By F. Bonvicini, M. Baraldini (auth.), Francesco P. Rossini M.D., Gerard J. Gay M.D. (eds.)
In contemporary years, very important technological strategies have made it attainable to judge the small bowel endoscopically. hence, conventional diagnostic tools similar to imaging suggestions are flanked by way of enteroscopy. the purpose of this booklet is to offer the result of enteroscopy as a style to diagnose small bowel affliction, correlating it to the opposite investigative tools and certainly to scientific findings. The publication is a distinct chosen number of photos deriving from the result of documented adventure and likewise together with a short scientific presentation, tables and diagrams of diagnostic algorithms. popular and authorised specialists in gastroenterology, enteroscopy and researchers within the zone of small bowel affliction have contributed to this volume.
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Additional info for Atlas of Enteroscopy
After this step and only after, the etiology and the therapy of bleeding can be considered. Under these conditions, the diagnosis and therapy for emergency bleeding cannot be well standardized because of the difference in availability of certain techniques, as well as the experience and training of the physician. Massive lower hemorrhage: the following algorithm should be followed. Massive lower hemorrhage Clinical presentation Upper gastrointestinal bleeding. In this situation, the approach after adequate resuscitation should be: esophagogastroduodenoscopy and, if the papilla of Vater has not been adequately visualized, a lateral duodenoscope should be employed in order to exclude a wirsungorragia.
Suggested reading Chong J, Tagle M, Barkin JS, Reimer DK (1995) Small bowel push fiberoptic enteroscopy for patients with occult gastrointestinal bleeding or suspected small bowel pathology. Am J GastroenteroI89:2142-2146 Gay G, Delmotte JS (1996) Modalites techniques de l'enteroscopie sonde et de l'enteroscopie poussee par simple et double voie. Acta Endosc 26:239-247 Pennazio M, Arrigoni A, Risio M, Spandre M, Rossini FP (1995) Clinical evaluation of push type enteroscopy. Endoscopy 27: 164-170 45 Push enteroscopy Fig.
Scintigraphic pattern suggesting an abscess complication Atlas of Enteroscopy b a Fig. 3. Early (a) and late (b) images of enteroenteric fistulas in a small bowel CD patient a b a • • Fig. 4. Ileum and colon CD before (a) and after 2 years treatment with steroids and azathioprine (b). Complete remission of inflammation is observed Fig. 5. Segmentary involvement of jejunum and ileum by CD (a). E MacKenzie Flexible endoscopy of the gastrointestinal tract, using fiberoptic techniques and more recently silicon chip technology, has allowed easy visual access to the inside of the upper and lower gastrointestinal tract.