Download Endoscopy in the Diagnosis of Small Intestine Diseases by Takayuki Matsumoto (auth.), Toshiyuki Matsui, Takayuki PDF

By Takayuki Matsumoto (auth.), Toshiyuki Matsui, Takayuki Matsumoto, Kunihiko Aoyagi (eds.)

The goal of this booklet is to enhance diagnostic yields of tablet endoscopy and double-balloon endoscopy, simply because these strategies can depict nonspecific findings that will not bring about a formal analysis. one more reason for the book was once attractiveness of the trouble in distinguishing enteroscopic findings of ulcerative colitis from these of Crohn’s sickness.
From a realistic standpoint, you will need to notice endoscopic photos first, then to check the photographs of different modalities, and eventually to match macroscopic images of resected specimens. consequently, plenty of well-depicted examples of small intestinal lesions have been assembled to elucidate ameliorations between small intestinal lesions that seem to express comparable findings and morphologies.
Comparisons with radiographic findings include one other very important point in prognosis. There are boundaries in endoscopic observations of gross lesions of the small gut, with its many convolutions. In Japan, many associations nonetheless perform double-contrast imaging, which gives appealing effects. simply because a unmarried illness may well convey diversifications, this quantity contains a number of depictions of an identical issues. additionally integrated are lesions in energetic and inactive levels, as either appearances are hugely prone to be encountered concurrently in scientific perform. The variety of illustrated findings consequently has been restricted to strictly chosen cases.

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Extra resources for Endoscopy in the Diagnosis of Small Intestine Diseases

Sample text

Only a small amount of intestinal fluid is present in the ileum, posing no hindrance to observation. As for gastric fluoroscopy and per-oral contrast radiography of the small intestine, however, presence of a large amount of residual stool in the large intestine may cause pain or nausea during the examination. For this reason, although pretreatment is not required to the same extent as for lower gastrointestinal endoscopy, a small dose of laxative should be used to reduce the amount of residual stool.

Retrograde double-balloon endoscopy showed an open ulcer with appendant fresh blood and planar blood vessels on the ulcer floor, regarded as the source of bleeding, in the ileum on the proximal side of the iliocolic anastomosis. (b) As oozing bleeding from the vessels on the ulcer floor was evident during insufflation, ablation was performed by APC, and no further bleeding was observed 36 T. Beppu and F. Hirai Fig. 11 Endoscopic polypectomy. (a) A woman in her 1930s, diagnosed with PJS at 2 years old.

Inflammatory bowel disease 2. Hemorrhagic diseases 3. Neoplastic diseases 4. Intestinal obstructions 5. Cases showing difficulty with colonoscopic insertion 6. Bile duct and pancreatic diseases Crohn’s disease, intestinal tuberculosis, NSAID-induced enteropathy, chronic non-specific multiple ulcer of the small intestine, Behçet disease, simple ulcer, ischemic colitis Angioectasia, capillary hemangioma, arteriovenous malformation, portal hypertensive enteropathy, small intestinal varices Small intestinal cancer, malignant lymphoma, GIST, polyposis, metastatic intestinal carcinoma, lipoma Adhesional ileus, malignant tumor, Meckel’s diverticulum Patients with elongated sigmoid or transverse colon, patients for whom insertion is difficult due to postoperative adhesions Roux-en-Y anastomosis after total gastrectomy, ERCP after Billroth II surgery following partial gastrectomy, stent placement, lithotomy, etc.

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