Small Bowel Endoscopy

Overview

Journal Curr Treat Options Gastroenterol

Specialty Gastroenterology

Date 2016 Apr 2

PMID 27032956

Citations 2

Authors

Dejan Micic

Carol E Semrad

Affiliations

Soon will be listed here.

Abstract

The small bowel is a challenging area for endoscopic evaluation and therapy due to its length and angulated configuration. A small lumen diameter and segmental peristalsis made it a perfect fit for examination by a novel ingestible wireless camera in a capsule. The development of capsule endoscopy changed the diagnosis and management of bleeding lesions, ulcers, and tumors deep in the small bowel, allowing earlier diagnosis with excellent patient acceptance. Device-assisted enteroscopy revolutionized small bowel therapy, particularly management of bleeding, Peutz-Jeghers polyposis, and tumor marking for minimally invasive surgery. Small bowel stricture dilation in select patients is safe and effective. Tools for a spectrum of small bowel therapies are available but remain suboptimal to tackle lesions on angulated folds deep in the small bowel. Universal terminology to describe the endoscopic appearance of vascular lesions will facilitate studies of endoscopic and medical therapy. The future holds improvements in imaging, easier advancement through the small bowel, and therapeutic capacity. This review focuses on methods of small bowel endoscopy, therapy, and outcomes.

Citing Articles

Nomenclature and semantic description of vascular lesions in small bowel capsule endoscopy: an international Delphi consensus statement.

Leenhardt R, Li C, Koulaouzidis A, Cavallaro F, Cholet F, Eliakim R Endosc Int Open. 2019; 7(3):E372-E379.

PMID: 30834297 PMC: 6395173. DOI: 10.1055/a-0761-9742.

PDMS Microlenses for Focusing Light in Narrow Band Imaging Diagnostics.

Costa A, Pimenta S, Ribeiro J, Silva M, Wolffenbuttel R, Dong T Sensors (Basel). 2019; 19(5).

PMID: 30832271 PMC: 6427716. DOI: 10.3390/s19051057.

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