Small-bowel imaging: multiple paths to the last frontier

Ross, William A.

doi:10.1016/j.gie.2008.04.045

Cited by 5 publications

(3 citation statements)

References 43 publications

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“…Push enteroscopy has limited depth of insertion, Sonde enteroscopy is of historical interest only, and intra-operative enteroscopy carries significant comorbidities. 1, 2 …”

Section: Introductionmentioning

confidence: 99%

Single-balloon enteroscopy: results from an initial experience at a U.S. tertiary-care center

Frantz

Dellon

Grimm

et al. 2010

Gastrointestinal Endoscopy

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Background Single Balloon Enteroscopy (SBE) is a novel deep enteroscopy modality for diagnosis and treatment of disorders of the small bowel. Objective The aim of the study was to examine the performance, yield and safety of SBE in the initial experience at a tertiary care center. Design Retrospective analysis of all SBEs during a 10 month period in 2008. Data was extracted from electronic clinical and endoscopy records. Setting U.S. tertiary care center. Patients All patients referred for SBE were included in the current analysis. Intervention SBE. Main Outcome Measurements Anterograde SBE procedure time, diagnostic yield, and complications. Results Thirty-eight anterograde SBEs were performed. The mean age was 62 (42% female). Patients (97%) were referred for gastrointestinal bleeding, Crohn's disease, suspected polyps or neoplasia, and abnormal capsule endoscopy. The mean procedure time was 49 ± 19 minutes. The estimated depth of insertion: proximal jejunum (34%), mid-jejunum (45%), distal jejunum (21%). The SBE diagnostic yield was 47%, with significant findings in 18 patients. Findings included: angiectasias, bleeding, abnormal mucosa, ulceration, polyps, and foreign body. The therapeutic yield was 42%, with lesion ablation performed in 24%. Diagnostic biopsies were performed in 24% of subjects, and tattooing in 52%. There were no significant complications. Limitations Single center retrospective study. Conclusions Single balloon enteroscopy appears to be a safe and efficient method for examination of the mid-small bowel. The significant therapeutic yield (42%) suggests comparative studies with double balloon and spiral enteroscopy are warranted.

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“…Push enteroscopy has limited depth of insertion, Sonde enteroscopy is of historical interest only, and intra-operative enteroscopy carries significant comorbidities. 1, 2 …”

Section: Introductionmentioning

confidence: 99%

Single-balloon enteroscopy: results from an initial experience at a U.S. tertiary-care center

Frantz

Dellon

Grimm

et al. 2010

Gastrointestinal Endoscopy

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“…C APSULE endoscopy (CE) is considered the most accurate diagnostic tool for noninvasive investigation of the small bowel (SB) (1). For its proper clinical use, guidelineshavebeenoutlined,andobscuregastrointestinal bleeding(OGB)istheleadingclinicalindication (2).CEis comfortableforbothpatientandphysician,hasalowcomplicationsrate (3),and,ifasignificantlesionintheSBis identified,itisusefulinchoosingtherouteofinsertion(antegrade or retrograde) of device-assisted enteroscopy for further investigation, tattooing, or endoscopic treatment (4,5).Clearly,acompleteSBevaluationiscrucialforCE performance,andsuccessrate(ie,visualizationoftheciecum) is close to 80% in the largest unselected published series (6).…”

mentioning

confidence: 99%

Small Bowel Capsule Endoscopy Performance in Octogenarians: A Case-Control Study

Girelli¹,

Maiero²,

Porta³

et al. 2010

The Journals of Gerontology Series A: Biological Sciences and M

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“…The advantages include visualization of the entire small bowel with the ability to provide tissue diagnosis and provide therapeutic modalities such as control of bleeding and dilation of strictures [42,43]. Optimal visualization of the small bowel may involve both oral and anal insertion.…”

Section: Introductionmentioning

confidence: 99%

Duodenal carcinoma at the ligament of Treitz. A molecular and clinical perspective

Kalogerinis

Poulos

Morfesis³

et al. 2010

BMC Gastroenterol

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BackgroundThere is very small occurrence of adenocarcinoma in the small bowel. We present a case of primary duodenal adenocarcinoma and discuss the findings of the case diagnostic modalities, current knowledge on the molecular biology behind small bowel neoplasms and treatment options.CaseThe patient had a history of iron deficiency anemia and occult bleeding with extensive workup consisting of upper endoscopy, colonoscopy, capsule endoscopy, upper gastrointestinal series with small bowel follow through and push enteroscopy. Due to persistent abdominal pain and iron deficiency anemia the patient underwent push enteroscopy which revealed adenocarcinoma of the duodenum. The patient underwent en-bloc duodenectomy which revealed T3N1M0 adenocarcinoma of the 4th portion of the duodenum.ConclusionsPrimary duodenal carcinoma, although rare should be considered in the differential diagnosis of occult gastrointestinal bleeding when evaluation of the lower and upper GI tract is unremarkable. We discuss the current evaluation and management of this small bowel neoplasm.

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Small-bowel imaging: multiple paths to the last frontier

Cited by 5 publications

References 43 publications

Single-balloon enteroscopy: results from an initial experience at a U.S. tertiary-care center

Single-balloon enteroscopy: results from an initial experience at a U.S. tertiary-care center

Small Bowel Capsule Endoscopy Performance in Octogenarians: A Case-Control Study

Duodenal carcinoma at the ligament of Treitz. A molecular and clinical perspective

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