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  • Title: Diagnostic value of push-type jejunal endoscopy in primary jejunal carcinoma.
    Author: Nakamura S, Iida M, Nakao Y, Matsui T, Yao T, Fujishima M.
    Journal: Surg Endosc; 1993; 7(3):188-90. PubMed ID: 8389062.
    Abstract:
    Push-type jejunal endoscopy using a long forward-viewing duodenofiberscope was performed in two patients with primary jejunal carcinoma. Patient 1, a 48-year-old female, complained of nausea, vomiting, and weight loss, whereas patient 2, a 65-year-old female, presented epigastric pain. The lesion was located in the upper portion of the jejunum, and diagnosis was made by a double-contrast X-ray study of the small intestine in both patients. Endoscopic examinations revealed a reddish, nodular polypoid lesion with an annular constriction and an irregular central ulceration. Endoscopic biopsy confirmed a diagnosis of adenocarcinoma in both patients. Push-type jejunal endoscopy is valuable for an accurate preoperative diagnosis of primary jejunal carcinoma.
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