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Diagnostic value of push-type enteroscopy: a report from India
B C Sharma1, D K Bhasin, G Makharia
1Department of Gastroenterology, Postgraduate Institute of Medical Education and Research, Chandigarh, India.
The American Journal of Gastroenterology
|January 19, 2000
Summary
Push-type enteroscopy is valuable for diagnosing obscure gastrointestinal bleeding and chronic diarrhea. This endoscopic technique identified jejunal worms in bleeding patients and various conditions like celiac disease in diarrhea cases.
Area of Science:
- Gastroenterology
- Diagnostic Endoscopy
- Small Bowel Disorders
Background:
- Small bowel disorders present diagnostic challenges.
- Push-type enteroscopy offers a method for direct visualization of the small intestine.
Purpose of the Study:
- To evaluate the diagnostic utility of push-type enteroscopy for various indications.
- To assess the effectiveness of push enteroscopy in identifying causes of obscure GI bleeding and chronic diarrhea.
Main Methods:
- Ninety-nine patients with suspected small bowel disorders underwent push enteroscopy.
- Indications included chronic diarrhea, obscure GI bleeding, abdominal pain, and anemia.
- A 160-cm Olympus enteroscope was utilized for the procedures.
Main Results:
- Enteroscopy successfully examined the jejunum in most patients.
- In obscure GI bleeding, jejunal worms (Ascaris, Ankylostoma) were found in 28.5% of cases.
- For chronic diarrhea, enteroscopy aided diagnosis in 24% of patients, identifying conditions like celiac disease, tropical sprue, and giardiasis.
Conclusions:
- Push-type enteroscopy is a beneficial diagnostic tool for obscure GI bleeding and chronic diarrhea.
- In endemic regions, jejunal parasites are a significant finding in obscure GI bleeding.
- Enteroscopy can reveal specific causes of chronic diarrhea, including infections and malabsorption syndromes.