Small-Bowel Endoscopy

Abstract

During the last year, promising results with the first clinical applications of capsule endoscopy have been reported; this is a new, revolutionary diagnostic method for endoscopic study of the small bowel. The method has chiefly been used in patients with obscure gastrointestinal bleeding, and in some cases has allowed additional diagnoses to be made in comparison with push enteroscopy, with a positive influence on patient management. New therapeutic possibilities have also been developed in push enteroscopy, emphasizing the role of this technique as an essential component of gastrointestinal endoscopy. Important innovations in enteroscopy technique have been described, aimed at increasing the depth of examination, and these will probably make it possible to extend endoscopic treatments to include the entire small bowel. Finally, numerous articles are still being published concerning intraoperative enteroscopy. It is to be hoped that, in future, the use of this invasive procedure will be based on data acquired by capsule endoscopy.

References

• 1 Appleyard M, Fireman Z, Glukhovsky A. et al . A randomized trial comparing wireless capsule endoscopy with push enteroscopy for the detection of small-bowel lesions.  Gastroenterology. 2000;  119 1431-1438
• 2 Appleyard M, Glukhovsky A, Swain P. Wireless-capsule diagnostic endoscopy for recurrent small-bowel bleeding (letter).  N Engl J Med. 2001;  344 232-233
• 3 Lewis B S, Swain P. Capsule endoscopy in the evaluation of patients with suspected small intestinal bleeding: the results of the first clinical trial [abstract].  Gastrointest Endosc. 2001;  53 AB70
• 4 Pennazio M, Santucci R, Rossini F P. Wireless capsule endoscopy in patients with obscure gastrointestinal bleeding: preliminary results of the Italian multicentre experience (abstract).  Dig Liver Dis. 2001;  33 in press
• 5 Yamamoto H, Sekine Y, Sato Y. et al . Total enteroscopy with a nonsurgical steerable double-balloon method.  Gastrointest Endosc. 2001;  53 216-220
• 6 Meister T E, Nickl N J, Park A. Laparoscopic-assisted panenteroscopy.  Gastrointest Endosc. 2001;  53 236-239
• 7 Shetzline M A, Suhocki P V, Workman M J. Direct percutaneous jejunostomy with small bowel enteroscopy and fluoroscopy.  Gastrointest Endosc. 2001;  53 633-638
• 8 Taylor A CF, Chen R YM, Desmond P V. Use of an overtube for enteroscopy: does it increase depth of insertion? A prospective study of enteroscopy with and without an overtube.  Endoscopy. 2001;  33 227-230
• 9 Soderman C, Uribe A. Enteroscopy as a tool for diagnosing gastrointestinal bleeding requiring blood transfusion.  Surg Laparosc Endosc. 2001;  11 97-102
• 10 Banai J, Szanto I. Push enteroscopy in the diagnosis of gastrointestinal bleeding of unknown origin.  Magy Seb. 2001;  54 155-157
• 11 Pérez-Cuadrado E, Molina Pérez E. Multiple strictures in jejunal Crohn's disease: push enteroscopy dilation.  Endoscopy. 2001;  33 194
• 12 Getzlaff S, Benz A, Schilling D. et al . Enteroscopic cyanoacrylate sclerotherapy of jejunal and gallbladder varices in patient with portal hypertension.  Endoscopy. 2001;  33 462-464
• 13 Taylor A CF, Allen R M, Buttigieg R J. Jejunal ulceration and push enteroscopy [letter].  Lancet. 2000;  356 2192-2193
• 14 Samuel J, Mullai N, Firfir B. Intestinal tuberculosis after treatment of advanced high-grade non-Hodgkin's lymphoma and AIDS.  Endoscopy. 2001;  33 557
• 15 Dieter R S, Duque K. Enteropathy associated T-cell lymphoma: case report and literature review.  WMJ Wisconsin Med J. 2000;  99 28-31
• 16 Yoshida Y, Endo T, Sasaki Y. et al . Jejunal carcinoid tumor mimicking leiomyosarcoma: preoperative diagnosis by endoscopic biopsy.  J Gastroenterol. 2001;  36 39-43
• 17 Gurudu S, Isenberg G. Small bowel adenocarcinoma.  Gastrointest Endosc. 2001;  53 494
• 18 Eisen G M, Dominitz J A, Faigel D O. et al . Enteroscopy.  Gastrointest Endosc. 2001;  53 871-873
• 19 Orjollet-Lecoanet C, Ménard Y, Martins A. et al . CT enteroclysis for detection of small bowel tumors.  J Radiol. 2000;  81 618-627
• 20 Adamek H E, Breer H, Karschkes T. et al . Magnetic resonance imaging in gastroenterology: time to say good-bye to all that endoscopy?.  Endoscopy. 2000;  32 406-410
• 21 Rhodes A I, Shorvon P J. Recent advances in small-bowel imaging: a review.  Curr Opin Gastroenterol. 2001;  17 132-139
• 22 Bloomfeld R S, Smith T P, Schneider A M. et al . Provocative angiography in patients with gastrointestinal hemorrhage of obscure origin.  Am J Gastroenterol. 2000;  95 2807-2810
• 23 Berkelhammer C, Radvany A, Lin A. et al . Heparin provocation for endoscopic localization of recurrent obscure GI bleeding.  Gastrointest Endosc. 2000;  52 555-556
• 24 Lee K H, Yeung C K, Tam Y H. et al . Laparoscopy for definitive diagnosis and treatment of gastrointestinal bleeding of obscure origin in children.  J Pediatr Surg. 2000;  35 1291-1293
• 25 Amaro R, Barkin J S. Diagnostic and therapeutic options in obscure gastrointestinal blood loss.  Curr Gastroenterol Rep. 2000;  2 395-398
• 26 Benz C, Riemann J F. Diagnostic and therapeutic enteroscopy: its current status.  Z Gastroenterol. 2000;  38 597-602
• 27 Chamberlain S A, Soybel D I. Occult and obscure sources of gastrointestinal bleeding.  Curr Probl Surg. 2000;  37 861-916
• 28 Karnam U S, Barkin J S. Vascular malformations of the small intestine.  Curr Treat Options Gastroenterol. 2001;  4 173-179
• 29 van Gossum A. Obscure digestive bleeding.  Baillière's Best Pract Res Clin Gastroenterol. 2001;  15 154-174
• 30 Schilling D, Grieger G, Weidmann E. et al . Long-term follow-up of patients with iron deficiency anemia after a close endoscopic examination of the upper and lower gastrointestinal tract.  Z Gastroenterol. 2000;  38 827-831
• 31 Douard R, Wind P, Panis Y. et al . Intraoperative enteroscopy for diagnosis and management of unexplained gastrointestinal bleeding.  Am J Surg. 2000;  180 181-184
• 32 Kendrick M L, Buttar N S, Anderson M A. et al . Contribution of intraoperative enteroscopy in the management of obscure gastrointestinal bleeding.  J Gastrointest Surg. 2001;  5 162-167
• 33 Blecker D, Bansal M, Zimmerman R L. et al . Dieulafoy's lesion of the small bowel causing massive gastrointestinal bleeding: two case reports and literature review.  Am J Gastroenterol. 2001;  96 902-905
• 34 Sugar I, Szabo S, Joos A. et al . Acute gastrointestinal bleeding caused by a rare, benign tumor of the duodenum (gangliocytic paraganglioma).  Magy Seb. 2000;  53 279-282
• 35 Ugwonali O, Coady M, Saxena R. et al . Intraoperative enteroscopy for diagnosis of a bleeding jejunal lymphangioma.  J Clin Gastroenterol. 2000;  31 333-335
• 36 Esaki M, Matsumoto T, Hizawa K. et al . Intraoperative enteroscopy detects more lesions but is not predictive of postoperative recurrence in Crohn's disease.  Surg Endosc. 2001;  15 455-459
• 37 Gama-Rodrigues J J, Hyppolito d a, Aisaka A A. et al . Intestinal intussusception and occlusion caused by small bowel polyps in the Peutz-Jeghers syndrome: management by combined intraoperative enteroscopy and resection through minimal enterostomy: case report.  Rev Hosp Clin Fac Med São Paulo. 2000;  55 219-224
• 38 Lin B C, Lien J M, Chen R J. et al . Combined endoscopic and surgical treatment for the polyposis of Peutz-Jeghers syndrome.  Surg Endosc. 2000;  14 1185-1187
• 39 Amaro R, Diaz G, Schneider J. et al . Peutz-Jeghers syndrome managed with a complete intraoperative endoscopy and extensive polypectomy.  Gastrointest Endosc. 2000;  52 552-554
• 40 Pennazio M, Rossini F P. Small bowel polyps in Peutz-Jeghers syndrome: management by combined push enteroscopy and intraoperative enteroscopy.  Gastrointest Endosc. 2000;  51 304-308