| Theme |
An algorithm for finding and treatment of small intestinal disease -- DBE and CE |
| Title |
Roles of double balloon endoscopy, capsule endoscopy and transabdominal ultrasonography in diagnosis of small bowel tumors |
| Author |
Akira Fukumoto |
Department of Endoscopy, Hiroshima University Hospital |
| Author |
Shinji Tanaka |
Department of Endoscopy, Hiroshima University Hospital |
| Author |
Takayoshi Shishido |
Department of Medicine and Molecular Science, Graduate School of Biomedical Science, Hiroshima University |
| Author |
Masaru Shimamoto |
Department of Medicine and Molecular Science, Graduate School of Biomedical Science, Hiroshima University |
| Author |
Kazuaki Chayama |
Department of Medicine and Molecular Science, Graduate School of Biomedical Science, Hiroshima University |
| [ Summary ] |
The tumors of the small bowel are rare, despite the length and surface area of this site, which are the largest in the gastrointestinal tract. Until recently, endoscopic diagnosis of these conditions has not been easy because of difficulties in endoscopically approaching the small bowel. Capsule endoscopy permits examination of the entire small bowel and is a well tolerated examination. However, it is expensive and the possibility of missing lesions must be considered. Double balloon endoscopy allows for not only examination of the entire small bowel but procurement of biopsy specimens, and performance of endoscopic treatment. However, complications with the procedure, such as acute pancreatitis, must be considered. Although transabdominal ultrasonography is a conventional modality, it can detect small bowel tumors if they are large. In diagnosing tumors of the small bowel it is important to select the appropriate examinations in relation to the properties of each examination. |