Small Bowel Malignancy in Patient with Obscure Gastrointestinal Bleeding in Cipto Mangunkusumo Hospital, Diagnosed Using Double Balloon Enteroscopy: A Case Series
Abstract: Small bowel
malignancy is still a rare case as a cause of gastrointestinal bleeding. The
symptoms of small bowel malignancy are not specific. One of the symptoms is obscure
gastrointestinal bleeding. Obscure
gastrointestinal bleeding (OGIB) is defined as recurrent or persistent
gastrointestinal bleeding when the result esophagogastroduodenoscopy and
colonic endoscopy is negative. OGIB accounts for approximately 5% of all
gastrointestinal bleeding events. Most OGIB events are attributable to small
bowel disease. Double-balloon enteroscopy, also known as push-and-pull
enteroscopy is an endoscopic technique for visualization of the small bowel.
Here we present 5 cases of small bowel tumours in patient with obscure
gastrointestinal bleeding who underwent double balloon enteroscopy at Cipto
Mangunkusumo Hospital, Jakarta, Indonesia. Three patients had confirmed
gastrointestinal stromal tumour (GIST) from the histopathology examination,
while 2 patients were diagnosed with adenocarcinoma.
Keywords: small bowel tumour,
gastrointestinal stromal tumour (GIST), obscure gastrointestinal bleeding;
double balloon enteroscopy
Author: Hasan Maulahela,
Achmad Fauzi
Journal Code: jpkedokterangg170388
