13 INTRODUCTION M illions of people in the United States suffer from diseases leading to abnormalities affecting the small bowel (1); however, accurate imaging of this area has been difficult. Wireless capsule endoscopy is an innovative tool for the investigation of the small bowel and is rapidly gaining acceptance as the gold standard for its evaluation. Unlike the upper gastrointestinal tract...

AIM To evaluate the utility of double-balloon enteroscopy for small-bowel disease. DESIGN A prospective study of 50 consecutive enteroscopies performed from December 2004 to July 2005 to analyze diagnoses and treatments. PATIENTS 44 patients (33 had undergone a previous capsule endoscopy) with indications for obscure digestive hemorrhage, angiodysplasia, Peutz-Jeghers syndrome, ulcer, suspe...

A 49-year-old patient underwent cholecystectomy and Roux-en-Y hepaticojejunal anastomosis (●" Fig.1) for Mirizzi’s syndrome. Jaundice, pruritus, choluria, and acholia developed 4 months later. The total serum bilirubin was 21mg/dL, and magnetic resonance cholangiopancreatography (MRCP) demonstrated intrahepatic bile duct dilation and anastomotic stricture. Double-balloon enteroscopy was perform...

A 74-year-old woman was referred to our hospital for management of persistent iron deficiency anemia with mild epigastric pain. Before referral, her esophagogastroduodenoscopy and colonoscopy findings had been normal, and she had been treated with oral iron preparation for the preceding 6 months. Physical examination and abdominal contrast-enhanced computed tomography at our institution were no...

Objective The aim of the present study is to assess the difference in the detection rates of small-bowel lesions in chronic abdominal pain (CAP) patients with irritable bowel syndrome (IBS) and non-IBS. Patients Ninety-nine CAP patients who were scheduled to undergo capsule endoscopy (CE) to investigate their abdominal symptoms were included in this study. Among the subjects, 34 patients fulfil...

Meckel's diverticulum (MD) is estimated to affect 1%-2% of the general population, and it represents a clinically silent finding of a congenital anomaly in up to 85% of the cases. In adults, MD may cause symptoms, such as overt occult lower gastrointestinal bleeding. The diagnostic imaging workup includes computed tomography scan, magnetic resonance imaging enterography, technetium 99m scintigr...

The possibility to visualise the small bowel has dramatically improved with the introduction of capsule endoscopy (CE) and double balloon enteroscopy (DBE). CE and DBE have become standard practice in investigating suspected diseases of the small bowel. An important reason to perform small bowel investigations is obscure gastrointestinal bleeding. To investigate obscure gastrointestinal bleedin...

BACKGROUND double-balloon enteroscopy (DBE) is becoming more commonly used for investigation of small bowel pathology. Currently, there are limited data to describe its safety and efficacy in the population over age 65. AIM to investigate the indications, findings and outcomes of DBE performed in patients older than 80, as well as the correlation between DBE and prior capsule endoscopy (CE) f...

Leishmaniasis is a parasitic disease caused by different species of the protozoan genus Leishmania that infect animals as well as humans. It is transmitted by the bite of infected female phlebotomine sandflies. There are three forms of leishmaniasis: cutaneus, mucocutaneus and visceral. Leishmania Donovani is the responsible for the visceral form and it causes fever, general discomfort and sple...

Morbus Osler-Weber-Rendu syndrome also known as Hereditary hemorrhagic telangiectasia (HHT) and Meckel's diverticulum is a rare combination disorder. Our case presented with the recurrent obscure gastrointestinal (GI) bleeding for several years. He came with a massive active lower gastrointestinal bleeding. Ultimatively, he underwent an exploratory laparotomy along with intraoperative colonosco...