ERCP in Patients with Altered Anatomy
Anatomy Papilla intact? Short afferent limb Bilroth II gastrojejunostomy Yes Long afferent limb Whipple’s procedure No Gastrojejunostomy Yes Choledochojejunostomy/hepaticojejunostomy No Total gastrectomy with esophagojejunostomy Yes Very long afferent limb Gastric…
Inflammatory Bowel Disease
Fig. 10.1 CD SB lesions of varying degrees of severity, SBCE views. These appearances are not specific to CD and may be induced by other etiologies (including other inflammatory conditions…
Small-Bowel Strictures Dilation and Stent Placement
Benign Peptic ulcer NSAIDs (diaphragm disease) Crohn’s disease Radiation Postinfectious (viral) Ischemic Radiation Eosinophilic enteritis Trauma Anastomotic Stenosing enteritis Malignant Pancreatic adenocarcinoma (primary or recurrent) Metastatic disease Lymphoma Miscellaneous Pouch…
Improved Capsule Hardware and Software
Fig. 17.1 A sample of Quadview image overview Fig. 17.2 Panoramic images from the CapsoCam capsule. Blue arrows, sample duodenal papillas. Reprinted with permission from Friedrich K, Gehrke S, Stremmel…
Balloon Enteroscopy
Fig. 7.1 Balloon-assisted enteroscopy. (a) Double-balloon enteroscope. (b) Single-balloon enteroscope. The major similitude is the overtube with the balloon (red circle). In double-balloon enteroscopy there is an additional balloon on…
Obscure Gastrointestinal Bleeding
Fig. 9.1 (a and b) Angiodysplasia in jejunum Fig. 9.2 (a) Ulcer due to ileal Crohn’s disease (CD). (b) Ulceration due to recurrent CD in neo-terminal ileum. (c) Ulcer at…
Celiac Disease and Other Malabsorption States
Fig. 11.1 Normal duodenal villi after (a) air insufflation and (b) water immersion Fig. 11.2 Endoscopic features suggestive of celiac disease. (a) Mucosal fissures, grooves, and scalloping of the duodenal…
Spiral Enteroscopy and “On Demand” Enteroscopy
Fig. 8.1 The anterograde Spirus EndoEase Discovery SB overtube utilized primarily for anterograde deep enteroscopy. The same overtube can be used for retrograde procedures but only with a small bowel…
Small Bowel Capsule Endoscopy
Fig. 6.1 (a) Pillcam SB3 (Given Imaging, Yokneam, Israel); (b) Endocapsule (Olympus Medical Systems Corporation, Tokyo, Japan); (c) Mirocam (IntroMedic Co., Ltd., Seoul, Korea); (d) Capsocam SV1 (Capsovision, Saratoga, USA);…
