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Magnifying endoscopy of the duodenum with dye scattering method in a case with celiac disease
Tetsuo Morishita1, Toshiaki Kamiya, Hiromasa Ishii
1Department of Internal Medicine, Tokyo Dental College, Chiba, Japan. tmorishi@tdc.ac.jp
Aim:
To know the more detailed findings of the small intestinal mucosa with the use of a magnifying endoscope and a vital dye, and the efficacy of the both tools.
Patient And Methods:
A 54-year old female patient with celiac disease. The duodenal mucosa downward as far as the descending portion was observed with a magnifying endoscope (Olympus GIF HM) before and after spraying the mucosa with 0.1% indigo carmine.
Results:
The endoscopy clarified the atrophy and edema of each villus, and scattering of the dye revealed shorter villi with the relatively longer villi remaining in islands.
Conclusion:
The combination of magnifying endoscopy and the dye scattering method is useful for closer observation of the intestinal mucosa in celiac diseases.