By F. Bonvicini, M. Baraldini (auth.), Francesco P. Rossini M.D., Gerard J. Gay M.D. (eds.)
In fresh years, very important technological recommendations have made it attainable to judge the small bowel endoscopically. hence, conventional diagnostic tools reminiscent of imaging concepts are flanked via enteroscopy. the purpose of this e-book is to provide the result of enteroscopy as a style to diagnose small bowel affliction, correlating it to the opposite investigative tools and peculiarly to scientific findings. The publication is a special chosen selection of photos deriving from the result of documented adventure and likewise together with a short medical presentation, tables and diagrams of diagnostic algorithms. well known and authorised specialists in gastroenterology, enteroscopy and researchers within the zone of small bowel ailment have contributed to this volume.
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Extra resources for Atlas of Enteroscopy
Freedman LS (ed) Gastroenterol.
The latter showed a significant advance in that an instrument channel allows the mucosa to be pushed away from the otherwise passive endoscope tip, and the amount of mucosa examined was increased. The former has video technology, and a deflectable tip is added to the later VSB model. The main disadvantage these instruments have in common is their great diameter, preventing perinasal passage in very many patients. Progress through the small intestine After the enteroscope reaches the ligament of Treitz, the balloon is left inflated to around 2 cm in diameter, and onward progress may be encouraged with the use of a prokinetic agent.
99 m Tc-pertechnetate scintigraphy has been extensively used to detect ectopic gastric mucosa because of its capability of being concentrated by gastric mucosa regardless of the presence or absence of parietal cells. The technique is simple and safe and 75%-100% sensitivity values have been reported. Pentagastrin given subcutaneously 15 min before 99m Tc_ 31 Nuclear tests pertechnetate administration may enhance uptake by the diverticulum. Positive scans show a persistent area of uptake usually in the right mid-abdomen.