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Original Article
Positive Fecal Occult Blood Test is a Predictive Factor for Gastrointestinal Bleeding after Capsule Endoscopy in Patients with Unexplained Iron Deficiency Anemia: A Korean Multicenter CAPENTRY Study
Ji Young Chang, Chang Mo Moon, Ki-Nam Shim, Dae Young Cheung, Hyun Seok Lee, Yun Jeong Lim, Seong Ran Jeon, Soo Jung Park, Kyeong Ok Kim, Hyun Joo Song, Hyun Joo Jang, Ji Hyun Kim
Clin Endosc 2020;53(6):719-726.   Published online November 6, 2020
DOI: https://doi.org/10.5946/ce.2019.149
AbstractAbstract PDFSupplementary MaterialPubReaderePub
Background
/Aims: Capsule endoscopy (CE) is recommended as the primary method for the evaluation of unexplained anemia. This study aimed to assess the diagnostic yield of CE in patients with unexplained iron deficiency anemia (IDA) without overt bleeding, and to evaluate their long-term outcomes and related clinical factors.
Methods
Data of patients who underwent CE for the evaluation of IDA were reviewed from a CE registry in Korea. Additional clinical data were collected by the involved investigators of each hospital through a review of medical records.
Results
Among a total of 144 patients, the diagnostic yield of CE was 34%. Gastrointestinal (GI) bleeding was found in 6.3% (n=9) of the patients (occult bleeding in four patients and overt bleeding in five patients) during a mean follow-up of 17.8 months. Patients with a positive fecal occult blood test (FOBT) result at the initial diagnosis had a higher rate of GI bleeding after CE (p=0.004). In addition, a positive FOBT result was the only independent predictive factor for GI bleeding (hazard ratio, 5.30; 95% confidence interval, 1.41–19.85; p=0.013).
Conclusions
Positive FOBT is a predictive factor for GI bleeding during follow-up after CE in patients with unexplained IDA without overt bleeding. Thus, patients with positive FOBT need to be more closely followed up.

Citations

Citations to this article as recorded by  
  • Small-bowel capsule endoscopy and device-assisted enteroscopy for diagnosis and treatment of small-bowel disorders: European Society of Gastrointestinal Endoscopy (ESGE) Guideline – Update 2022
    Marco Pennazio, Emanuele Rondonotti, Edward J. Despott, Xavier Dray, Martin Keuchel, Tom Moreels, David S. Sanders, Cristiano Spada, Cristina Carretero, Pablo Cortegoso Valdivia, Luca Elli, Lorenzo Fuccio, Begona Gonzalez Suarez, Anastasios Koulaouzidis,
    Endoscopy.2023; 55(01): 58.     CrossRef
  • Predictive Model for Positive Video Capsule Endoscopy in Iron Deficiency Anemia
    Shadi Hamdeh, Jihan Fathallah, Hui Zhang, Amber Charoen, Barakat Aburajab Altamimi, Florence-Damilola Odufalu, Devashree Dave, Amer El Sayed, Laura R. Glick, Scott Grisolano, Christine Hachem, Muhammad Bader Hammami, Khaldoun Haj Mahmoud, Alexander N. Lev
    Digestive Diseases and Sciences.2023; 68(7): 3083.     CrossRef
  • Predictors of Positive Video Capsule Endoscopy Findings for Chronic Unexplained Abdominal Pain: Single-Center Retrospective Study and Meta-Analysis
    Wonshik Kim, Beomjae Lee, Ahyoung Yoo, Seunghan Kim, Moonkyung Joo, Jong-Jae Park
    Diagnostics.2021; 11(11): 2123.     CrossRef
  • 6,632 View
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  • 4 Web of Science
  • 3 Crossref
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Focused Review Series: Updates on Capsule Endoscopy from Esophagus to Colon
Recent Advance in Colon Capsule Endoscopy: What’s New?
Sung Noh Hong, Sun-Hyung Kang, Hyun Joo Jang, Michael B. Wallace
Clin Endosc 2018;51(4):334-343.   Published online July 31, 2018
DOI: https://doi.org/10.5946/ce.2018.121
AbstractAbstract PDFPubReaderePub
Colon capsule endoscopy (CCE) is a relatively new diagnostic procedure for patients with suspected colonic diseases. This convenient,noninvasive method enables the physician to explore the entire colon without significant discomfort to the patient. However, while CCEcan be performed painlessly without bowel air insufflation, the need for vigorous bowel preparation and other technical limitationsexist. Due to such limitations, CCE has not replaced conventional colonoscopy. In this review, we discuss historical and recentadvances in CCE including technical issues, ideal bowel preparation, indications and contraindications and highlight further technicaladvancements and clinical studies which are needed to develop CCE as a potential diagnostic tool.

Citations

Citations to this article as recorded by  
  • Deep Learning-Based Real-Time Organ Localization and Transit Time Estimation in Wireless Capsule Endoscopy
    Seung-Joo Nam, Gwiseong Moon, Jung-Hwan Park, Yoon Kim, Yun Jeong Lim, Hyun-Soo Choi
    Biomedicines.2024; 12(8): 1704.     CrossRef
  • SEARCH OF ALTERNATIVE BIOMARKERS FOR COLORECTAL CANCER SCREENING TAKING INTO ACCOUNT THE CURRENT RECOMMENDATIONS OF THE EUROPEAN SOCIETY OF MEDICAL ONCOLOGY
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    Kharkiv Surgical School.2024; (1): 94.     CrossRef
  • A structured framework to evaluate capsule endoscope locomotion systems
    Deepak Kumar Dinkar, M Hasan Shaheed, Eldrid Herrington, Kaspar Althoefer, Mohamed Adhnan Thaha
    Progress in Biomedical Engineering.2024; 6(4): 042003.     CrossRef
  • Multi-dimensional readiness assessment of medical devices
    Rosemary Ruiz Seva, Angela Li Sin Tan, Lourdes Marie Sequerra Tejero, Maria Lourdes Dorothy S. Salvacion
    Theoretical Issues in Ergonomics Science.2023; 24(2): 189.     CrossRef
  • Gastrointestinal Transit Times in Health as Determined Using Ingestible Capsule Systems: A Systematic Review
    Gursharan Kaur Nandhra, Phakanant Chaichanavichkij, Malcolm Birch, S. Mark Scott
    Journal of Clinical Medicine.2023; 12(16): 5272.     CrossRef
  • Colorectal Cancer and Polyp Detection Using a New Preparation-Free, Colon-Scan Capsule: A Pilot Study of Safety and Patient Satisfaction
    Ana Garcia Garcia de Paredes, Seth A. Gross, Ariosto H. Hernandez-Lara, Stephanie L. Hansel, David M. Poppers, Elizabeth Rajan
    Digestive Diseases and Sciences.2022; 67(8): 4070.     CrossRef
  • Novel Diagnostic Biomarkers in Colorectal Cancer
    Aneta L. Zygulska, Piotr Pierzchalski
    International Journal of Molecular Sciences.2022; 23(2): 852.     CrossRef
  • The Role of Video Capsule Endoscopy in Liver Disease
    Alexander Ross Robertson, Anastasios Koulaouzidis, Emanuele Rondonotti, Mauro Bruno, Marco Pennazio
    Gastrointestinal Endoscopy Clinics of North America.2021; 31(2): 363.     CrossRef
  • Capsule Endoscopy in Children
    Stanley A. Cohen, Salvatore Oliva
    Frontiers in Pediatrics.2021;[Epub]     CrossRef
  • Editors' Choice of Noteworthy Clinical Endoscopy Publications in the First Decade
    Gwang Ha Kim, Kwang An Kwon, Do Hyun Park, Jimin Han
    Clinical Endoscopy.2021; 54(5): 633.     CrossRef
  • Colon Capsule Endoscopy in the Assessment of Mucosal Healing in Crohn’s Disease
    Isabella Papalia, Douglas Tjandra, Stephanie Quah, Christina Tan, Alexandra Gorelik, Suresh Sivanesan, Finlay Macrae
    Inflammatory Bowel Diseases.2021; 27(Supplement): S25.     CrossRef
  • Applicability of colon capsule endoscopy as pan-endoscopy: From bowel preparation, transit, and rating times to completion rate and patient acceptance
    Fanny E.R. Vuik, Sarah Moen, Stella A.V. Nieuwenburg, Eline H. Schreuders, Ernst J. Kuipers, Manon C.W. Spaander
    Endoscopy International Open.2021; 09(12): E1852.     CrossRef
  • Development and Application of Magnetically Controlled Capsule Endoscopy in Detecting Gastric Lesions
    Yaoping Zhang, Yanning Zhang, Xiaojun Huang, Amosy M'Koma
    Gastroenterology Research and Practice.2021; 2021: 1.     CrossRef
  • Sticking to the Problem: Engineering Adhesion in Molecular Endoscopic Imaging
    Mahboubeh S. Noori, Sarah J. Bodle, Christian A. Showalter, Evan S. Streator, David S. Drozek, Monica M. Burdick, Douglas J. Goetz
    Cellular and Molecular Bioengineering.2020; 13(2): 113.     CrossRef
  • Colon capsule endoscopy
    C. MacLeod, E. Monaghan, A. Banerjee, P. Jenkinson, R. Falconer, G. Ramsay, A.J.M. Watson
    The Surgeon.2020; 18(4): 251.     CrossRef
  • Stool‐based DNA testing versus colon capsule endoscopy for colorectal cancer screening during the COVID‐19 pandemic: a response to ‘Colon capsule endoscopy: an innovative method for detecting colorectal pathology during the COVID‐19 pandemic?’
    A. G. Dockter, G. C. Angelos
    Colorectal Disease.2020; 22(9): 1027.     CrossRef
  • EXPERIMENTAL ASSESSMENT OF INTACT COLON DEFORMATION UNDER LOCAL FORCES APPLIED BY MAGNETIC CAPSULE ENDOSCOPES
    PEISEN ZHANG, JING LI, YANG HAO, GASTONE CIUTI, TATSUO ARAI, QIANG HUANG, PAOLO DARIO
    Journal of Mechanics in Medicine and Biology.2020; 20(07): 2050041.     CrossRef
  • Pan-enteric capsule for bleeding high-risk patients. Can we limit endoscopies?
    Cristina Carretero Ribon, César Prieto-Frías, Ramon Angos, Maite Betés , Maite Herráiz Bayod, Susana de la Riva Onandía, Francisco Zozaya, María Fernandez-Calderon, Iago Rodríguez - Lago, Miguel Muñoz Navas
    Revista Española de Enfermedades Digestivas.2020;[Epub]     CrossRef
  • Wireless Capsule Endoscopy: A New Tool for Cancer Screening in the Colon With Deep-Learning-Based Polyp Recognition
    Xiao Jia, Xiaohan Xing, Yixuan Yuan, Lei Xing, Max Q.-H. Meng
    Proceedings of the IEEE.2020; 108(1): 178.     CrossRef
  • Bleeding Meckel Diverticulum: A Retrospective Analysis of Computed Tomography Enterography Findings
    Ying Chen, Yonghua Tang, Chunhong Hu, Shuangqing Chen
    Journal of Computer Assisted Tomography.2019; 43(2): 220.     CrossRef
  • 8,198 View
  • 128 Download
  • 18 Web of Science
  • 20 Crossref
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Focused Review Series: Training in Endoscopy
Training in Endoscopy: Colonoscopy
Hyun Joo Jang
Clin Endosc 2017;50(4):322-327.   Published online July 31, 2017
DOI: https://doi.org/10.5946/ce.2017.077
AbstractAbstract PDFPubReaderePub
Colonoscopy is effective in reducing the morbidity and mortality associated with colorectal cancer (CRC). Interval cancers or post-colonoscopy CRCs, are cancers detected within the surveillance interval, or between 6–36 months after a clearing colonoscopy. The incidence of interval cancers is 3.4%–9.2% of all detected CRCs, as reported in population-based studies. Colonoscopy is a technically difficult procedure that is challenging to learn, and needs time and effort to gain competency. Therefore, trainee competence is a critical component of CRC screening and surveillance. Herein, we review the colonoscopy training methods and quality assessment metrics for colonoscopy competency.

Citations

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    Anirudh Vajpeyi, Anish S. Naidu, Jeffrey D. Hawel, Christopher M. Schlachta, Rajni V. Patel
    Surgical Endoscopy.2025; 39(2): 960.     CrossRef
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    Austin Milton, Bradley Cox, Michael Charles, Zhamak Khorgami
    Journal of Surgical Case Reports.2024;[Epub]     CrossRef
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    Xiaomeng Jiang, Runqing Wang, Haibo Sun, Faming Zhang
    Therapeutic Advances in Gastrointestinal Endoscopy.2024;[Epub]     CrossRef
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    Felix W. Leung
    Journal of Clinical Gastroenterology.2023; 57(8): 810.     CrossRef
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    Robert M. Hamm, David M. Kelley, Jose A. Medina, Noreen S. Syed, Geraint A. Harris, Frank J. Papa
    BMC Medical Education.2022;[Epub]     CrossRef
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    Urvi Karamchandani, Simon Erridge, Keane Evans-Harvey, Ara Darzi, Jonathan Hoare, Mikael Hans Sodergren
    Scandinavian Journal of Gastroenterology.2022; 57(9): 1138.     CrossRef
  • Current Endoscopy Training in Korea and Future Aspects
    Young-Eun Joo
    The Korean Journal of Gastroenterology.2022; 80(5): 207.     CrossRef
  • Colonoscopy Trainers Experience Greater Stress During Insertion than Withdrawal: Implications for Endoscopic Curricula
    Madeline Lemke, Alison Banwell, Natalie Rubinger, Michelle Wiepjes, Mark Ropeleski, Stephen Vanner, Lawrence Hookey
    Journal of the Canadian Association of Gastroenterology.2021; 4(1): 15.     CrossRef
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    Chelsea V Hayman, Dinesh Vyas
    World Journal of Gastroenterology.2021; 27(3): 233.     CrossRef
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    Joon Sung Kim, Byung-Wook Kim
    The Korean Journal of Internal Medicine.2019; 34(2): 237.     CrossRef
  • (Technically) Difficult colonoscope insertion – Tips and tricks
    Eduardo Rodrigues‐Pinto, Joel Ferreira‐Silva, Guilherme Macedo, Douglas K. Rex
    Digestive Endoscopy.2019; 31(5): 583.     CrossRef
  • A Soft Pneumatic Inchworm Double balloon (SPID) for colonoscopy
    Luigi Manfredi, Elisabetta Capoccia, Gastone Ciuti, Alfred Cuschieri
    Scientific Reports.2019;[Epub]     CrossRef
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  • 352 Download
  • 12 Web of Science
  • 12 Crossref
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Review
Quality Indicators for Small Bowel Capsule Endoscopy
Ki-Nam Shim, Seong Ran Jeon, Hyun Joo Jang, Jinsu Kim, Yun Jeong Lim, Kyeong Ok Kim, Hyun Joo Song, Hyun Seok Lee, Jae Jun Park, Ji Hyun Kim, Jaeyoung Chun, Soo Jung Park, Dong-Hoon Yang, Yang Won Min, Bora Keum, Bo-In Lee, Korean Gut Image Study Group
Clin Endosc 2017;50(2):148-160.   Published online March 30, 2017
DOI: https://doi.org/10.5946/ce.2017.030
AbstractAbstract PDFSupplementary MaterialPubReaderePub
Capsule endoscopy (CE) enables evaluation of the entire mucosal surface of the small bowel (SB), which is one of the most important steps for evaluating obscure gastrointestinal bleeding. Although the diagnostic yield of SB CE depends on many clinical factors, there are no reports on quality indicators. Thus, the Korean Gut Image Study Group (KGISG) publishes an article titled, “Quality Indicators for Small Bowel Capsule Endoscopy” under approval from the Korean Society of Gastrointestinal Endoscopy (KSGE). Herein, we initially identified process quality indicators, while the structural and outcome indicators are reserved until sufficient clinical data are accumulated. We believe that outcomes of SB CE can be improved by trying to meet our proposed quality indicators.

Citations

Citations to this article as recorded by  
  • Artificial Intelligence-assisted Analysis of Pan-enteric Capsule Endoscopy in Patients with Suspected Crohn’s Disease: A Study on Diagnostic Performance
    Jacob Broder Brodersen, Michael Dam Jensen, Romain Leenhardt, Jens Kjeldsen, Aymeric Histace, Torben Knudsen, Xavier Dray
    Journal of Crohn's and Colitis.2024; 18(1): 75.     CrossRef
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    Gut and Liver.2024; 18(4): 686.     CrossRef
  • Deep Learning-Based Real-Time Organ Localization and Transit Time Estimation in Wireless Capsule Endoscopy
    Seung-Joo Nam, Gwiseong Moon, Jung-Hwan Park, Yoon Kim, Yun Jeong Lim, Hyun-Soo Choi
    Biomedicines.2024; 12(8): 1704.     CrossRef
  • Risk factors of delayed upper gastrointestinal transit in capsule endoscopy
    Xin Long He, Hui Min Chen, Han Bing Xue
    Scandinavian Journal of Gastroenterology.2024; 59(10): 1216.     CrossRef
  • Procedimiento, lectura e interpretación de cápsula endoscópica
    Valeria Atenea Costa, Begoña González-Suárez, Maria Teresa Galiano
    Revista de Gastroenterología del Perú.2024; 44(3): 273.     CrossRef
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    The Korean Journal of Gastroenterology.2023; 81(1): 1.     CrossRef
  • Small Bowel Capsule Endoscopy within 6 Hours Following Bowel Preparation with Polyethylene Glycol Shows Improved Small Bowel Visibility
    Chang Wan Choi, So Jung Lee, Sung Noh Hong, Eun Ran Kim, Dong Kyung Chang, Young-Ho Kim, Yun Jeong Lim, Ki-Nam Shim, Hyun-Seok Lee
    Diagnostics.2023; 13(3): 469.     CrossRef
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    Han Hee Lee, Jin Su Kim, Hyeon Jeong Goong, Shin Hee Lee, Eun Hye Oh, Jihye Park, Min Cheol Kim, Kwangwoo Nam, Young Joo Yang, Tae Jun Kim, Seung-Joo Nam, Hee Seok Moon, Jae Hyun Kim, Duk Hwan Kim, Seong-Eun Kim, Seong Ran Jeon, Seung-Jae Myung
    Intestinal Research.2023; 21(1): 3.     CrossRef
  • Design of a Convolutional Neural Network as a Deep Learning Tool for the Automatic Classification of Small-Bowel Cleansing in Capsule Endoscopy
    Tiago Ribeiro, Miguel José Mascarenhas Saraiva, João Afonso, Pedro Cardoso, Francisco Mendes, Miguel Martins, Ana Patrícia Andrade, Hélder Cardoso, Miguel Mascarenhas Saraiva, João Ferreira, Guilherme Macedo
    Medicina.2023; 59(4): 810.     CrossRef
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    Ana-Maria Singeap, Catalin Sfarti, Horia Minea, Stefan Chiriac, Tudor Cuciureanu, Robert Nastasa, Carol Stanciu, Anca Trifan
    Journal of Clinical Medicine.2023; 12(23): 7328.     CrossRef
  • The role of video capsule endoscopy in the diagnosis of gastrointestinal diseases: experience of the Department of Diagnostic and Operative Endoscopy
    A. A. Likutov, T. A. Vlasko, V. V. Veselov
    Ambulatornaya khirurgiya = Ambulatory Surgery (Russia).2023; 20(2): 116.     CrossRef
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    Kenji J.L. Limpias Kamiya, Naoki Hosoe, Yukie Hayashi, Takaaki Kawaguchi, Kaoru Takabayashi, Haruhiko Ogata, Takanori Kanai
    DEN Open.2022;[Epub]     CrossRef
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    Jonathan A. Leighton, Andrew S. Brock, Carol E. Semrad, David J. Hass, Nalini M. Guda, Jodie A. Barkin, Glenn M. Eisen
    American Journal of Gastroenterology.2022; 117(11): 1780.     CrossRef
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    Gastrointestinal Endoscopy.2022; 96(5): 693.     CrossRef
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    DE Yung, AR Robertson, M Davie, R Sidhu, M McAlindon, I Rahman, P Patel, L Sinha, S Mason, J Brzeszczynska, S Douglas, JN Plevris, A Koulaouzidis
    Digestive and Liver Disease.2021; 53(4): 461.     CrossRef
  • Clinical Outcomes between P1 and P0 Lesions for Obscure Gastrointestinal Bleeding with Negative Computed Tomography and Capsule Endoscopy
    Young Kyu Cho, Heesu Park, Jung Rock Moon, Seong Ran Jeon, Hyun Gun Kim, Tae Hee Lee, Junseok Park, Jin-Oh Kim, Joon Seong Lee, Hyeon Jeong Goong, Bong Min Ko, Suyeon Park
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    Junseok Park
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    Seong Ran Jeon
    The Korean Journal of Internal Medicine.2020; 35(4): 854.     CrossRef
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    Li-Hong Teng, Tao Yang, Jia-Wei Lu, Wei-Li Liu
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    Su Hwan Kim, Dong-Hoon Yang, Jin Su Kim
    Clinical Endoscopy.2018; 51(4): 329.     CrossRef
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    United European Gastroenterology Journal.2018;[Epub]     CrossRef
  • The application value of capsule endoscopy in diagnosing small intestinal carcinoma
    Xiaohuan Li, Yongxian Gui, Feifei Shen, Chun Ling Zhao, Yi Yang, Wenliang Han
    Journal of Cancer Research and Therapeutics.2018; 14(1): 57.     CrossRef
  • 10,564 View
  • 286 Download
  • 33 Web of Science
  • 29 Crossref
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Case Report
Giant Brunner's Gland Adenoma of the Proximal Jejunum Presenting as Iron Deficiency Anemia and Mimicking Intussusceptions
Chan Soo So, Hyun Joo Jang, Yun Sun Choi, Dong Hee Koh, Min Ho Choi, Sea Hyub Kae, Sun Jung Min, Jin Lee
Clin Endosc 2013;46(1):102-105.   Published online January 31, 2013
DOI: https://doi.org/10.5946/ce.2013.46.1.102
AbstractAbstract PDFPubReaderePub

Brunner's gland adenoma is a rare benign proliferative lesion developing most commonly in the posterior wall of the duodenum. It is usually small in size and asymptomatic. Depending on its size or location, however, the clinical manifestations of this tumor may be variable from nonspecific symptoms to gastrointestinal bleeding or obstruction. Brunner's gland adenoma in the proximal jejunum is extremely rare. We report a very rare case of giant Brunner's gland adenoma developing in the proximal jejunum which presented as iron deficiency anemia and mimicked intussusceptions on radiologic studies.

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  • 7,819 View
  • 38 Download
  • 8 Crossref
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