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A Journal on Surgery

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Chirurgia 2006 October;19(5):387-90

language: Italian

Diagnostic problems in a rare case of bleeding tumor from small bowel. A case report

Caronia V., Baraglia E., Battistioli M., Bonotto G., Pozzobon M., Gualandi O., Marchese M., Fabi F.

Unità Operativa di Chirurgia Generale, Treviso Presidio Ospedaliero di Oderzo Regione del Veneto, Azienda ULSS n. 9, Treviso


Gastrointestinal Stromal Tumor (GIST) are rare tumors derived from the intertitial cells of Cajal, commonly present in the small bowel. Frequently symptoms are not specific and diagnosis is not simple, it’s commonly done by surgeons intraoperatively. The authors report a “strange” case of recurrent gastrointestinal bleeding with great difficult to find the point of bleeding with the common endoscopic examination. They describe the usual metods to study a gastrointestinal bleeding: Endoscopy, TC scan with or without the radiological contrast study of small bowel, selective angiography of the celiac tripod. At last they describe and compare the “advanced” endoscopy procedures like the wireless video capsule endoscopy versus push-pull enteroscopy, with the conclusion that wireless video capsule and enteroscopy are the gold standards examination for the diagnosis, but surgery is the gold standard for diagnosis and also for treatment in the cases where is impossible to find the cause of bleeding.

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