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[Diagnosis and treatment using double balloon endoscopy].
Keijiro Sunada1, Hironori Yamamoto, Yoshikazu Hayashi
1Department of Internal Medicine, Division of Gastroenterology, Jichi Medical University.
Nihon Rinsho. Japanese Journal of Clinical Medicine
|October 12, 2007
Summary
Nonsteroidal anti-inflammatory drugs (NSAIDs) can cause small intestine ulcers and diaphragm disease. Stopping NSAIDs is the best treatment, while balloon dilation can treat strictures.
Area of Science:
- Gastroenterology
- Endoscopy
- Pharmacology
Context:
- Double balloon endoscopy (DBE) and video capsule endoscopy (VCE) have advanced small intestine examination.
- Nonsteroidal anti-inflammatory drug (NSAID) use is linked to gastrointestinal and small intestinal issues.
- Long-term NSAID use can lead to "diaphragm disease," characterized by strictures.
Purpose:
- To review the impact of NSAIDs on the small intestine.
- To discuss diagnostic methods like DBE and VCE for NSAID-induced injuries.
- To outline therapeutic strategies for NSAID-induced small intestinal complications.
Summary:
- NSAIDs cause ulcers and diaphragm-like strictures in the small intestine.
- DBE and VCE are key diagnostic tools for these conditions.
- Cessation of NSAIDs is the primary treatment; balloon dilation via DBE is effective for strictures.
Impact:
- Improved understanding of NSAID-induced small bowel disease.
- Highlights the utility of advanced endoscopic techniques.
- Provides evidence for effective management of NSAID-related strictures.
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