Endoscopic and Radiographic Evaluation of the Small Bowel in 2012

被引:24
作者
Dye, Charles E. [1 ]
Gaffney, Ryan R. [2 ]
Dykes, Thomas M. [3 ]
Moyer, Matthew T. [1 ]
机构
[1] Penn State Coll Med, Div Gastroenterol Hepatol, Hershey, PA USA
[2] Penn State Coll Med, Dept Internal Med, Hershey, PA USA
[3] Penn State Coll Med, Dept Radiol, Hershey, PA USA
关键词
Balloon-assisted enteroscopy; Capsule endoscopy; Computed tomography enterography; Endoscopy; Obscure gastrointestinal bleeding; Push enteroscopy; Small bowel disease; DOUBLE-BALLOON ENTEROSCOPY; CAPSULE ENDOSCOPY; CT-ENTEROGRAPHY; SPIRAL ENTEROSCOPY; DIAGNOSTIC MODALITIES; CLINICAL-OUTCOMES; MR ENTEROGRAPHY; FOLLOW-THROUGH; CROHN-DISEASE; OBSCURE;
D O I
10.1016/j.amjmed.2012.06.017
中图分类号
R5 [内科学];
学科分类号
1002 ; 100201 ;
摘要
Traditionally, the diagnosis of small bowel disorders has been challenging secondary to the small intestine's length, tortuosity, and anatomic location. Recent technologic advancements in the field of enteroscopy and radiographic imaging have facilitated a more thorough endoscopic evaluation of patients with small bowel disease ranging from obscure gastrointestinal bleeding to inflammatory bowel disease and small bowel tumors. Such developments have made it possible to avoid invasive surgical procedures in certain clinical scenarios where they were previously the gold standard. In this review, we report an update on the diagnostic and management approach to patients with small bowel disease, emphasizing the advantages and limitations of the latest modalities now available to primary care physicians and gastroenterologists for evaluating patients with presumed disease of the small intestine. (C) 2012 Elsevier Inc. All rights reserved. circle The American Journal of Medicine (2012) 125, 1228.e1-1228.e12
引用
收藏
页数:12
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