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Endoscopic Procedures V: ERCP01:26

Endoscopic Procedures V: ERCP

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Endoscopic Retrograde Cholangiopancreatography (ERCP) is a diagnostic procedure that combines endoscopy and fluoroscopy to diagnose and treat conditions related to the bile ducts, pancreatic ducts, and gallbladder. This procedure is beneficial for identifying and addressing blockages, gallstones, strictures, and tumors within the biliary or pancreatic systems. ERCP is both diagnostic and therapeutic, offering the ability to visualize and treat identified problems in one session.
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Endoscopic Procedures I: Esophagogastroduodenoscopy01:29

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An Esophagogastroduodenoscopy (EGD) is a diagnostic procedure in which an endoscopist uses a flexible, lighted endoscope to visualize the upper gastrointestinal (GI) tract. The procedure includes visualizing the oropharynx, esophagus, stomach, and the first part of the small intestine, the duodenum.
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Endoscopic Procedures IV: Sigmoidoscopy and Laproscopy01:26

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Sigmoidoscopy and laparoscopy are distinct medical procedures that enable physicians to internally inspect different parts of the GI tract. Although they serve different purposes, each is essential for diagnosing and, in some cases, treating various medical conditions.
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Lower GI Series: Barium Enema01:23

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A Barium Enema, or a lower GI series, is a specialized radiographic examination designed to visualize the lower gastrointestinal tract, specifically the colon and rectum. This procedure is instrumental in diagnosing various conditions such as colorectal cancer, polyps, diverticulosis, and inflammatory bowel disease.
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Endoscopic Procedures II: Colonoscopy01:25

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The colon, or large intestine, is the final segment of the digestive system. Its primary functions include absorbing water and vitamins produced by gut bacteria and transforming waste from liquid to solid to form stool. In adults, the large intestine is approximately 5 feet long and consists of four main sections:
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Multimodality Diagnosis of Mesenteric Ischemia
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Inverted Meckel's diverticulum preoperatively diagnosed using double-balloon enteroscopy.

Kosuke Takagaki1, Satoshi Osawa1, Tatsuhiro Ito1

  • 1Kosuke Takagaki, Tatsuhiro Ito, Moriya Iwaizumi, Yasushi Hamaya, Ken Sugimoto, First Department of Medicine, Hamamatsu University School of Medicine, Hamamatsu 431-3192, Japan.

World Journal of Gastroenterology
|May 10, 2016
PubMed
Summary

An inverted Meckel's diverticulum, a rare anomaly, was diagnosed preoperatively using double-balloon enteroscopy. This case highlights the diagnostic value of balloon-assisted enteroscopy for identifying this challenging condition.

Keywords:
Double-balloon enteroscopyEpigastric painHeterotopic gastric mucosaInverted Meckel’s diverticulumSmall bowel tumor

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Area of Science:

  • Gastroenterology
  • Surgical Case Reports

Background:

  • Inverted Meckel's diverticulum is a rare congenital anomaly of the gastrointestinal tract.
  • It often presents with non-specific symptoms such as anemia, abdominal pain, or intussusception, making preoperative diagnosis challenging.

Observation:

  • A 57-year-old male presented with recurrent epigastric pain.
  • Initial imaging (ultrasonography and CT) revealed pelvic intestinal wall thickening.
  • Double-balloon enteroscopy identified an 8-cm submucosal lesion proximal to the ileocecal valve, with a small erosion.

Findings:

  • Forceps biopsy of the lesion confirmed heterotopic gastric mucosa.
  • The patient was diagnosed with an inverted Meckel's diverticulum.

Implications:

  • This case underscores the importance of considering inverted Meckel's diverticulum in the differential diagnosis of ileal submucosal tumors.
  • Balloon-assisted enteroscopy, particularly with forceps biopsy, is crucial for accurate preoperative diagnosis of this rare condition.
  • Successful surgical management was achieved via single-incision laparoscopy.