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  • Title: Pseudogastroparesis as a presentation of adenocarcinoma of the proximal jejunum.
    Author: Osias GL, Tepper RE, Zanzi I, Katz S.
    Journal: Am J Gastroenterol; 1998 Jun; 93(6):994-6. PubMed ID: 9647036.
    Abstract:
    Establishing the presence of adenocarcinoma of the small bowel is exceedingly difficult. Survival is contingent on prompt diagnosis. We describe a patient with an atypical presentation of jejunal adenocarcinoma visualized via small bowel enteroclysis. She was referred with "gastroparesis," based on both a radionucleotide scan that revealed markedly delayed gastric emptying and a "normal" small bowel series. A markedly abnormal scintigraphic study and a negative small bowel series does not exclude disease of the small intestine and should provide the impetus to further pursue the possibility of an obstructing lesion. The enteroclysis is a relatively safe and effective study in the preoperative diagnosis of small bowel tumors.
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