Comparison of small bowel radiology and push enteroscopy in the investigation of small intestinal pathology

1994 ◽  
Vol 49 (10) ◽  
pp. 767
Author(s):  
F.O.B. Gregan ◽  
C. Hawkins ◽  
J.Y. Yiannakou ◽  
I.T. Gilmore ◽  
A.I. Morris ◽  
...  
Keyword(s):  
Small Bowel ◽  
Push Enteroscopy ◽  
Intestinal Pathology ◽  
Small Intestinal

scholarly journals Endoscopic Evaluation of the Small Intestine

2002 ◽  
Vol 16 (3) ◽  
pp. 178-185 ◽  
Author(s):  
Steven J Shields ◽  
Jacques van Dam
Keyword(s):  
Small Intestine ◽  
Small Bowel ◽  
Intestinal Bleeding ◽  
Endoscopic Evaluation ◽  
Design And Development ◽  
Intestinal Pathology ◽  
Small Intestinal ◽  
Small Bowel Endoscopy

Technological achievements in the area of endoscope design and development have resulted in instruments capable of advancing beyond the reach of simple gastroscopes. Such instruments, known as enteroscopes, form the bases of small bowel endoscopy. Recent widespread use of enteroscopes have contributed significantly to the understanding of small intestinal pathology and improved the ability to diagnose and treat patients with intestinal bleeding sources.

scholarly journals Push enteroscopy in management of suspected small bowel diseases: Is it still needed?

2014 ◽  
Vol 05 (03) ◽  
pp. 095-100
Author(s):  
Mohamed A. Tawfik ◽  
Abd Allah El-Sawy
Keyword(s):  
Small Bowel ◽  
Diagnostic Yield ◽  
Push Enteroscopy ◽  
Medicine Department ◽  
Proximal Small Bowel ◽  
Intestinal Lesions ◽  
Common Diagnosis ◽  
Bowel Diseases ◽  
Obscure Bleeding ◽  
Small Intestinal

Abstract Background and Study Aims: Small intestinal lesions still represent a challenge in diagnosis and treatment. The detection of small bowel lesions has been difficult due to limited visualization of the small bowel by esophagogastroduodenoscopy (EGD) and colonoscopy. In this study, we aimed to assess the efficacy of push enteroscopy (PE) in diagnosis and therapy of small bowel lesions in different indications in a single gastrointestinal (GI) endoscopy center. Patients and Methods: In the period from January 2012 to December 2013, 14 patients presented with different indications referred to the Tanta Endoscopy Center, a division of the internal medicine department and one of the most important centers in Delta Nile in Egypt. Patients were referred due to different indications, and they underwent examination by PE. Results: The overall diagnostic yield for patients with suspected small bowel disease was 57% and for patients with both occult and overt obscure bleeding 63%. Ectopic jejunal varices was the most common diagnosis in patients with GI blood loss. Patients with active overt GI bleeding had a higher diagnostic yield. The procedure was tolerated well, and no complications occurred. Conclusions: Additional endoscopic evaluation of the proximal small bowel by PE should be considered in all patients with nonspecific findings on EGD and colonoscopy especially with occult or overt bleeding, balloon-assisted enteroscopy may be not readily available and capsule endoscopy is expensive.

scholarly journals Small Bowel Obstruction Induced by Concurrent Postoperative Intra-Abdominal Adhesions and Small Bowel Fecal Materials in a Young Dog

2021 ◽  
Vol 8 (5) ◽  
pp. 83
Author(s):  
Jae-Eun Hyun ◽  
Hyun-Jung Han
Keyword(s):  
Small Bowel ◽  
Small Bowel Obstruction ◽  
Bowel Obstruction ◽  
Surgical Intervention ◽  
Gastrointestinal Symptoms ◽  
Exploratory Laparotomy ◽  
Abdominal Adhesions ◽  
Abdominal Radiography ◽  
Foreign Body Removal ◽  
Small Intestinal

A 7-month-old neutered male poodle dog presented with general deterioration and gastrointestinal symptoms after two separate operations: a jejunotomy for small-intestinal foreign body removal and an exploratory laparotomy for diagnosis and treatment of the gastrointestinal symptoms that occurred 1 month after the first surgery. The dog was diagnosed as having small-bowel obstruction (SBO) due to intra-abdominal adhesions and small-bowel fecal material (SBFM) by using abdominal radiography, ultrasonography, computed tomography, and laparotomy. We removed the obstructive adhesive lesion and SBFM through enterotomies and applied an autologous peritoneal graft to the released jejunum to prevent re-adhesion. After the surgical intervention, the dog recovered quickly and was healthy at 1 year after the surgery without gastrointestinal signs. To our knowledge, this study is the first report of a successful treatment of SBO induced by postoperative intra-abdominal adhesions and SBFM after laparotomies in a dog.

Small intestinal motility in fasted and postprandial states: effect of transient vagosympathetic blockade

1987 ◽  
Vol 252 (3) ◽  
pp. G301-G308 ◽  
Author(s):  
S. A. Chung ◽  
N. E. Diamant
Keyword(s):  
Small Bowel ◽  
Intestinal Motility ◽  
Gastric Fundus ◽  
Phase Iii ◽  
Entire Small Bowel ◽  
Vagal Blockade ◽  
Small Intestinal Motility ◽  
Proximal Small Bowel ◽  
Small Intestinal ◽  
Gastric Contractions

We investigated vagal control of the migrating myoelectric complex (MMC) and postprandial pattern of the canine small intestine. Gastric and small intestinal motility were monitored in six conscious dogs. The vagosympathetic nerves, previously isolated in bilateral skin loops, were blocked by cooling. To feed, a meat-based liquid food was infused by tube into the gastric fundus. MMC phases I, II, III, and IV were observed in the fasted state. On feeding, the fed pattern appeared quickly in the proximal small bowel but was delayed distally. Vagal blockade abolished all gastric contractions and spiking activity as well as the small bowel fed pattern. During vagal blockade, the small bowel exhibited MMC-like migrating bursts of spikes in both the fasted and fed states. The migration and cycling of these bursts were not significantly different from the MMC, but the duodenal and jejunal phase II was absent or shortened. On termination of vagal blockade, normal fasting or fed activity reappeared but with a delay in the fed pattern distally. We conclude: the ileum is the least sensitive to vagal blockade; the fasting vagal influence is exerted primarily on phases I and II of the duodenal and jejunal MMC; the fed pattern throughout the entire small bowel is normally dependent upon vagal integrity; the phase III-like bursts of activity seen during vagal blockade likely represents the intrinsic small bowel MMC, which is vagally independent.

Push Enteroscopy and Argon Plasma Coagulation in the Prevention of Recurrent Bleeding From Small Bowel Angiodysplasia

2005 ◽  
Vol 61 (5) ◽  
pp. AB177 ◽  
Author(s):  
Jorge Olmos ◽  
Mariano Marcolongo ◽  
Valeria Pogorelsky ◽  
Leandro Herrera ◽  
Federico Tobal ◽  
...  
Keyword(s):  
Small Bowel ◽  
Argon Plasma Coagulation ◽  
Argon Plasma ◽  
Recurrent Bleeding ◽  
Push Enteroscopy ◽  
Plasma Coagulation

scholarly journals Axially torsional Meckel's diverticulum accompanied by small bowel volvulus: a case report

2021 ◽  
Vol 49 (10) ◽  
pp. 030006052110535
Author(s):  
Yang Chen ◽  
Yongzhi Liu ◽  
Lihui Jiang ◽  
Feng Jiang ◽  
Tieming Zhu
Keyword(s):  
Computed Tomography ◽  
Small Bowel ◽  
Standard Treatment ◽  
Meckel’S Diverticulum ◽  
Delayed Diagnosis ◽  
Intestinal Resection ◽  
Meckel's Diverticulum ◽  
Small Bowel Volvulus ◽  
Blind Ending ◽  
Small Intestinal

Small bowel volvulus secondary to Meckel’s diverticulum is rare, and a delayed diagnosis results in disastrous outcomes. Computed tomography is conducive to early differential diagnosis. In particular, a blind-ending pouch structure on CT always indicates Meckel’s diverticulum. Diverticulectomy with or without adjacent partial small intestinal resection is the standard treatment for symptomatic Meckel’s diverticulum. However, the therapy for asymptomatic Meckel’s diverticulum is controversial. Here, we report the case of a 20-year-old man who suffered intestinal obstruction secondary to small bowel volvulus caused by an axially torsional, gangrenous, and giant Meckel’s diverticulum. Diverticulectomy with partial intestinal resection was performed.

Intractable Diarrhea: Value of the Small Intestinal Biopsy

PEDIATRICS ◽  
1981 ◽  
Vol 68 (3) ◽  
pp. 470-471
Author(s):  
William J. Byrne ◽  
Arthur R. Euler
Keyword(s):  
Small Bowel ◽  
Nutritional Support ◽  
Mucosal Injury ◽  
Intestinal Biopsy ◽  
Intractable Diarrhea ◽  
Small Bowel Biopsy ◽  
Entire Small Intestine ◽  
Small Intestinal Biopsy ◽  
Close Proximity ◽  
Small Intestinal

In summarizing their article on intractable diarrhea of infancy Rossi et al1 stated, "a small bowel biopsy is useful in assessing the degree of injury present and guiding nutritional support." We concur that the small bowel biopsy is useful in assessing mucosal injury but has certain limitations. The authors used the Crosby-Krugler capsule, which obtains two small pieces of tissue, in close proximity. This limits the sensitivity of the technique as the specimens are not necessarily representative of the mucosal state of the entire small intestine nor do they allow exclusion of a patchy villous lesion.2

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