Advance of Diagnostic Modalities for the Small Lesion in the Small Bowel and Its Algorithm Hidemi Goto 1 , Masanao Nakamura 1 1Department of Gastroenterology, Nagoya University Graduate School of Medicine, Nagoya, Japan Keyword: カプセル内視鏡 , バルーン内視鏡 , 小病変 , アルゴリズム , 小腸疾患 pp.931-936
Published Date 2009/5/25
DOI https://doi.org/10.11477/mf.1403101675
  • Abstract
  • Look Inside
  • Reference

 In recent years it has become possible to discover a small lesion less than 1cm, which would not have been easily detected by imaging until now with the clinical introduction of capsule endoscopy and balloon endoscopy. We reviewed 551 small lesions in 411 cases diagnosed in our department. Small lesions were defined as those lesions in a range equal to/or less than 1cm of the mucosal surface. Inflammatory disease had most small lesions in small bowel diseases, and the prevalence was 69/411 cases, 16.8% of the total lesions, and 44% of the small lesion category. Most of the small lesions were vascular legions. In the algorithm for the diagnosis of small lesions, the initial examination is capsule endoscopy, and if the finding is not abnormal, capsule endscopy is repeated or balloon endoscopy is chosen combined with intervention to remove the lesion.

Copyright © 2009, Igaku-Shoin Ltd. All rights reserved.


電子版ISSN 1882-1219 印刷版ISSN 0536-2180 医学書院