Angiodysplasia other imaging findings: Difference between revisions
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*Deep small bowel enteroscopy, also called intra-operative enteroscopy, includes double-balloon enteroscopy (DBE), single-balloon enteroscopy (SBE), and spiral enteroscopy (SE). | *Deep small bowel enteroscopy, also called intra-operative enteroscopy, includes double-balloon enteroscopy (DBE), single-balloon enteroscopy (SBE), and spiral enteroscopy (SE). | ||
*Superior to push enteroscopy in terms of maximal length of insertion and diagnostic yield but have the risk of complications due to invasive nature.<ref name="pmid21437852">{{cite journal| author=May A, Manner H, Aschmoneit I, Ell C| title=Prospective, cross-over, single-center trial comparing oral double-balloon enteroscopy and oral spiral enteroscopy in patients with suspected small-bowel vascular malformations. | journal=Endoscopy | year= 2011 | volume= 43 | issue= 6 | pages= 477-83 | pmid=21437852 | doi=10.1055/s-0030-1256340 | pmc= | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=21437852 }} </ref><ref name="pmid16111958">{{cite journal| author=Matsumoto T, Moriyama T, Esaki M, Nakamura S, Iida M| title=Performance of antegrade double-balloon enteroscopy: comparison with push enteroscopy. | journal=Gastrointest Endosc | year= 2005 | volume= 62 | issue= 3 | pages= 392-8 | pmid=16111958 | doi=10.1016/j.gie.2005.04.052 | pmc= | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=16111958 }} </ref> | *Superior to push enteroscopy in terms of maximal length of insertion and diagnostic yield but have the risk of complications due to invasive nature.<ref name="pmid21437852">{{cite journal| author=May A, Manner H, Aschmoneit I, Ell C| title=Prospective, cross-over, single-center trial comparing oral double-balloon enteroscopy and oral spiral enteroscopy in patients with suspected small-bowel vascular malformations. | journal=Endoscopy | year= 2011 | volume= 43 | issue= 6 | pages= 477-83 | pmid=21437852 | doi=10.1055/s-0030-1256340 | pmc= | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=21437852 }} </ref><ref name="pmid16111958">{{cite journal| author=Matsumoto T, Moriyama T, Esaki M, Nakamura S, Iida M| title=Performance of antegrade double-balloon enteroscopy: comparison with push enteroscopy. | journal=Gastrointest Endosc | year= 2005 | volume= 62 | issue= 3 | pages= 392-8 | pmid=16111958 | doi=10.1016/j.gie.2005.04.052 | pmc= | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=16111958 }} </ref><ref name="pmid11084125">{{cite journal| author=Douard R, Wind P, Panis Y, Marteau P, Bouhnik Y, Cellier C | display-authors=etal| title=Intraoperative enteroscopy for diagnosis and management of unexplained gastrointestinal bleeding. | journal=Am J Surg | year= 2000 | volume= 180 | issue= 3 | pages= 181-4 | pmid=11084125 | doi=10.1016/s0002-9610(00)00447-5 | pmc= | url=https://www.ncbi.nlm.nih.gov/entrez/eutils/elink.fcgi?dbfrom=pubmed&tool=sumsearch.org/cite&retmode=ref&cmd=prlinks&id=11084125 }} </ref> | ||
*Reserved for cases in which less invasive modalities failed to yield results. | *Reserved for cases in which less invasive modalities failed to yield results. | ||
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Editor-In-Chief: C. Michael Gibson, M.S., M.D. [1] Associate Editor(s)-in-Chief: Nikita Singh, M.D.[2]
Overview
Other Imaging Findings
Endoscopy
- Endoscopy is the most common diagnostic tool for diagnosing angiodysplasia of the GI tract.[1]
- Upper GI endoscopy and colonoscopy are usually used to diagnose upper GI and colonic angiodysplasia, respectively.
- Wireless capsule endoscopy and push enteroscopy are the common modalities for diagnosing small bowel angiodysplasia because it is difficult to reach the small bowel with traditional endoscopic techniques.
- The lesions are difficult to find but when visible, they appear as 5 to 10 mm, cherry-red, fern-like pattern of vessels.
Deep Small Bowel Enteroscopy
- Deep small bowel enteroscopy, also called intra-operative enteroscopy, includes double-balloon enteroscopy (DBE), single-balloon enteroscopy (SBE), and spiral enteroscopy (SE).
- Superior to push enteroscopy in terms of maximal length of insertion and diagnostic yield but have the risk of complications due to invasive nature.[2][3][4]
- Reserved for cases in which less invasive modalities failed to yield results.
References
- ↑ Foutch PG (1993). "Angiodysplasia of the gastrointestinal tract". Am J Gastroenterol. 88 (6): 807–18. PMID 8389094.
- ↑ May A, Manner H, Aschmoneit I, Ell C (2011). "Prospective, cross-over, single-center trial comparing oral double-balloon enteroscopy and oral spiral enteroscopy in patients with suspected small-bowel vascular malformations". Endoscopy. 43 (6): 477–83. doi:10.1055/s-0030-1256340. PMID 21437852.
- ↑ Matsumoto T, Moriyama T, Esaki M, Nakamura S, Iida M (2005). "Performance of antegrade double-balloon enteroscopy: comparison with push enteroscopy". Gastrointest Endosc. 62 (3): 392–8. doi:10.1016/j.gie.2005.04.052. PMID 16111958.
- ↑ Douard R, Wind P, Panis Y, Marteau P, Bouhnik Y, Cellier C; et al. (2000). "Intraoperative enteroscopy for diagnosis and management of unexplained gastrointestinal bleeding". Am J Surg. 180 (3): 181–4. doi:10.1016/s0002-9610(00)00447-5. PMID 11084125.