Table 1. Clinical features in 37 patients who underwent probe-based confocal laser endomicroscopy during double-balloon enteroscopy.
Patient number | Final diagnosis | Sex | Age, years | DBE route | Location of the lesions examined | Indications |
Small-bowel tumors/polyps | ||||||
1 | Malignant lymphoma (mantle cell lymphoma) | M | 82 | Oral | Jejunum | Asymptomatic (Check-up) |
2 | Malignant lymphoma (follicular lymphoma) | F | 65 | Anal | Ileum | Occult small-bowel bleeding |
3 | Malignant lymphoma (follicular lymphoma) | F | 56 | Anal | Ileum | Asymptomatic (Check-up) |
4 | Malignant lymphoma (DLBCL transformed from follicular lymphoma) | F | 57 | Oral | Jejunum | Abdominal pain |
5 | Malignant lymphoma (DLBCL transformed from follicular lymphoma) | F | 55 | Anal | Ileum | Diarrhea |
6 | Malignant lymphoma (DLBCL) | M | 78 | Anal | Ileum | Occult small-bowel bleeding |
7 | Malignant lymphoma (Burkitt lymphoma) 1 | F | 66 | Oral | Jejunum | Small-bowel obstruction |
8 | Adenocarcinoma at an advanced stage | M | 41 | Oral | Jejunum | Small-bowel obstruction |
9 | Metastasis from cervical cancer | F | 62 | Oral | Ligament of Treitz | Small-bowel obstruction |
10 | Peutz-Jeghers syndrome | F | 52 | Oral | Jejunum | Asymptomatic (Follow-up) |
Vascular diseases | ||||||
11 | Hereditary hemorrhagic telangiectasia | M | 73 | Anal | Ileum | Occult small-bowel bleeding |
12 | Angiodysplasia | F | 74 | Oral | Jejunum | Occult small-bowel bleeding |
13 | IgA vasculitis | M | 70 | Oral | Jejunum | Overt small-bowel bleeding and abdominal pain |
14 | Eosinophilic granulomatosis with polyangiitis | M | 55 | Anal | Ileum | Diarrhea |
15 | Ischemic stricturing enteritis | F | 80 | Anal | Ileum | Overt small-bowel bleeding and small-bowel obstruction |
16 | Ischemic stricturing enteritis | F | 64 | Oral | Jejunum | Small-bowel obstruction |
Inflammatory diseases | ||||||
17 | Crohn’s disease | M | 22 | Oral | Jejunum | Small-bowel obstruction |
18 | Crohn’s disease | F | 51 | Oral | Ileum | Small-bowel obstruction |
19 | Crohn’s disease | M | 31 | Anal | Ileum | Small-bowel obstruction |
20 | Chronic non-specific multiple ulcers unrelated to NSAIDs | F | 55 | Oral | Ileum | Small-bowel obstruction |
21 | Chronic non-specific multiple ulcers unrelated to NSAIDs | F | 39 | Oral | Ileum | Small-bowel obstruction |
22 | Chronic non-specific multiple ulcers unrelated to NSAIDs | F | 48 | Oral | Jejunum | Occult small-bowel bleeding |
23 | Chronic non-specific multiple ulcers unrelated to NSAIDs | F | 42 | Oral | Jejunum | Protein-losing enteropathy |
24 | Chronic non-specific multiple ulcers unrelated to NSAIDs | F | 39 | Anal | Ileum | Protein-losing enteropathy |
25 | Hypogammaglobulinemia-associated atrophic enteritis with malabsorption syndrome | M | 50 | Oral | Jejunum | Diarrhea |
Iatrogenic diseases | ||||||
26 | Aspirin-induced small-intestinal injury | F | 73 | Anal | Ileum | Occult small-bowel bleeding |
27 | Diclofenac-induced small-intestinal injury | M | 53 | Oral | Duodenum-jejunum | Overt small-bowel bleeding |
28 | Loxoprofen-induced small-intestinal injury | F | 88 | Oral | Jejunum | Small-bowel obstruction |
29 | Clonazepam-induced small-intestinal injury with protein-losing enteropathy | F | 54 | Oral | Jejunum | Diarrhea |
Other small-bowel diseases | ||||||
30 | Intestinal lymphangiectasia with protein-losing enteropathy | F | 42 | Anal | Ileum | Protein-losing enteropathy |
31 | Intestinal lymphangiectasia with protein-losing enteropathy | M | 66 | Oral | Jejunum | Protein-losing enteropathy |
32 | Intestinal lymphangiectasia with protein-losing enteropathy | M | 71 | Oral | Jejunum | Protein-losing enteropathy |
33 | Meckel’s diverticulum | M | 27 | Anal | Ileum | Overt small-bowel bleeding |
Normal small bowel | ||||||
34 | Colonic diverticular hemorrhage | M | 71 | Oral | Jejunum | Overt small-bowel bleeding |
35 | Suspected Crohn’s disease | M | 26 | Anal | Ileum | Right lower quadrant pain |
36 | Hypogammaglobulinemia | M | 36 | Oral | Jejunum | Occult small-bowel bleeding |
37 | Abdominal pain | M | 36 | Oral | Jejunum | Abdominal pain |
DBE, double-balloon enteroscopy; DLBCL, diffuse large B cell lymphoma; NSAID, nonsteroidal anti-inflammatory drug.
Complete remission by chemotherapy and complicated by cytomegalovirus infection-associated small-intestinal ulcers.