Conventional Radiography for the Differential Diagnosis of Small Bowel Disease with Stenosis Koichi Kurahara 1 , Hiroki Yaita 1 , Koichi Asano 1 , Yumi Oshiro 2 , Keisuke Kawasaki 1,3 , Syuji Kochi 1,4 , Akira Harada 1,4 , Shunichi Yanai 3 , Junji Umeno 4 , Motohiro Esaki 4 , Shotaro Nakamura 3 , Takashi Yao 5 , Hiroyuki Kobayashi 1,6 , Takayuki Matsumoto 3 , Tadahiko Fuchigami 1 1Division of Gastroenterology,Matsuyama Red-cross Hospital, Matsuyama, Japan 2Department of Pathology, Matsuyama Red-cross Hospital, Matsuyama, Japan 3Division of Gastroenterology, Department of Medicine, Iwate Medical University, Morioka, Japan 4Department of Medicine and Clinical Science, Graduate School of Medical Sciences, Kyushu University, Fukuoka, Japan 5Department of Human Pathology, Juntendo University Graduate School of Medicine, Tokyo 6Institute of Gastroenterology, Fukuoka Sanno Hospital, Fukuoka, Japan Keyword: 小腸 , 小腸狭窄 , 小腸X線 , バルーン小腸内視鏡 , カプセル小腸内視鏡 pp.1661-1674
Published Date 2016/12/25
DOI https://doi.org/10.11477/mf.1403200784
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 Endoscopic approaches for patients with stenosis of the small intestine are limited, and the concomitant use of X-ray imaging is useful for understanding the general anatomy of such patients and performing qualitative diagnosis. This report mainly covers X-ray diagnosis for cases involving diseases of the small intestine accompanied by stenosis. For the differential diagnosis of inflammatory diseases resulting in stenosis of the small intestine, it is useful to classify the morphology of the stenotic site, analyze the positional relationship between the stenosis and mesentery, and analyze accompanying findings pertaining to areas around the stenotic site. For the differential diagnosis of neoplastic diseases, it is important to analyze the presence/absence of overhanging edges on both sides of the stenotic site, the presence/absence of submucosal tumor-like findings, the extent of reduction in wall extension, and the presence/absence of extraintestinal growth tendencies.

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