A case of jejunal GIST diagnosed by double balloon endoscopy but missed by capsule endoscopy

Abstract

We often use capsule endoscopy for examination of OGIB. Vascular lesion, neoplastic lesion, ulcerative lesion are cause of OGIB. Capsule endoscopy is less invasive than double balloon endoscopy. But its′weak point is diagnostic performance about neoplastic lesions, especially submucosal tumor. GIST is the most common cause of submucosal tumor in small intestine. And GIST often occurs in proximal jejunum.
We experienced a cese of jejunal GIST, which diagnose by double balloon endoscopy but missed by capsule endoscopy. In this paper, we show our facility and reporting policies of the literature on diagnostic strategies for patients with negative capsule endoscopy for OGIB.