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Endoscopy. 2005 Jun;37(6):594-6.

Capsule endoscopy findings in celiac disease associated enteropathy-type intestinal T-cell lymphoma.

Author information

1
Gastroenterology Division, Hospital of the University of Pennsylvania, Philadelphia, Pennsylvania 19104, USA. ann.marie.joyce@uphs.upenn.edu

Abstract

Capsule endoscopy is a new technology developed to investigate diseases of the small intestine. It has been shown to be superior to current modalities such as small-bowel radiography and enteroscopy. We describe a patient with long-standing celiac disease who presented with abdominal pain, diarrhea, and weight loss, after many years on a gluten-free diet. The symptom complex and results from small-bowel radiography and computerized tomography raised concern about progression to lymphoma, and ultimately a laparoscopy and small-bowel resection were done for diagnosis. A capsule endoscopy was performed to assess the extent of the patient's enteropathy-type intestinal T-cell lymphoma after three cycles of chemotherapy. We report the first use of capsule endoscopy in the setting of celiac disease associated enteropathy-type intestinal T-cell lymphoma. These endoscopic findings are correlated with those from gross and microscopic pathology and barium small-bowel radiography.

PMID:
15933938
DOI:
10.1055/s-2005-861322
[Indexed for MEDLINE]

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