Endoscopic Diagnosis for Hemorrhagic Diseases of the Small Intestine: The Roles of Capsule Endoscopy and Double Balloon Endoscopy Keigo Mitsui 1 , Shu Tanaka 1 , Akihito Ehara 1 , Tsuyoshi Kobayashi 1 , Yoshihisa Sekita 2 , Tsuguhiko Seo 1 , Masaoki Yonezawa 1 , Kazuhiro Nagata 1 , Yoshiaki Shibata 1 , Atsushi Tatsuguchi 1 , Shunji Fujimori 1 , Teruyuki Kishida 2 , Choitsu Sakamoto 1 1Division of Gastroenterology, Department of Medicine, Nippon Medical School, Tokyo 2Department of Internal Medicine, Nippon Medical School Chiba Hokusoh Hospital, Chiba, Japan Keyword: 小腸出血 , 小腸内視鏡 , カプセル内視鏡 , ダブルバルーン内視鏡 pp.1607-1618
Published Date 2006/11/25
DOI https://doi.org/10.11477/mf.1403100687
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 The current status and factors were outlined about capsule endoscopy and double balloon endoscopy for diagnosis of hemorrhagic diseases of the small intestine. Both modalities are very useful for diagnosis of these diseases. According to our experiences, the rate of positive diagnosis using double balloon endoscopy seems independent of whether or not it was preceded by capsule endoscopy, so using both endoscopies in all patients may not be necessary. However, when there is negative diagnosis based only on capsule endoscopy, there is always soon for suspicion that the negative diagnosis might be changed to a positive diagnosis if double balloon endoscopy is added. That is the reason why both modalities are used.

 Our experience also indicates that in cases where gastrointestinal bleeding (OGIB) of unknown origin is recognized, it is impossible to discover any pathological condition in the small intestine.

 It remains for future investigations to give more details concerning such cases.

Copyright © 2006, Igaku-Shoin Ltd. All rights reserved.


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