Recent Advances in Enteroscopy Masahiro Tada 1 , Seiji Shimizu 1 , Hiroko Okada 1 , Junro Iwasaku 1 , Masato Yoshinaka 1 1Department of Internal Medicine, Kyoto First Red Cross Hospital pp.723-731
Published Date 1985/7/25
DOI https://doi.org/10.11477/mf.1403109902
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 Until now, small intestinal endoscopy has been developed along three main lines (a push type fiberscope, a rope-way type fiberscope and a sonde type fiberscope) and each type has both merits and demerits. The push type fiberscope is suitable for a lesion on the upper jejunum or biopsy in the case of a diffusely spread lesion. The rope-way type fiberscope is chosen for observation of the whole intestine, whereas the sonde type fiberscope is used for the examination of emergency cases of gastrointestinal bleeding, or in cases of poor general condition, or in cases of a stenoning lesion located at the distal parts of the small intestine where neither the push type scope nor the rope-way type can be introduced. Thus, we can observe small intestinal diseases sufficiently, wherever they arise in the small intestine, with a suitable scope, chosen according to the shape of the lesions or their location in the small intestine. Now we have a basis for correct diagnosis of small intestinal diseases by using these three types of fiberscopes. Further problems in enteroscopy are how to utilize it for studies of pathophysiology of the small intestine, and how to improve techniques to make it easier to use.

Copyright © 1985, Igaku-Shoin Ltd. All rights reserved.


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