Small intestine, Obscure gastrointestinal bleeding, Crohn's disease, Tumor, Enteroscopy"/>
Indications for Enteroscopy: Which Patients Should Be Recommended for Enteroscopy?
Korean Journal of Gastrointestinal Endoscopy 2011;42(3): 137-142.
소장내시경 적응증: 어떤 환자에게 소장내시경을 권유해야 하나?
최황
가톨릭대학교 의과대학 내과학교실
Indications for Enteroscopy: Which Patients Should Be Recommended for Enteroscopy?
Hwang Choi, M.D.
Department of Internal Medicine, The Catholic University of Korea College of Medicine, Seoul, Korea
Abstract
Balloon-assisted endoscopy (double-balloon or single-balloon endoscopy) is a novel method used to examine the entire small bowel. Enteroscopy has advantages in that tissues can be obtained to get a detailed image, and it is feasible for endoscopic treatments such as hemostasis, dilatation, and polypectomy. Indications for enteroscopy are obscure gastrointestinal bleeding, small bowel involvement due to inflammatory bowel disease, an investigation of a small bowel tumor or polyposis, and difficulty of a colonoscopy. Enteroscopy should be recommended to patients with recurrent mid-gut bleeding of obscure origin, suspected Crohn's disease, suspicious small bowel tumor on abnormal imaging, and surveillance of polyposis syndrome including familial adenomatous polyposis and Peutz-Jeghers syndrome. We may consider enteroscopy in patients with chronic abdominal pain or diarrhea and increased inflammatory markers. We must also understand the contraindications, complications, and limitations of enteroscopy. (Korean J Gastrointest Endosc 2011;42:137-142)
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