproscopy
496
Sigmoidoscopy and laparoscopy are distinct medical procedures that enable physicians to internally inspect different parts of the GI tract. Although they serve different purposes, each is essential for diagnosing and, in some cases, treating various medical conditions.
Sigmoidoscopy
Sigmoidoscopy is a diagnostic procedure that uses a flexible sigmoidoscope equipped with a light source and camera to examine the rectum and sigmoid colon. The procedure involves inserting the tube through the anus...
Sigmoidoscopy
Sigmoidoscopy is a diagnostic procedure that uses a flexible sigmoidoscope equipped with a light source and camera to examine the rectum and sigmoid colon. The procedure involves inserting the tube through the anus...
496
Inflammatory Bowel Disease V: Surgical Management
420
Surgical interventions for inflammatory bowel disease (IBD), which includes ulcerative colitis and Crohn's disease, are essential in managing symptoms and addressing complications. The selection of surgical procedures is contingent upon the specific conditions and complications that stem from these illnesses.
Here are some common surgical interventions for IBD:
Here are some common surgical interventions for IBD:
420
Inflammatory Bowel Disease III: Diagnostic Studies and Management I-Nutritional Therapy
604
Various diagnostic tests are employed in the diagnostic process for Inflammatory Bowel Disease (IBD), particularly to differentiate between Crohn's disease and ulcerative colitis.
Diagnostic studies
A colonoscopy is the definitive screening test, distinguishing ulcerative colitis from other colon diseases with similar symptoms. During a colonoscopy test, inflamed mucosa with exudate ulcerations can be observed, and biopsies are taken to determine the histologic characteristics of the...
Diagnostic studies
A colonoscopy is the definitive screening test, distinguishing ulcerative colitis from other colon diseases with similar symptoms. During a colonoscopy test, inflamed mucosa with exudate ulcerations can be observed, and biopsies are taken to determine the histologic characteristics of the...
604
Serum Laboratory Studies, Stool Test, Breath Test
713
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...
713


