With comparison to other methods, capsule endoscopy is simple, affordable, and has been proved to be the best test for early diagnosis of small bowel Crohn’s disease in this study. Key Word(s): 1. Capsule Endoscopy; 2. Crohn’s Disease; 3. Diagnosis; Presenting Author: ZHANGXIANG LIAN Additional Authors: JIANGHAI XING Corresponding Author: JIANGHAI XING Affiliations: guangxi medical university Objective: To assess the diagonostic value of EUS
forGI tract neuroendocrine tumors. Methods: 16 cases of neuroendocrine tumors diagnosed at the First Affiliated Hospital of Guangxi Medical University from December 2002 to December 2012 were retrospectively analyzed. The feature of the EUS imaging was compared with PD98059 supplier traditional diagnostic method and evaluated the diagnostic value. Results: Of the 16 Neuroendocrine tumors, 7 (43.8%) were in the pancreas: 6 islet-cell tumors (one in the pancreatic head, two in the pancreatic body, two in the pancreatic tail, one in the junction of head and body); 1 vasoactive intestinal
peptide tumors was in the pancreatic head. On EUS, pancreatic neuroendocrine tumors presented as hypoechoic masses with clear margins and maybe halo-like changes (discontinuous hyperechoic edge). Of the 16 Neuroendocrine tumors, 6 (37.5%) were rectal carcinoid in the rectum (from the anus 3∼8 cm, mean 5.5 cm). On EUS, rectal carcinoid presented selleck chemical as hypoechoic masses with clear margins in mucosal or submucosal lesions. Of the 16 Neuroendocrine
tumors, 2 (12.5%) were in the stomach : 1 stomach carcinoid was in greater gastric curvature and it presented as hypoechoic masses in mucosal; 1 stomach neuroendocrine tumor was in greater gastric curvature and it presented as hypoechoic masses in submucosal lesions. 1 (6.2%) was adrenal gland chromaffinoma in the left adrenal gland and it presented as hypoechoic masses in the pancreas, anechoic shadow with median strip and thick wall in the left adrenal. 15 neuroendocrine tumors all were definitely diagnosed by pathology. 7 underwent surger; 3 underwent ESD; 2 underwent EUS-FNA; 2 underwent EMR. The accuracy rate of EUS for preoperative localization Carbachol was 93.7%. Conclusion: EUS can provide accurate preoperative localization and pathologic evidence for pancreatic neuroendocrine tumors. EUS has the the value in diagnosis and guiding EMR for enteron carcinoid. Key Word(s): 1. EUS; 2. neuroendocrine tumor; 3. diagnosis; 4. FNA; Presenting Author: YADONG FENG Additional Authors: HONG ZHU, SHUPING YANG, LIANZHEN YU, XUELIANG LI, RUIHUA SHI Corresponding Author: RUIHUA SHI Affiliations: First Affiliated Hospital of Nanjing Medical University; shupyang@yahoo.