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Small bowel strictures
Deniz Durmush1, Arthur J Kaffes2
1Prince of Wales Clinical School, UNSW Medicine, Gastrointestinal and Liver Unit, Prince of Wales Hospital, Randwick.
Current Opinion in Gastroenterology
|March 14, 2019
Summary
Small bowel strictures are often missed, leading to serious complications. Advances in imaging and enteroscopy allow for personalized management, avoiding surgery and complications.
Area of Science:
- Gastroenterology
- Small Bowel Diseases
Background:
- Small bowel strictures are underdiagnosed conditions.
- They can cause significant morbidity, including obstruction, perforation, and penetrating disease.
Purpose of the Study:
- To review recent advances in the diagnosis and management of small bowel strictures.
- To highlight the evolving role of enteroscopy in patient care.
Main Methods:
- Review of recent literature on small bowel stricture diagnosis and treatment.
- Emphasis on advances in imaging (cross-sectional imaging, capsule endoscopy) and device-assisted enteroscopy.
Main Results:
- New imaging techniques and enteroscopy enable targeted and individualized management.
- Device-assisted enteroscopy is now used for diagnosis, triage, and treatment.
Conclusions:
- Patients with obstructive symptoms and suspected small bowel disease require thorough evaluation.
- Early diagnosis and tailored management, including enteroscopy, can prevent surgery and complications.
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