Conventional Radiography for the Differential Diagnosis of Ulcerative Lesions of the Small Intestine Koichi Kurahara 1 , Syuji Kochi 1 , Keisuke Kawasaki 1,2 , Hiroki Yaita 1 , Yumi Oshiro 3 , Yasuharu Okamoto 4 , Junji Umeno 4 , Minako Hirahashi 5 , Motohiro Esaki 4 , Hiroyuki Kobayashi 1,6 , Takashi Yao 7 , Takayuki Matsumoto 2 , Tadahiko Fuchigami 1 1Division of Gastroenterology, Matsuyama Red Cross Hospital, Matsuyama, Japan 2Division of Gastroenterology, Departments of Internal Medicine, School of Medicine, Iwate Medical University, Morioka, Japan 3Department of Pathology, Matsuyama Red Cross Hospital, Matsuyama, Japan 4Departments of Medicine and Clinical Science, Graduate School of Medical Sciences, Kyushu University, Fukuoka, Japan 5Departments of Anatomic Pathology, Graduate School of Medical Sciences, Kyushu University, Fukuoka, Japan 6Division of Gastroenterology, Fukuoka Sanno Hospital, Fukuoka, Japan 7Department of Human Pathology, Juntendo University School of Medicine, Tokyo Keyword: 小腸潰瘍 , 小腸X線造影 , X線診断 , 小腸狭窄 , カプセル内視鏡 , バルーン小腸内視鏡 pp.1267-1281
Published Date 2014/8/25
DOI https://doi.org/10.11477/mf.1403114242
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 Endoscopic modalities, such as capsule endoscopy and balloon endoscopy, have been developed and widely used for the diagnosis and treatment of small bowel diseases. In particular, endoscopic findings and/or biopsy have proven to be more useful than conventional radiography for the diagnosis of small lesions of the small intestine. Cases of intestinal stenosis caused by NSAID-induced enteropathy, intestinal tuberculosis, ischemic enteritis, and radiation enteritis are characterized by circular or tubular narrowing, whereas eccentric stenosis occurs in Crohn's disease. With precise analysis of small bowel radiographs, an accurate diagnosis can be made in cases of stenosis. Complementary combination of enteroscopy and conventional radiography can be valuable for the differential diagnosis of intestinal stenosis, although enteroscopy remains the procedure of choice for the diagnosis of ulcerative lesions of the small intestine.

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