By Takayuki Matsumoto (auth.), Toshiyuki Matsui, Takayuki Matsumoto, Kunihiko Aoyagi (eds.)
The goal of this ebook is to enhance diagnostic yields of pill endoscopy and double-balloon endoscopy, simply because these techniques can depict nonspecific findings that will not bring about a formal analysis. one more reason for the book was once reputation of the trouble in distinguishing enteroscopic findings of ulcerative colitis from these of Crohn’s illness.
From a pragmatic standpoint, it is very important realize endoscopic photographs first, then to match the photographs of alternative modalities, and at last to check macroscopic photos of resected specimens. as a result, a number of well-depicted examples of small intestinal lesions have been assembled to explain variations between small intestinal lesions that seem to convey comparable findings and morphologies.
Comparisons with radiographic findings contain one other vital point in analysis. There are barriers in endoscopic observations of gross lesions of the small gut, with its many convolutions. In Japan, many associations nonetheless perform double-contrast imaging, which supplies attractive effects. simply because a unmarried illness may well show diversifications, this quantity contains a number of depictions of an identical problems. additionally integrated are lesions in lively and inactive levels, as either appearances are hugely more likely to be encountered at the same time in scientific perform. The variety of illustrated findings for that reason has been constrained to strictly chosen cases.
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Additional info for Endoscopy in the Diagnosis of Small Intestine Diseases
8) 1. As for regular lower gastrointestinal endoscopy, hold the tip of the endoscope and insert it into the anus, dilate the (1) balloon at the tip of the endoscope in the sigmoid colon, and advance the OVT. 2. Dilate the OVT balloon, grasp the intestine with both balloons and withdraw the entire system for easy simplifica- (2) (3) (3) (4) (5) (6) Fig. 8 Retrograde insertion (6) 34 3. 4. 5. 6. T. Beppu and F. Hirai tion of the sigmoid colon loop. If straightening is difficult due to adhesion of the sigmoid colon, deflate the balloon at the tip of the endoscope and perform the next insertion even if the sigmoid colon is not completely straight.
1 Traditional Examinations for Small Intestinal Disease Double-balloon endoscopy (DBE) constitutes a major advance in endoscopic examination of the small intestine. Traditionally, methods of small intestinal endoscopy have been limited to the tube method, in which the endoscope is advanced by peristalsis, and the push method, whereby the endoscope is pushed in while the stomach and duodenum are straightened. However, both methods are painful for patients and require specialist skills, and observation of a sufficiently wide area and endoscopic treatment can be difficult.
6. Lewis BS. Expanding role of capsule endoscopy in inflammatory bowel disease. World J Gastroenterol. 2008;14:4137–41. 7. Ladas SD et al. European Society of Gastrointestinal Endoscopy (ESGE): recommendations (2009) on clinical use video capsule endoscopy to investigate small-bowel, esophageal and colonic diseases. Endoscopy. 2010;42:220–7. 8. Caddy CR et al. The effect of erythromycin on video capsule endoscopy intestinal–transit time. Gastrointest Endosc. 2006;63:262–6. 9. Selby W. Complete small-bowel transit in patients undergoing capsule endoscopy: determining factors and improvement with metoclopramide.
Endoscopy in the Diagnosis of Small Intestine Diseases by Takayuki Matsumoto (auth.), Toshiyuki Matsui, Takayuki Matsumoto, Kunihiko Aoyagi (eds.)