Recurrent intestinal inflammation with a perianal abscess is not always Crohn’s disease: a patient with a complex Meckel’s diverticulum diagnosed by double-balloon endoscopy

2019 ◽  
Vol 13 (1) ◽  
pp. 26-30 ◽  
Author(s):  
Yuji Hiraoka ◽  
Satoshi Shinozaki ◽  
Tomonori Yano ◽  
Takahiro Igarashi ◽  
Koichi Honma ◽  
...  
Keyword(s):  
Crohn’S Disease ◽  
Crohn's Disease ◽  
Intestinal Inflammation ◽  
Meckel’S Diverticulum ◽  
Perianal Abscess ◽  
Meckel's Diverticulum ◽  
Double Balloon Endoscopy ◽  
Double Balloon

scholarly journals A Retrospective Evaluation of the Utility of Capsule Endoscopy and Double-Balloon Endoscopy in Crohn’s Disease

2016 ◽  
Vol 2016 ◽  
pp. 1-7 ◽  
Author(s):  
Masanao Nakamura ◽  
Yoshiki Hirooka ◽  
Osamu Watanabe ◽  
Takeshi Yamamura ◽  
Kohei Funasaka ◽  
...  
Keyword(s):  
Multivariate Analysis ◽  
Differential Diagnosis ◽  
Crohn’S Disease ◽  
Small Bowel ◽  
Crohn's Disease ◽  
Capsule Endoscopy ◽  
Balloon Dilation ◽  
Retrospective Evaluation ◽  
Double Balloon Endoscopy ◽  
Double Balloon

Background. Although the usefulness of capsule endoscopy (CE) and double-balloon endoscopy (DBE) for the evaluation of Crohn’s disease (CD) is established, their capabilities in the differential diagnosis of small bowel stenosis have not been sufficiently addressed. The present study therefore aimed to retrospectively determine the types of patients for whom CE and DBE would confer the most benefit.Patients and Methods. We retrospectively reviewed data from 185 patients with established CD. A change of treatment based on CE or DBE results or successful DBE balloon dilation was defined as clinically useful indication. We then analyzed the factors significantly related to useful and poor indications.Results. CE results were assessed as useful indications in 28 (45%) of 62 patients. Multivariate analysis demonstrated that positive CRP and low IOIBD score are factors significantly related to a useful indication. DBE results were recognized as useful indications in 118 (77%) of 153 patients. Multivariate analysis indicated small bowel stenosis and abdominal pain as factors significantly associated with useful indications. All patients with a poor indication on CE had small bowel stenosis.Conclusions. CE was most useful for patients in clinical remission with positive CRP and without stenosis, whereas DBE was useful for patients with symptoms of stenosis.

Endoscopic observation of Meckel's diverticulum by double balloon endoscopy: Report of five cases

2008 ◽  
Vol 23 (8pt2) ◽  
pp. e308-e311 ◽  
Author(s):  
Satoshi Shinozaki ◽  
Hironori Yamamoto ◽  
Hirohide Ohnishi ◽  
Hiroto Kita ◽  
Tomonori Yano ◽  
...  
Keyword(s):  
Meckel’S Diverticulum ◽  
Meckel's Diverticulum ◽  
Double Balloon Endoscopy ◽  
Double Balloon ◽  
Endoscopic Observation

Association of Meckel's diverticulum and Crohn's disease

1988 ◽  
Vol 13 (1) ◽  
pp. 67-71 ◽  
Author(s):  
Seth N. Glick ◽  
Dean D. T. Maglinte ◽  
Hans Herlinger
Keyword(s):  
Crohn’S Disease ◽  
Crohn's Disease ◽  
Meckel’S Diverticulum ◽  
Meckel's Diverticulum

scholarly journals P165 Impact of double balloon endoscopy on management of small bowel Crohn's disease

2017 ◽  
Vol 11 (suppl_1) ◽  
pp. S161-S161
Author(s):  
A. Madian ◽  
M. Matsuura ◽  
A. El Bahrawy ◽  
H. Nakase ◽  
T. Chiba ◽  
...  
Keyword(s):  
Crohn’S Disease ◽  
Small Bowel ◽  
Crohn's Disease ◽  
Double Balloon Endoscopy ◽  
Double Balloon

Endoscopic Balloon Dilation Therapy for Small Intestinal Strictures with Crohn's Disease Using Double Balloon Endoscopy

2007 ◽  
Vol 65 (5) ◽  
pp. AB91 ◽  
Author(s):  
Keijiro Sunada ◽  
Hironori Yamamoto ◽  
Hiroto Kita ◽  
Tomonori Yano ◽  
Michiko Iwamoto ◽  
...  
Keyword(s):  
Crohn’S Disease ◽  
Crohn's Disease ◽  
Balloon Dilation ◽  
Endoscopic Balloon Dilation ◽  
Double Balloon Endoscopy ◽  
Double Balloon ◽  
Small Intestinal ◽  
Endoscopic Balloon

scholarly journals Specific characteristics of hemorrhagic Meckel’s diverticulum at double-balloon endoscopy

2017 ◽  
Vol 05 (01) ◽  
pp. E35-E40
Author(s):  
Yasuyuki Mizutani ◽  
Masanao Nakamura ◽  
Osamu Watanabe ◽  
Takeshi Yamamura ◽  
Kohei Funasaka ◽  
...  
Keyword(s):  
Gastric Mucosa ◽  
Gastrointestinal Bleeding ◽  
Medical Records ◽  
Meckel’S Diverticulum ◽  
Meckel's Diverticulum ◽  
Ectopic Gastric Mucosa ◽  
Diagnostic Ability ◽  
Double Balloon Endoscopy ◽  
Double Balloon

Abstract Background and study aims Diagnosis of Meckel’s diverticulum (MD) before surgery may be challenging; double-balloon endoscopy (DBE) facilitates identification of MD in the setting of a gastrointestinal bleeding; however, MD can be found incidentally without this condition. The purpose of this research was to determine specific characteristic of hemorrhagic MD and incidental MD at DBE. Patients and methods Ectopic gastric mucosa enclosed in the MD and/or ulceration were defined as “major findings”; ring-like scar surrounding the MD was defined as “minor finding”. We retrospectively reviewed the medical records of patients affected by MD and analyzed the findings that significantly affected the characterization of MD. Results MD was diagnosed in 33 patients. The axis of the diverticulum was longer in hemorrhagic MD compared to incidental MD (P = 0.031). The amount of transfusion was significantly higher (P = 0.018) in the hemorrhagic MD group. Hemorrhagic MD was significantly more correlated with major findings (P = 0.01) and minor findings (P < 0.01). The specificity of major finding was 100 % while the sensitivity of major and/or minor findings was 96 %. Conclusions The combination of major and minor findings appears to improve the diagnostic ability of hemorrhagic MD avoiding unnecessary diverticulectomy.

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