Intest Res.  2016 Jul;14(3):211-217. 10.5217/ir.2016.14.3.211.

The role of small bowel endoscopy in small bowel Crohn's disease: when and how?

Affiliations
  • 1Division of Gastroenterology, Department of Internal Medicine, Hallym University Dongtan Sacred Heart Hospital, Hwaseong, Gyeonggi-do, Korea. jhj1229@hallym.or.kr

Abstract

Endoscopy has a crucial role in the diagnosis, management, and surveillance of inflammatory bowel disease (IBD). It contributes in supporting the diagnosis of IBD with the clinical history, physical examination, laboratory findings, and targeted biopsies. Furthermore, endoscopy has a significant role in assessing disease activity and distribution in treatment efficacy evaluation, post-surgical recurrence risk, and cancer surveillance in patients with long-lasting illness. Endoscopy also provides therapeutic potential for the treatment of IBD, especially with stricture dilatation and treatment of bleeding. Small bowel (SB) endoscopy (capsule endoscopy and device-assisted enteroscopy) and cross-sectional radiologic imaging (computed tomography enterography and magnetic resonance enterography) have become important diagnostic options to diagnose and treat patients with SB Crohn's disease. We reviewed the present role of SB endoscopy in patients with SB Crohn's disease.

Keyword

Crohn disease; Capsule endoscopy; Balloon-assisted enteroscopy

MeSH Terms

Biopsy
Capsule Endoscopy
Constriction, Pathologic
Crohn Disease*
Diagnosis
Dilatation
Endoscopy*
Hemorrhage
Humans
Inflammatory Bowel Diseases
Physical Examination
Recurrence
Treatment Outcome

Figure

  • Fig. 1 Enteroscopic findings of small bowel CD. Enteroscopic images of small bowel CD show erosions (A), a longitudinal ulcer (B), and an eccentric ulcer with stricture (C). Enteroscopy is helpful to find a fistulous tract of small intestine through a selective radiography (D).

  • Fig. 2 Therapeutic endoscopy of small bowel CD. Enteroscpic image shows an exposed vessel of deep penetrating ulcers in the patients with small bowel CD presenting massive lower gastrointestinal bleeding (A). Enteroscopy provides hemoclipping on the pulsating vessel (B). There is a severe stricture in the patients with small bowel CD (C). Enteroscopy provides balloon dilation on this short stricture (D).


Cited by  3 articles

Quality Indicators for Small Bowel Capsule Endoscopy
Ki-Nam Shim, Seong Ran Jeon, Hyun Joo Jang, Jinsu Kim, Yun Jeong Lim, Kyeong Ok Kim, Hyun Joo Song, Hyun Seok Lee, Jae Jun Park, Ji Hyun Kim, Jaeyoung Chun, Soo Jung Park, Dong-Hoon Yang, Yang Won Min, Bora Keum, Bo-In Lee
Clin Endosc. 2017;50(2):148-160.    doi: 10.5946/ce.2017.030.

Practice patterns and clinical significance of use of capsule endoscopy in suspected and established Crohn's disease
Yonghyun Kim, Seong Ran Jeon, Sang Myung Choi, Hyun Gun Kim, Tae Hee Lee, Jun-Hyung Cho, Yunho Jung, Wan Jung Kim, Bong Min Ko, Jin-Oh Kim, Joon Sung Lee, Moon Sung Lee
Intest Res. 2017;15(4):467-474.    doi: 10.5217/ir.2017.15.4.467.

Role of capsule endoscopy in suspected or established Crohn's disease in real practice
Hyun Joo Jang
Intest Res. 2017;15(4):431-433.    doi: 10.5217/ir.2017.15.4.431.


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