Inflammatory bowel diseases are idiopathic inflammatory diseases of two main types, Crohn's disease and ulcerative colitis. Crohn's disease can affect the entire gastrointestinal tract, and the distal ileum is involved in up to 70% of patients. Moreover, Crohn's disease in one-quarter to one-third of patients involves isolation of the small bowel. Due to the nonspecific symptoms and anatomical ...

Question: A 70-year-old diabetic woman presented with melena and hematochezia since December 2019. Her past medical history included Child nonalcoholic fatty liver disease cirrhosis endometrial cancer treated by hysterectomy radiochemotherapy completed in September An esogastroduodenoscopy (EGD) revealed a duodenal ulcer Forrest IIA 2 clips proton pump inhibitor therapy. colonoscopy disclosed u...

Background Three device-assisted deep endoscopic platforms presently exist and are available for clinical use: double-balloon enteroscopy, single-balloon enteroscopy (SBE), and spiral enteroscopy (SE). In a retrospective study, SE was associated with a greater depth of maximal insertion (DMI) with similar diagnostic yields and procedure time as compared with SBE. Aims This was a prospective, ...

doscopy. A double-balloon enteroscopy was performed for partially obstructive attacks of abdominal pain suspicious of small-bowel invaginations by big polyps; enteroscopy confirmed the diagnosis. A majority of polyps were localized in the jejunum, and a polypectomy of lesions greater than 1 cm was performed. Histology was consistent with harmatomatous polyps. The entire small bowel was explored...

BACKGROUND The aim of this work was to assess the value of capsule enteroscopy in the diagnosis of patients with suspected Crohn's Disease (CD). Methods. This was a retrospective study in a single tertiary care centre involving patients undergoing capsule enteroscopy for suspected CD. Patients taking nonsteroidal anti inflammatory drugs during the thirty preceding days or with a follow-up perio...

Ileal Dieulafoy lesion is an unusual vascular abnormality that can cause gastrointestinal bleeding. It can be associated with massive, life-threatening hemorrhage and requires urgent angiographic intervention or surgery. Ileal Dieulafoy lesion is hard to recognize due to inaccessibility and normal-appearing mucosa. With advances in endoscopy, aggressive diagnostic and therapeutic approaches inc...

Obscure gastrointestinal bleeding poses a diagnostic challenge to the physician. When examination of the colon and the upper gastrointestinal tract reveals no de− finite bleeding source, the small bowel becomes the focus of investigation. The small bowel is difficult to investigate en− doscopically because of its extraordinary length, but the recent advent of double− balloon enteroscopy has mad...

We report a case of a 57-year-old woman with an obscure gastrointestinal bleed who was found to have an extramural gastrointestinal stromal tumour (GIST), detected by capsule endoscopy, and confirmed by laparoscopically-assisted enteroscopy and resection. Currently, major modalities used for detection of GISTs include double-balloon enteroscopy, capsule endoscopy and CT. Endoscopic measures, in...

intraoperative radiation therapy (iort) is a multidisciplinary approach in which residual tumors or tumor beds are directly irradiated during a surgical procedure. to evaluate its efficacy, from 1985, we conducted a prospective study including non-metastatic gastric adenocarcinoma treated by surgery, iort (15 grays) and postoperative external beam radiotherapy (44 grays). up to 1993, 51 cases o...