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laparotomy was difficult. Here we report the case of duodenal cancer diagnosed by capsule endoscopy (CE) and double balloon enteroscopy (DBE) in a patient with HNPCC. The patient is a 72-year-old woman. She complained of passing tarry stool and was admitted to our hospital for further Dear Sir, Hereditary nonpolyposis colorectal cancer (HNPCC) involves a predisposition not only to colorectal cancer, but also to cancers of various other organs (the endometrium, stomach, ovaries, small bowel, hepatobiliary epithelium, uroepithelia epithelium and brain) [1] . However, the diagnosis of small bowel cancer without a Published online: January 17, 2007

Duodenal Cancer Diagnosed by Capsule Endoscopy and Double Balloon Enteroscopy in a Patient with Hereditary Nonpolyposis Colorectal Cancer