By Takayuki Matsumoto (auth.), Toshiyuki Matsui, Takayuki Matsumoto, Kunihiko Aoyagi (eds.)
The function of this booklet is to enhance diagnostic yields of pill endoscopy and double-balloon endoscopy, simply because these techniques can depict nonspecific findings that won't bring about a formal analysis. one more reason for the booklet used to be popularity of the trouble in distinguishing enteroscopic findings of ulcerative colitis from these of Crohn’s disorder.
From a realistic viewpoint, you will need to notice endoscopic photographs first, then to check the pictures of different modalities, and at last to match macroscopic photographs of resected specimens. hence, loads of well-depicted examples of small intestinal lesions have been assembled to explain modifications between small intestinal lesions that seem to show comparable findings and morphologies.
Comparisons with radiographic findings include one other very important aspect in prognosis. There are obstacles 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 appealing effects. simply because a unmarried disease may perhaps show diversifications, this quantity comprises a number of depictions of an analogous issues. additionally incorporated are lesions in energetic and inactive stages, as either appearances are hugely more likely to be encountered concurrently in scientific perform. The variety of illustrated findings hence has been constrained to strictly chosen cases.
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Extra info for Endoscopy in the Diagnosis of Small Intestine Diseases
For neoplastic or inflammatory lesions, contrast radiography of the small intestine or abdominal contrast-enhanced CT may offer clues regarding which approach to use. If the location of the lesion can be estimated by imaging, insertion via the closer approach is chosen. If the location of the lesion cannot be identified, then retrograde insertion should be used, followed by antegrade insertion if no signs are evident. This is because per-oral DBE entails a risk of inducing complications such as acute pancreatitis and aspiration pneumonia, and great care is required when performing antegrade insertion for drawn-out examinations and in elderly patients.
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