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| 1 | Adenocarcinoma of the third and fourth portions of the duodenum: The capsule endoscopy value显示文摘Primary adenocarcinoma of the small intestine occurs in over 50% of cases in the duodenum. However,its location in the third and fourth duodenal portions occurs rarely and is a diagnostic challenge. The aim of this work is to report an adenocarcinoma of the third and fourth duodenal portions,emphasizing its diagnostic difficulty and the value of video capsule endoscopy. A man,40 years old,with no medical history,with abdominal discomfort and progressive fatigue,presented four months ago with one episode o f m o d e ra t e m e l e n a. T h e p hy s i c a l e x a m i n a t i o n was normal,except for mucosal pallor. Blood tests were consistent with microcytic,hypochromic iron deficiency anemia with 7.8 g/d L hemoglobin. The upper and lower endoscopy were normal. Additional work-up with video capsule endoscopy showed a polypoid lesion involving the third and fourth portions o f t h e d u o d e n u m. B i o p s y s h o w e d a m o d e ra t e l y differentiated adenocarcinoma. Abdominal computed tomography showed a wall thickening from the third duodenal portion to the proximal jejunum,without distant metastasis. The patient underwent segmental resection(distal duodenum and proximal jejunum) with duodenojejunostomy. The surgical specimen histology confirmed the biopsy diagnosis,with transmural infiltration,without nodal involvement. Conclusion: Adenocarcinoma of the third and fourth portions of the duodenum is difficult to diagnose and capsule endoscopy is of great value. | Feliciano Chanana Paquissi Ana Henriqueta Filipe Bunga Pimentel Lima Maria de Fátima do Nascimento Vieira Lopes Francisco Viamontes Diaz | 2015 | World Journal of Gastroenterology2015，21，31： | 2 |
| 2 | Se-quence and function of lysosomal and digestive cathepsin D-likeproteinases of Musca domestica midgut显示文摘 | PADILHA M H PIMENTEL A C RIBEIRO A F | 2009 | Insect Biochem MolBiol2009，39，11： | 1 |
| 3 | Downregulation of transient receptor potential melastatin 8by protein kinase C mediated dephosphorylation显示文摘 | Premkumar L S Raisinghani M Pingle S C Long C Pimentel F | 2005 | J Neurosci2005，25，11： | 1 |
| 4 | Production of an Extracellular Polysaccharide with Emulsifier Properties by Penicillium citrinum 显示文摘 | CAMARGO-DE-MORAIS M M RAMOS S A F PIMENTEL M C B | 2003 | World J Microbiol &Biotechnol2003，19，2： | 1 |
| 5 | Nu- tritional improvement of feather protein by treatment with mi- crobial keratinase显示文摘 | GRAZZIOTIN A PIMENTEL F A DE JONG E V | 2006 | Animal Feed Science and Technology2006，126，1： | 1 |
| 6 | Nutritional improvement of feather protein by lrealment with microbial keratinase 显示文摘 | Grazziotin A Pimentel F A de Jong E V | 2006 | Animal Feed Science and Technology2006，26，： | 1 |
| 7 | Nutritional improvement of feather protein by treatment with microbial keratinase显示文摘 | Grazziotin A Pimentel F A Jong de E V | 2006 | Animal Feed Science and Technology2006，126，1： | 1 |
| 8 | Epigenetic alterations ofpl5 ( INK4B )and p16 ( INK4A ) genes in pediatric primary myelodysplastic syndrome 显示文摘 | RODRIGUES E F SANTOS-REBOUCAS C B GONCALVES PIMENTEL M M | 2010 | Leuk Lymphoma2010，51，10： | 1 |
| 9 | Nutritional Improvement of Feather Protein by Treatment with Microbial Keratinase显示文摘 | Grazziotin A Pimentel F A Jong E V | 2006 | Animal Feed Science and Technology2006，126，12： | 1 |
| 10 | The use and midium-term evaluation of decellutarized allograft cusp in the surgical treatment of the tetralogy of fallot 显示文摘 | MULINARI L A NAVARRO F B PIMENTEL G K | 2008 | Rev Bras Cir Cardiovasc2008，23，2： | 1 |
| 11 | Preparation and Characterization of Blends of Recycled Polystyrene with Cassava Starch显示文摘 | TAIS A P F Pimentel Jussara A Duraes | 2007 | Journal of Materials Science2007，42，17： | 1 |
| 12 | Improving the detection limits of near infrared spectroscopy in the determination of aromatic hydrocarbons in water employing a silicone sensing phase 显示文摘 | Lima K M G Raimundo Jr I M Pimentel M F | 2007 | Sensors and Actuators B2007，125，1： | 1 |
| 13 | Modeling burst channels using partitioned Fritchman's Markov models显示文摘 | Pimentel C Blake I F | 1998 | IEEE Transactions on Vehicular Technology1998，47，3： | 1 |
| 14 | Relationship of pattern hyperlipidic intake with quality of diet,insulin resistance and homocysteinemia in adults显示文摘 | Pimentel G D Moreto F Corrente J E | 2011 | Acta Medica Portuguesa2011，24，5： | 1 |
| 15 | Removal of heavy metals by an Aspergillus terreus strain immobilized in a polyurethane matrix 显示文摘 | Dias M A Lacerda I C Pimentel P F | 2002 | Letters in Applied Microbiology2002，34，： | 1 |
| 16 | Small intestined facterial over grauth is associated with irritable bowel syndrome the cartlands squarely in frond of bore显示文摘 | Pimentel M Ross F Chow EJ | 2000 | Am J Gastmenterol2000，95，12： | 1 |
| 17 | Increased activity in the biliary ConA-binding fraction accounts for thedifference in crystallization behavior in bile from Chilean gallstone patients compared with Dutch gallstone patients显示文摘 | Miquel JF Van Der Putten J Pimentel F | 2001 | Hepatology2001，33，32： | 1 |
| 18 | Enumeration of Markov chains and burst error statistics for finite state channel models显示文摘 | Blake I F | 1999 | IEEE Transactions on Vehicular Technology1999，48，2： | 1 |
| 19 | Kinetics and thermodynamics of Cu(II) adsorption on oil shale wastes显示文摘 | Pimentel P M Melo M A F Melo D M A | 2008 | Fuel Processing Technology2008，89，1： | 1 |
| 20 | Preparation and Characterization of Blends of Recycled Polystyrene with Cassava Starch显示文摘 | TAIS A P F Pimentel Jussara A Duraes | 2007 | Journal of Materials Science2007，42，17： | 1 |
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