Do scattered white spots in the duodenum mark a specific gastrointestinal pathology?
OBJECTIVE: To discover whether scattered white spots (SWS) in the duodenum are related to a specific kind of disease. We also scrutinized other upper endoscopic findings which might be associated with SWS. METHODS: Among the patients who were admitted for upper gastrointestinal system endoscopy, t...
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| Veröffentlicht in: | Journal of digestive diseases 2009-11, Vol.10 (4), p.300-304 |
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| creator | BIYIKOĞLU, İbrahim BABALI, Ayşegül ÇAKAL, Başak KÖKLÜ, Seyfettin FILIK, Levent ASTARCI, Müzeyyen H ÜSTÜN, Hüseyin ÜSTÜNDAĞ, Yücel AKBAL, ERDEM |
| description | OBJECTIVE: To discover whether scattered white spots (SWS) in the duodenum are related to a specific kind of disease. We also scrutinized other upper endoscopic findings which might be associated with SWS.
METHODS: Among the patients who were admitted for upper gastrointestinal system endoscopy, those having the endoscopic appearance of SWS in duodenum were enrolled in this study. In total 107 patients [70 women, 37 men, mean age: 51.6 ± 16.88 years (range: 17–82 years)] were included. At least three duodenal biopsies were taken from each patient and histopathological examinations were done by experienced pathologists.
RESULTS: The histopathological examination revealed that 39 (36.4%) patients had intestinal lymphangiectasia (IL), 15 (14%) patients had giardiasis (G) and 30 (28.1%) patients had chronic non‐specific duodenitis (CD). Two patients with IL were also found to have G. Twenty patients had both IL and CD. One had both G and CD. G was the least common etiology for SWS in the duodenum. The most common reasons for SWS in the duodenum in this study group were IL and CD, in order of decreasing frequency. There was no significant relationship with the other upper endoscopic findings in all these patients.
CONCLUSION: Histopathological examinations should be provided for each patient with SWS in the duodenum to assess the etiology. |
| doi_str_mv | 10.1111/j.1751-2980.2009.00399.x |
| format | Article |
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METHODS: Among the patients who were admitted for upper gastrointestinal system endoscopy, those having the endoscopic appearance of SWS in duodenum were enrolled in this study. In total 107 patients [70 women, 37 men, mean age: 51.6 ± 16.88 years (range: 17–82 years)] were included. At least three duodenal biopsies were taken from each patient and histopathological examinations were done by experienced pathologists.
RESULTS: The histopathological examination revealed that 39 (36.4%) patients had intestinal lymphangiectasia (IL), 15 (14%) patients had giardiasis (G) and 30 (28.1%) patients had chronic non‐specific duodenitis (CD). Two patients with IL were also found to have G. Twenty patients had both IL and CD. One had both G and CD. G was the least common etiology for SWS in the duodenum. The most common reasons for SWS in the duodenum in this study group were IL and CD, in order of decreasing frequency. There was no significant relationship with the other upper endoscopic findings in all these patients.
CONCLUSION: Histopathological examinations should be provided for each patient with SWS in the duodenum to assess the etiology.</description><identifier>ISSN: 1751-2972</identifier><identifier>EISSN: 1751-2980</identifier><identifier>DOI: 10.1111/j.1751-2980.2009.00399.x</identifier><identifier>PMID: 19906109</identifier><language>eng</language><publisher>Melbourne, Australia: Blackwell Publishing Asia</publisher><subject>Adolescent ; Adult ; Aged ; Aged, 80 and over ; chronic non-specific duodenitis ; Duodenitis - parasitology ; Duodenitis - pathology ; Duodenum - pathology ; Endoscopy, Gastrointestinal ; Female ; giardiasis ; Giardiasis - pathology ; Humans ; intestinal lymphangiectasia ; Intestinal Mucosa - pathology ; Lymphangiectasis, Intestinal - pathology ; Male ; Middle Aged ; scattered while spots in duodenum ; Young Adult</subject><ispartof>Journal of digestive diseases, 2009-11, Vol.10 (4), p.300-304</ispartof><rights>2009 The Authors. Journal compilation © 2009 Chinese Medical Association Shanghai Branch, Chinese Society of Gastroenterology and Blackwell Publishing Asia Pty Ltd.</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c4559-a1227674268313a0e67a647905e14284a0869f1535e092f8f47bdf94eff48a93</citedby><cites>FETCH-LOGICAL-c4559-a1227674268313a0e67a647905e14284a0869f1535e092f8f47bdf94eff48a93</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://onlinelibrary.wiley.com/doi/pdf/10.1111%2Fj.1751-2980.2009.00399.x$$EPDF$$P50$$Gwiley$$H</linktopdf><linktohtml>$$Uhttps://onlinelibrary.wiley.com/doi/full/10.1111%2Fj.1751-2980.2009.00399.x$$EHTML$$P50$$Gwiley$$H</linktohtml><link.rule.ids>314,780,784,1417,27924,27925,45574,45575</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/19906109$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>BIYIKOĞLU, İbrahim</creatorcontrib><creatorcontrib>BABALI, Ayşegül</creatorcontrib><creatorcontrib>ÇAKAL, Başak</creatorcontrib><creatorcontrib>KÖKLÜ, Seyfettin</creatorcontrib><creatorcontrib>FILIK, Levent</creatorcontrib><creatorcontrib>ASTARCI, Müzeyyen H</creatorcontrib><creatorcontrib>ÜSTÜN, Hüseyin</creatorcontrib><creatorcontrib>ÜSTÜNDAĞ, Yücel</creatorcontrib><creatorcontrib>AKBAL, ERDEM</creatorcontrib><title>Do scattered white spots in the duodenum mark a specific gastrointestinal pathology?</title><title>Journal of digestive diseases</title><addtitle>J Dig Dis</addtitle><description>OBJECTIVE: To discover whether scattered white spots (SWS) in the duodenum are related to a specific kind of disease. We also scrutinized other upper endoscopic findings which might be associated with SWS.
METHODS: Among the patients who were admitted for upper gastrointestinal system endoscopy, those having the endoscopic appearance of SWS in duodenum were enrolled in this study. In total 107 patients [70 women, 37 men, mean age: 51.6 ± 16.88 years (range: 17–82 years)] were included. At least three duodenal biopsies were taken from each patient and histopathological examinations were done by experienced pathologists.
RESULTS: The histopathological examination revealed that 39 (36.4%) patients had intestinal lymphangiectasia (IL), 15 (14%) patients had giardiasis (G) and 30 (28.1%) patients had chronic non‐specific duodenitis (CD). Two patients with IL were also found to have G. Twenty patients had both IL and CD. One had both G and CD. G was the least common etiology for SWS in the duodenum. The most common reasons for SWS in the duodenum in this study group were IL and CD, in order of decreasing frequency. There was no significant relationship with the other upper endoscopic findings in all these patients.
CONCLUSION: Histopathological examinations should be provided for each patient with SWS in the duodenum to assess the etiology.</description><subject>Adolescent</subject><subject>Adult</subject><subject>Aged</subject><subject>Aged, 80 and over</subject><subject>chronic non-specific duodenitis</subject><subject>Duodenitis - parasitology</subject><subject>Duodenitis - pathology</subject><subject>Duodenum - pathology</subject><subject>Endoscopy, Gastrointestinal</subject><subject>Female</subject><subject>giardiasis</subject><subject>Giardiasis - pathology</subject><subject>Humans</subject><subject>intestinal lymphangiectasia</subject><subject>Intestinal Mucosa - pathology</subject><subject>Lymphangiectasis, Intestinal - pathology</subject><subject>Male</subject><subject>Middle Aged</subject><subject>scattered while spots in duodenum</subject><subject>Young Adult</subject><issn>1751-2972</issn><issn>1751-2980</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2009</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNqNkMtu2zAQRYmgRd6_UHDXlRRSfIlAgaKw26TIc2EgS4KRhjFdWXRFCrH_PnRtONtywwHmnhnyIIQpKWk-V4uSKkGLStekrAjRJSFM63J9hE4PjU-HWlUn6CzGBSFCqloeoxOqNZGU6FM0mwYcG5sSDNDit7lPgOMqpIh9j9MccDuGFvpxiZd2-INtbkLjnW_wq41pCL5PEJPvbYdXNs1DF1433y_QZ2e7CJf7-xzNfv2cTW6Ku8fr35Mfd0XDhdCFpVWlpOKVrBllloBUVnKliQDKq5pbUkvtqGACiK5c7bh6aZ3m4ByvrWbn6Otu7GoIf8f8DLP0sYGusz2EMRrFGFdUUp6T9S7ZDCHGAZxZDT5_aGMoMVujZmG2ssxWnNkaNf-MmnVGv-yXjC9LaD_AvcIc-LYLvPkONv892Eym01xkvNjhPiZYH_As20jFlDDPD9fm9oFy-STujWbv_RyStQ</recordid><startdate>200911</startdate><enddate>200911</enddate><creator>BIYIKOĞLU, İbrahim</creator><creator>BABALI, Ayşegül</creator><creator>ÇAKAL, Başak</creator><creator>KÖKLÜ, Seyfettin</creator><creator>FILIK, Levent</creator><creator>ASTARCI, Müzeyyen H</creator><creator>ÜSTÜN, Hüseyin</creator><creator>ÜSTÜNDAĞ, Yücel</creator><creator>AKBAL, ERDEM</creator><general>Blackwell Publishing Asia</general><scope>BSCLL</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>7X8</scope></search><sort><creationdate>200911</creationdate><title>Do scattered white spots in the duodenum mark a specific gastrointestinal pathology?</title><author>BIYIKOĞLU, İbrahim ; BABALI, Ayşegül ; ÇAKAL, Başak ; KÖKLÜ, Seyfettin ; FILIK, Levent ; ASTARCI, Müzeyyen H ; ÜSTÜN, Hüseyin ; ÜSTÜNDAĞ, Yücel ; AKBAL, ERDEM</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c4559-a1227674268313a0e67a647905e14284a0869f1535e092f8f47bdf94eff48a93</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2009</creationdate><topic>Adolescent</topic><topic>Adult</topic><topic>Aged</topic><topic>Aged, 80 and over</topic><topic>chronic non-specific duodenitis</topic><topic>Duodenitis - parasitology</topic><topic>Duodenitis - pathology</topic><topic>Duodenum - pathology</topic><topic>Endoscopy, Gastrointestinal</topic><topic>Female</topic><topic>giardiasis</topic><topic>Giardiasis - pathology</topic><topic>Humans</topic><topic>intestinal lymphangiectasia</topic><topic>Intestinal Mucosa - pathology</topic><topic>Lymphangiectasis, Intestinal - pathology</topic><topic>Male</topic><topic>Middle Aged</topic><topic>scattered while spots in duodenum</topic><topic>Young Adult</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>BIYIKOĞLU, İbrahim</creatorcontrib><creatorcontrib>BABALI, Ayşegül</creatorcontrib><creatorcontrib>ÇAKAL, Başak</creatorcontrib><creatorcontrib>KÖKLÜ, Seyfettin</creatorcontrib><creatorcontrib>FILIK, Levent</creatorcontrib><creatorcontrib>ASTARCI, Müzeyyen H</creatorcontrib><creatorcontrib>ÜSTÜN, Hüseyin</creatorcontrib><creatorcontrib>ÜSTÜNDAĞ, Yücel</creatorcontrib><creatorcontrib>AKBAL, ERDEM</creatorcontrib><collection>Istex</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><jtitle>Journal of digestive diseases</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>BIYIKOĞLU, İbrahim</au><au>BABALI, Ayşegül</au><au>ÇAKAL, Başak</au><au>KÖKLÜ, Seyfettin</au><au>FILIK, Levent</au><au>ASTARCI, Müzeyyen H</au><au>ÜSTÜN, Hüseyin</au><au>ÜSTÜNDAĞ, Yücel</au><au>AKBAL, ERDEM</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Do scattered white spots in the duodenum mark a specific gastrointestinal pathology?</atitle><jtitle>Journal of digestive diseases</jtitle><addtitle>J Dig Dis</addtitle><date>2009-11</date><risdate>2009</risdate><volume>10</volume><issue>4</issue><spage>300</spage><epage>304</epage><pages>300-304</pages><issn>1751-2972</issn><eissn>1751-2980</eissn><abstract>OBJECTIVE: To discover whether scattered white spots (SWS) in the duodenum are related to a specific kind of disease. We also scrutinized other upper endoscopic findings which might be associated with SWS.
METHODS: Among the patients who were admitted for upper gastrointestinal system endoscopy, those having the endoscopic appearance of SWS in duodenum were enrolled in this study. In total 107 patients [70 women, 37 men, mean age: 51.6 ± 16.88 years (range: 17–82 years)] were included. At least three duodenal biopsies were taken from each patient and histopathological examinations were done by experienced pathologists.
RESULTS: The histopathological examination revealed that 39 (36.4%) patients had intestinal lymphangiectasia (IL), 15 (14%) patients had giardiasis (G) and 30 (28.1%) patients had chronic non‐specific duodenitis (CD). Two patients with IL were also found to have G. Twenty patients had both IL and CD. One had both G and CD. G was the least common etiology for SWS in the duodenum. The most common reasons for SWS in the duodenum in this study group were IL and CD, in order of decreasing frequency. There was no significant relationship with the other upper endoscopic findings in all these patients.
CONCLUSION: Histopathological examinations should be provided for each patient with SWS in the duodenum to assess the etiology.</abstract><cop>Melbourne, Australia</cop><pub>Blackwell Publishing Asia</pub><pmid>19906109</pmid><doi>10.1111/j.1751-2980.2009.00399.x</doi><tpages>5</tpages><oa>free_for_read</oa></addata></record> |
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| ispartof | Journal of digestive diseases, 2009-11, Vol.10 (4), p.300-304 |
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| subjects | Adolescent Adult Aged Aged, 80 and over chronic non-specific duodenitis Duodenitis - parasitology Duodenitis - pathology Duodenum - pathology Endoscopy, Gastrointestinal Female giardiasis Giardiasis - pathology Humans intestinal lymphangiectasia Intestinal Mucosa - pathology Lymphangiectasis, Intestinal - pathology Male Middle Aged scattered while spots in duodenum Young Adult |
| title | Do scattered white spots in the duodenum mark a specific gastrointestinal pathology? |
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