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Review
. 2016 Jul;49(4):364-9.
doi: 10.5946/ce.2016.074. Epub 2016 Jun 22.

Optimal Diagnostic Approaches for Patients with Suspected Small Bowel Disease

Jae Hyun Kim  1 , Won Moon  1
Affiliations
Review

Optimal Diagnostic Approaches for Patients with Suspected Small Bowel Disease

Jae Hyun Kim et al. Clin Endosc. 2016 Jul.

Abstract

While the domain of gastrointestinal endoscopy has made great strides over the last several decades, endoscopic assessment of the small bowel continues to be challenging. Recently, with the development of new technology including video capsule endoscopy, device-assisted enteroscopy, and computed tomography/magnetic resonance enterography, a more thorough investigation of the small bowel is possible. In this article, we review the systematic approach for patients with suspected small bowel disease based on these advanced endoscopic and imaging systems.

Keywords: Hemorrhage; Inflammation; Neoplasms; Small bowel.

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Conflict of interest statement

Conflicts of Interest: The authors have no financial conflicts of interest.

Figures

Fig. 1.
Fig. 1.
Algorithm for obscure gastrointestinal bleeding. GI, gastrointestinal; VCE, video capsule endoscopy; CT, computed tomography; MR, magnetic resonance; DAE, device-assisted enteroscopy.
Fig. 2.
Fig. 2.
Approach algorithm for a patient with Crohn’s disease involving the small bowel. CT, computed tomography; MR, magnetic resonance; VCE, video capsule endoscopy; DAE, device-assisted enteroscopy.
Fig. 3.
Fig. 3.
Approach algorithm for a patient with a suspected small bowel tumor detected by capsule endoscopy. VCE, video capsule endoscopy; CT, computed tomography; MR, magnetic resonance; DAE, device-assisted enteroscopy
See this image and copyright information in PMC

References

    1. Pennazio M, Spada C, Eliakim R, et al. Small-bowel capsule endoscopy and device-assisted enteroscopy for diagnosis and treatment of small-bowel disorders: European Society of Gastrointestinal Endoscopy (ESGE) Clinical Guideline. Endoscopy. 2015;47:352–376. - PubMed
    1. Lin S, Rockey DC. Obscure gastrointestinal bleeding. Gastroenterol Clin North Am. 2005;34:679–698. - PubMed
    1. Leighton JA, Goldstein J, Hirota W, et al. Obscure gastrointestinal bleeding. Gastrointest Endosc. 2003;58:650–655. - PubMed
    1. Gerson LB, Fidler JL, Cave DR, Leighton JA. ACG clinical guideline: diagnosis and management of small bowel bleeding. Am J Gastroenterol. 2015;110:1265–1287. - PubMed
    1. Raju GS, Gerson L, Das A, Lewis B, American Gastroenterological Association American Gastroenterological Association (AGA) Institute technical review on obscure gastrointestinal bleeding. Gastroenterology. 2007;133:1697–1717. - PubMed

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