By F. Bonvicini, M. Baraldini (auth.), Francesco P. Rossini M.D., Gerard J. Gay M.D. (eds.)
In contemporary years, very important technological ideas have made it attainable to guage the small bowel endoscopically. hence, conventional diagnostic tools akin to imaging ideas are flanked through enteroscopy. the purpose of this publication is to provide the result of enteroscopy as a mode to diagnose small bowel affliction, correlating it to the opposite investigative equipment and exceptionally to medical findings. The e-book is a distinct chosen choice of pictures deriving from the result of documented adventure and likewise together with a short scientific presentation, tables and diagrams of diagnostic algorithms. popular and approved specialists in gastroenterology, enteroscopy and researchers within the zone of small bowel sickness have contributed to this volume.
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Extra info for Atlas of Enteroscopy
The endoscopic procedure usually takes 3045 min. The diagnostic yield of intraoperative enteroscopy has ranged from 70% to 100% (Tables 1,2). 51 Intraoperative enteroscopy Intraoperative enteroscopy is a difficult, time-consuming technique that is often traumatic to the bowel; thus, the decision to perform it requires a careful balancing of the risks and benefits of the procedure. The success of the technique is directly correlated both to a careful preoperative evaluation of the strategy to be adopted and to close cooperation between the surgeon and the endoscopist during the examination.
Selective SMA arteriogram. A IS-mm hypervascularized node in the ileal lumen Fig. 8. Short "napkin ring" stenosing adenocarcinoma. a. Enteroclysis remains the most efficient tool in diagnosing this particuliar short-length stenosing adenocarcinoma. b Enteroscopic aspect of the tumorous "diaphragm" and its narrow central orifice 24 Transabdominal ultrasonography v. Arienti In the past, because of its inability to penetrate gas, ultrasonography (US) was considered a useless method for studying the gastrointestinal tract.
Ultrasonography has the same accuracy as computed tomography in detecting abdominal or intra-abdominal abscesses, while computed tomography is superior in cases of retroperitoneal or perianal abscesses. Enteroenteric fistulas are difficult to visualize; in contrast, enterovescical fistulas are easily recognizable. Transcutaneous ultrasonography has been proposed as the primary screening method in suspected cases and in the detection of post-surgical recurrences; its main applications are represented by the possibility of assessing the location and extent of the disease, detecting the possible complications, following patients, evaluating the response to medical treatment, and differentiating Crohn's disease from ulcerative colitis and tumors (Table 3).