Clinical Evaluation of Push-type Small Intestinal Endoscopy Using a Long Duodenofiberscope Mitsuo Iida 1 , Tsutomu Yamamoto 2 , Tsuneyoshi Yao 2 , Tadahiko Fuchigami 3 , Norio Kohrogi 1 1The Second Department of Internal Medicine, Faculty of Mrdicine, Kyushu University 2The First Department of Internal Medicine School of Medicine, Fukuoka University 3Division of Gastroenterology, Matsuyama Red Cross Hospital pp.733-746
Published Date 1985/7/25
DOI https://doi.org/10.11477/mf.1403109903
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 Push-type small intestinal endoscopy using a long forward viewing type duodenofiberscope (GIF-P2-2000,GIF-P3-2000,GIF-Q10-2000) was examined in 57 patients (61 times) who were suspected of having various diseases in the 3rd-4th portion of the duodenum or upper part of the jejunum. Of these, endoscopical observation of the distal duodenum or upper jejunum was successfully carried out 59 times in 55 cases (20 times with the stiffening tube and 39 times without it). The mean depth of the endoscope insertion was 23.8±22.8 cm (±SD) beyond the Treitz's ligament in cases without the use of the stiffening sleeve and 53.5±24.2 cm in cases with its use; the difference being significant (p<0.001).

 Therefore, we consider that if we could insert the stiffening sleeve into the second portion of the duodenum, the fiberscope might be easily and successfully inserted into the deeper jejunum. Biopsy specimen was readily obtained using this technique without any complication in 51 patients who required. From these results, we conclude that this technique seems to be clinically useful for both examination of upper jejunal disease and biopsy of disease involved the sites 100 cm or less from the Treitz's ligament.

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


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