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Inflammatory Disorders of the Small Bowel
Jonathan A Leighton1, Shabana F Pasha1
1Division of Gastroenterology and Hepatology, Mayo Clinic, 13400 East Shea Boulevard, Scottsdale, AZ 85259, USA.
Gastrointestinal Endoscopy Clinics of North America
|December 3, 2016
Summary
Diagnosing small bowel inflammation like Crohn disease requires advanced imaging. Techniques like capsule endoscopy and deep enteroscopy aid in diagnosis and treatment, with safety measures for capsule retention.
Area of Science:
- Gastroenterology
- Small Bowel Diseases
- Inflammatory Bowel Disease
Background:
- Common small bowel inflammatory disorders include Crohn disease, NSAID enteropathy, and celiac disease.
- Advanced imaging modalities play a crucial role in diagnosing and evaluating these conditions.
Purpose of the Study:
- To outline the roles of various endoscopic and imaging techniques in managing small bowel inflammatory disorders.
- To highlight methods for minimizing risks associated with capsule endoscopy.
Main Methods:
- Review of diagnostic and therapeutic roles of capsule endoscopy, CT enterography, MR enterography, and deep enteroscopy.
- Discussion of strategies to mitigate capsule retention risks in patients with Crohn disease and NSAID enteropathy.
Main Results:
- Capsule endoscopy, CTE, and MRE are complementary for Crohn disease diagnosis and evaluation.
- Cross-sectional imaging or patency capsules can reduce the risk of capsule retention.
- Deep enteroscopy is essential for tissue diagnosis, endoscopic management of lesions/strictures, and capsule retrieval.
Conclusions:
- A combination of advanced imaging and endoscopic techniques is vital for comprehensive small bowel disorder management.
- Risk mitigation strategies are important for safe application of capsule endoscopy.
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