Chronic nausea as the leading symptom: an indication for double-contrast examination of the upper intestinal tract following normal gastroscopy

We report a patient with chronic nausea as the leading symptom of a primary carcinoma of the duodenum located at the flexura duodeno-jejunalis. The tumour was not reached at gastroscopy, which was performed twice. Since this area usually cannot be seen upon gastroscopy or upon small bowel enteroclys...

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Bibliographic Details
Published inZeitschrift für Gastroenterologie Vol. 31; no. 7-8; p. 444
Main Authors Konle, O, Mahlke, R, Becher, R, Kricke, E, Riesner, K, Lankisch, P G
Format Journal Article
LanguageEnglish
Published Germany 01.07.1993
Subjects
Adenocarcinoma - complications
Adenocarcinoma - diagnostic imaging
Adenocarcinoma - surgery
Butylscopolammonium Bromide
Duodenal Neoplasms - complications
Duodenal Neoplasms - diagnostic imaging
Duodenal Neoplasms - surgery
Duodenal Obstruction - complications
Duodenal Obstruction - diagnostic imaging
Duodenal Obstruction - surgery
Gastroscopy
Humans
Intestinal Polyps - complications
Intestinal Polyps - diagnostic imaging
Intestinal Polyps - surgery
Male
Middle Aged
Nausea - diagnostic imaging
Nausea - etiology
Nausea - surgery
Neoplasms, Second Primary - complications
Neoplasms, Second Primary - diagnostic imaging
Neoplasms, Second Primary - surgery
Radiography
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Summary:We report a patient with chronic nausea as the leading symptom of a primary carcinoma of the duodenum located at the flexura duodeno-jejunalis. The tumour was not reached at gastroscopy, which was performed twice. Since this area usually cannot be seen upon gastroscopy or upon small bowel enteroclysma according to Sellink, a double-contrast investigation of the upper gastrointestinal tract using a hypotonic agent should be performed when nausea persists although gastroscopy is normal.
ISSN:0044-2771