Impact of double-balloon endoscopy on the diagnosis of jejunoileal involvement in primary intestinal follicular lymphomas: A case series

N. Higuchi, Y. Sumida, K. Nakamura, S. Itaba, S. Yoshinaga, T. Mizutani, K. Honda, K. Taki, H. Murao, H. Ogino, K. Kanayama, H. Akiho, A. Goto, Y. Segawa, T. Yao, R. Takayanagi

Research output: Contribution to journalArticle

27 Citations (Scopus)

Abstract

In recent years, primary gastrointestinal follicular lymphoma has been increasingly detected in the duodenum on esophagogastroduodenoscopy (EGD). Primary gastrointestinal follicular lymphomas are frequently distributed to multiple sites in the gastrointestinal tract. Therefore, investigation into the spread of follicular lymphomas in the small bowel is important in order to determine the most appropriate treatment strategy. The performance of double-balloon endoscopy (DBE) in the diagnosis of jejunoileal follicular lymphoma lesions has not been fully evaluated. We aimed to investigate the value of DBE in addition to computed tomography (CT) and 18F- fluorodeoxyglucose positron emission tomography (18F-FDG-PET) in the diagnosis of jejunoileal follicular lymphoma. DBE with biopsy was performed in seven patients with primary duodenal follicular lymphoma diagnosed by EGD, in order to investigate jejunoileal involvement. Jejunoileal follicular lymphoma lesions were detected by DBE in six out of the seven patients (three in the jejunum and three in the jejunum and ileum), whereas CT and 18F-FDG- PET failed to detect the existence of these lesions. Endoscopic findings of the jejunoileal lesions revealed multiple white nodules and white villi, which were similar to those of duodenal lesions. DBE was more useful for the diagnosis of jejunoileal involvement in primary intestinal follicular lymphoma than CT and 18F-FDG-PET. The use of DBE will become important for determining the most appropriate treatment for gastrointestinal follicular lymphoma.

Original languageEnglish
Pages (from-to)175-178
Number of pages4
JournalEndoscopy
Volume41
Issue number2
DOIs
Publication statusPublished - Feb 1 2009

Fingerprint

Follicular Lymphoma
Endoscopy
Fluorodeoxyglucose F18
Digestive System Endoscopy
Tomography
Jejunum
Positron-Emission Tomography
Ileum
Duodenum
Gastrointestinal Tract
Biopsy

All Science Journal Classification (ASJC) codes

  • Gastroenterology

Cite this

Higuchi, N., Sumida, Y., Nakamura, K., Itaba, S., Yoshinaga, S., Mizutani, T., ... Takayanagi, R. (2009). Impact of double-balloon endoscopy on the diagnosis of jejunoileal involvement in primary intestinal follicular lymphomas: A case series. Endoscopy, 41(2), 175-178. https://doi.org/10.1055/s-0028-1119467

Impact of double-balloon endoscopy on the diagnosis of jejunoileal involvement in primary intestinal follicular lymphomas : A case series. / Higuchi, N.; Sumida, Y.; Nakamura, K.; Itaba, S.; Yoshinaga, S.; Mizutani, T.; Honda, K.; Taki, K.; Murao, H.; Ogino, H.; Kanayama, K.; Akiho, H.; Goto, A.; Segawa, Y.; Yao, T.; Takayanagi, R.

In: Endoscopy, Vol. 41, No. 2, 01.02.2009, p. 175-178.

Research output: Contribution to journalArticle

Higuchi, N, Sumida, Y, Nakamura, K, Itaba, S, Yoshinaga, S, Mizutani, T, Honda, K, Taki, K, Murao, H, Ogino, H, Kanayama, K, Akiho, H, Goto, A, Segawa, Y, Yao, T & Takayanagi, R 2009, 'Impact of double-balloon endoscopy on the diagnosis of jejunoileal involvement in primary intestinal follicular lymphomas: A case series', Endoscopy, vol. 41, no. 2, pp. 175-178. https://doi.org/10.1055/s-0028-1119467
Higuchi, N. ; Sumida, Y. ; Nakamura, K. ; Itaba, S. ; Yoshinaga, S. ; Mizutani, T. ; Honda, K. ; Taki, K. ; Murao, H. ; Ogino, H. ; Kanayama, K. ; Akiho, H. ; Goto, A. ; Segawa, Y. ; Yao, T. ; Takayanagi, R. / Impact of double-balloon endoscopy on the diagnosis of jejunoileal involvement in primary intestinal follicular lymphomas : A case series. In: Endoscopy. 2009 ; Vol. 41, No. 2. pp. 175-178.
@article{d1c9b879f02b47dcbb96c137f63c5701,
title = "Impact of double-balloon endoscopy on the diagnosis of jejunoileal involvement in primary intestinal follicular lymphomas: A case series",
abstract = "In recent years, primary gastrointestinal follicular lymphoma has been increasingly detected in the duodenum on esophagogastroduodenoscopy (EGD). Primary gastrointestinal follicular lymphomas are frequently distributed to multiple sites in the gastrointestinal tract. Therefore, investigation into the spread of follicular lymphomas in the small bowel is important in order to determine the most appropriate treatment strategy. The performance of double-balloon endoscopy (DBE) in the diagnosis of jejunoileal follicular lymphoma lesions has not been fully evaluated. We aimed to investigate the value of DBE in addition to computed tomography (CT) and 18F- fluorodeoxyglucose positron emission tomography (18F-FDG-PET) in the diagnosis of jejunoileal follicular lymphoma. DBE with biopsy was performed in seven patients with primary duodenal follicular lymphoma diagnosed by EGD, in order to investigate jejunoileal involvement. Jejunoileal follicular lymphoma lesions were detected by DBE in six out of the seven patients (three in the jejunum and three in the jejunum and ileum), whereas CT and 18F-FDG- PET failed to detect the existence of these lesions. Endoscopic findings of the jejunoileal lesions revealed multiple white nodules and white villi, which were similar to those of duodenal lesions. DBE was more useful for the diagnosis of jejunoileal involvement in primary intestinal follicular lymphoma than CT and 18F-FDG-PET. The use of DBE will become important for determining the most appropriate treatment for gastrointestinal follicular lymphoma.",
author = "N. Higuchi and Y. Sumida and K. Nakamura and S. Itaba and S. Yoshinaga and T. Mizutani and K. Honda and K. Taki and H. Murao and H. Ogino and K. Kanayama and H. Akiho and A. Goto and Y. Segawa and T. Yao and R. Takayanagi",
year = "2009",
month = "2",
day = "1",
doi = "10.1055/s-0028-1119467",
language = "English",
volume = "41",
pages = "175--178",
journal = "Endoscopy",
issn = "0013-726X",
publisher = "Georg Thieme Verlag",
number = "2",

}

TY - JOUR

T1 - Impact of double-balloon endoscopy on the diagnosis of jejunoileal involvement in primary intestinal follicular lymphomas

T2 - A case series

AU - Higuchi, N.

AU - Sumida, Y.

AU - Nakamura, K.

AU - Itaba, S.

AU - Yoshinaga, S.

AU - Mizutani, T.

AU - Honda, K.

AU - Taki, K.

AU - Murao, H.

AU - Ogino, H.

AU - Kanayama, K.

AU - Akiho, H.

AU - Goto, A.

AU - Segawa, Y.

AU - Yao, T.

AU - Takayanagi, R.

PY - 2009/2/1

Y1 - 2009/2/1

N2 - In recent years, primary gastrointestinal follicular lymphoma has been increasingly detected in the duodenum on esophagogastroduodenoscopy (EGD). Primary gastrointestinal follicular lymphomas are frequently distributed to multiple sites in the gastrointestinal tract. Therefore, investigation into the spread of follicular lymphomas in the small bowel is important in order to determine the most appropriate treatment strategy. The performance of double-balloon endoscopy (DBE) in the diagnosis of jejunoileal follicular lymphoma lesions has not been fully evaluated. We aimed to investigate the value of DBE in addition to computed tomography (CT) and 18F- fluorodeoxyglucose positron emission tomography (18F-FDG-PET) in the diagnosis of jejunoileal follicular lymphoma. DBE with biopsy was performed in seven patients with primary duodenal follicular lymphoma diagnosed by EGD, in order to investigate jejunoileal involvement. Jejunoileal follicular lymphoma lesions were detected by DBE in six out of the seven patients (three in the jejunum and three in the jejunum and ileum), whereas CT and 18F-FDG- PET failed to detect the existence of these lesions. Endoscopic findings of the jejunoileal lesions revealed multiple white nodules and white villi, which were similar to those of duodenal lesions. DBE was more useful for the diagnosis of jejunoileal involvement in primary intestinal follicular lymphoma than CT and 18F-FDG-PET. The use of DBE will become important for determining the most appropriate treatment for gastrointestinal follicular lymphoma.

AB - In recent years, primary gastrointestinal follicular lymphoma has been increasingly detected in the duodenum on esophagogastroduodenoscopy (EGD). Primary gastrointestinal follicular lymphomas are frequently distributed to multiple sites in the gastrointestinal tract. Therefore, investigation into the spread of follicular lymphomas in the small bowel is important in order to determine the most appropriate treatment strategy. The performance of double-balloon endoscopy (DBE) in the diagnosis of jejunoileal follicular lymphoma lesions has not been fully evaluated. We aimed to investigate the value of DBE in addition to computed tomography (CT) and 18F- fluorodeoxyglucose positron emission tomography (18F-FDG-PET) in the diagnosis of jejunoileal follicular lymphoma. DBE with biopsy was performed in seven patients with primary duodenal follicular lymphoma diagnosed by EGD, in order to investigate jejunoileal involvement. Jejunoileal follicular lymphoma lesions were detected by DBE in six out of the seven patients (three in the jejunum and three in the jejunum and ileum), whereas CT and 18F-FDG- PET failed to detect the existence of these lesions. Endoscopic findings of the jejunoileal lesions revealed multiple white nodules and white villi, which were similar to those of duodenal lesions. DBE was more useful for the diagnosis of jejunoileal involvement in primary intestinal follicular lymphoma than CT and 18F-FDG-PET. The use of DBE will become important for determining the most appropriate treatment for gastrointestinal follicular lymphoma.

UR - http://www.scopus.com/inward/record.url?scp=66349094595&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=66349094595&partnerID=8YFLogxK

U2 - 10.1055/s-0028-1119467

DO - 10.1055/s-0028-1119467

M3 - Article

C2 - 19214900

AN - SCOPUS:66349094595

VL - 41

SP - 175

EP - 178

JO - Endoscopy

JF - Endoscopy

SN - 0013-726X

IS - 2

ER -