Clin Endosc.  2016 Jul;49(4):364-369. 10.5946/ce.2016.074.

Optimal Diagnostic Approaches for Patients with Suspected Small Bowel Disease

• Kim JH
• Moon W

• KMID: 2348256
• DOI: http://doi.org/10.5946/ce.2016.074

Abstract

While the domain of gastrointestinal endoscopy has made great strides over the last several decades, endoscopic assessment of the small bowel continues to be challenging. Recently, with the development of new technology including video capsule endoscopy, device-assisted enteroscopy, and computed tomography/magnetic resonance enterography, a more thorough investigation of the small bowel is possible. In this article, we review the systematic approach for patients with suspected small bowel disease based on these advanced endoscopic and imaging systems.

Keyword

Small bowel; Hemorrhage; Inflammation; Neoplasms

MeSH Terms

Capsule Endoscopy
Endoscopy, Gastrointestinal
Hemorrhage
Humans
Inflammation

Figure

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  Fig. 1. Algorithm for obscure gastrointestinal bleeding. GI, gastrointestinal; VCE, video capsule endoscopy; CT, computed tomography; MR, magnetic resonance; DAE, device-assisted enteroscopy.

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  Fig. 2. Approach algorithm for a patient with Crohn’s disease involving the small bowel. CT, computed tomography; MR, magnetic resonance; VCE, video capsule endoscopy; DAE, device-assisted enteroscopy.

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  Fig. 3. Approach algorithm for a patient with a suspected small bowel tumor detected by capsule endoscopy. VCE, video capsule endoscopy; CT, computed tomography; MR, magnetic resonance; DAE, device-assisted enteroscopy

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