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Japanese

Enteroscopic Diagnosis in Hemorrhagic Small Intestinal Diseases : Miscellaneous Diseases Motohiro Esaki 1 , Takayuki Matsumoto 1 , Shinichiro Yada 1 , Tomohiko Moriyama 1 , Shotaro Nakamura 1 , Junji Umeno 1 , Shunichi Yanai 1 , Kouhei Fujita 2 , Masaki Gushima 2 , Minako Hirahashi 2 , Mitsuo Iida 1 1Department of Medicine and Clinical Science, Graduate School of Medical Sciences, Kyushu University, Fukuoka, Japan 2Department of Anatomic Pathology, Graduate School of Medical Sciences, Kyushu University, Fukuoka, Japan Keyword: 放射線性腸炎 , Meckel憩室 , 虚血性小腸炎 , Behçet病 , 門脈圧亢進腸症 pp.388-397
Published Date 2010/3/25
DOI https://doi.org/10.11477/mf.1403101874
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 Using the retrospective analysis of 117 patients with obscure gastrointestinal bleeding, we selected five specific conditions of possible small intestinal hemorrhage : Idiopathic ischemic enteritis, Behçet disease, radiation-induced enteropathy, portal hypertensive enteropathy, and Meckel's diverticulum. In this article, enteroscopic findings of such conditions have been described. Briefly, circumferential ulcer with the rapid development of intestinal stricture is characteristic of idiopathic ischemic enteritis. Multiple oval ulcers were identified in Behçet disease, whereas, atrophic villi and angiodysplastic lesions were endoscopically observed in radiation-induced enteropathy. As for radiation-induced enteropathy, edematous coarse mucosa with concomitant angiodysplastic lesions seemed to be specific findings under video capsule endoscopy. The detection of Meckel's diverticulum under video capsule endoscopy was considered to be relatively difficult, but, radiography and double-balloon endoscopy can be assumed to be useful for its diagnosis. Since miscellaneous diseases can be the cause of small intestinal hemorrhage, diagnosis should be made with great care in daily clinical practice.


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

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