Clinical Features of Ischemic Enteritis Diagnosed by Double-Balloon Endoscopy
Introduction. Ischemic enteritis (IE) is a relatively rare small bowel disease that is diagnosed via double-balloon endoscopy (DBE), although the lack of established diagnostic criteria can make it difficult to confirm the diagnosis. This study aimed to describe the clinical characteristics, endosco...
Saved in:
| Main Authors: | , , , , , , , , , , , , , |
|---|---|
| Format: | Article |
| Language: | English |
| Published: |
Wiley
2021-01-01
|
| Series: | Canadian Journal of Gastroenterology and Hepatology |
| Online Access: | http://dx.doi.org/10.1155/2021/8875564 |
| Tags: |
Add Tag
No Tags, Be the first to tag this record!
|
| _version_ | 1832550459102986240 |
|---|---|
| author | Masanao Nakamura Takeshi Yamamura Keiko Maeda Tsunaki Sawada Yasuyuki Mizutani Eri Ishikawa Naomi Kakushima Kazuhiro Furukawa Takuya Ishikawa Eizaburo Ohno Takashi Honda Hiroki Kawashima Masatoshi Ishigami Mitsuhiro Fujishiro |
| author_facet | Masanao Nakamura Takeshi Yamamura Keiko Maeda Tsunaki Sawada Yasuyuki Mizutani Eri Ishikawa Naomi Kakushima Kazuhiro Furukawa Takuya Ishikawa Eizaburo Ohno Takashi Honda Hiroki Kawashima Masatoshi Ishigami Mitsuhiro Fujishiro |
| author_sort | Masanao Nakamura |
| collection | DOAJ |
| description | Introduction. Ischemic enteritis (IE) is a relatively rare small bowel disease that is diagnosed via double-balloon endoscopy (DBE), although the lack of established diagnostic criteria can make it difficult to confirm the diagnosis. This study aimed to describe the clinical characteristics, endoscopic imaging features, and treatments for IE at our center. Patients and Methods. We retrospectively searched the DBE database (1,521 patients) at Nagoya University Hospital for patients with IE and collected data regarding endoscopic findings, clinical background, and histological findings. The cases were categorized according to whether they involved transient or stenotic IE. Results. The DBE database included 24 patients (14 men) with IE. Transient IE was identified in 9 patients, and stenotic IE was identified in 15. Half of the patients had a history of cerebrovascular and cardiovascular disease. A granular structure at the ulcer base was the most frequently observed DBE finding at the stenotic site. Enterography using the contrast medium revealed that transient IE had a similar stenotic lesion length, relative to stenotic IE, although stenotic IE had a significantly higher stenosis ratio (81% vs. 63%, P=0.033). Small bowel enteroclysis revealed the “lead pipe” sign (11 patients), thumbprinting (3 patients), and the serrated lumen sign (1 patient). Only 1 patient with stenotic IE experienced recurrence after conservative treatment. Conclusion. During DBE, IE was characterized by cannular stenosis with extended and variable ulceration types, which spread over the edge of the stenosis, and a granular appearance at the ulcer base. These findings may help guide the diagnosis of IE. |
| format | Article |
| id | doaj-art-f2dd71c540fa4ffd91905bcb066f8497 |
| institution | Kabale University |
| issn | 2291-2789 2291-2797 |
| language | English |
| publishDate | 2021-01-01 |
| publisher | Wiley |
| record_format | Article |
| series | Canadian Journal of Gastroenterology and Hepatology |
| spelling | doaj-art-f2dd71c540fa4ffd91905bcb066f84972025-02-03T06:06:49ZengWileyCanadian Journal of Gastroenterology and Hepatology2291-27892291-27972021-01-01202110.1155/2021/88755648875564Clinical Features of Ischemic Enteritis Diagnosed by Double-Balloon EndoscopyMasanao Nakamura0Takeshi Yamamura1Keiko Maeda2Tsunaki Sawada3Yasuyuki Mizutani4Eri Ishikawa5Naomi Kakushima6Kazuhiro Furukawa7Takuya Ishikawa8Eizaburo Ohno9Takashi Honda10Hiroki Kawashima11Masatoshi Ishigami12Mitsuhiro Fujishiro13Department of Gastroenterology and Hepatology, Nagoya University Graduate School of Medicine, 65 Tsurumai-cho, Showa-ku, Nagoya 466-8550, JapanDepartment of Gastroenterology and Hepatology, Nagoya University Graduate School of Medicine, 65 Tsurumai-cho, Showa-ku, Nagoya 466-8550, JapanDepartment of Endoscopy, Nagoya University Graduate School of Medicine, 65 Tsurumai-cho, Showa-ku, Nagoya 466-8550, JapanDepartment of Endoscopy, Nagoya University Graduate School of Medicine, 65 Tsurumai-cho, Showa-ku, Nagoya 466-8550, JapanDepartment of Gastroenterology and Hepatology, Nagoya University Graduate School of Medicine, 65 Tsurumai-cho, Showa-ku, Nagoya 466-8550, JapanDepartment of Gastroenterology and Hepatology, Nagoya University Graduate School of Medicine, 65 Tsurumai-cho, Showa-ku, Nagoya 466-8550, JapanDepartment of Gastroenterology and Hepatology, Nagoya University Graduate School of Medicine, 65 Tsurumai-cho, Showa-ku, Nagoya 466-8550, JapanDepartment of Gastroenterology and Hepatology, Nagoya University Graduate School of Medicine, 65 Tsurumai-cho, Showa-ku, Nagoya 466-8550, JapanDepartment of Gastroenterology and Hepatology, Nagoya University Graduate School of Medicine, 65 Tsurumai-cho, Showa-ku, Nagoya 466-8550, JapanDepartment of Gastroenterology and Hepatology, Nagoya University Graduate School of Medicine, 65 Tsurumai-cho, Showa-ku, Nagoya 466-8550, JapanDepartment of Gastroenterology and Hepatology, Nagoya University Graduate School of Medicine, 65 Tsurumai-cho, Showa-ku, Nagoya 466-8550, JapanDepartment of Endoscopy, Nagoya University Graduate School of Medicine, 65 Tsurumai-cho, Showa-ku, Nagoya 466-8550, JapanDepartment of Gastroenterology and Hepatology, Nagoya University Graduate School of Medicine, 65 Tsurumai-cho, Showa-ku, Nagoya 466-8550, JapanDepartment of Gastroenterology and Hepatology, Nagoya University Graduate School of Medicine, 65 Tsurumai-cho, Showa-ku, Nagoya 466-8550, JapanIntroduction. Ischemic enteritis (IE) is a relatively rare small bowel disease that is diagnosed via double-balloon endoscopy (DBE), although the lack of established diagnostic criteria can make it difficult to confirm the diagnosis. This study aimed to describe the clinical characteristics, endoscopic imaging features, and treatments for IE at our center. Patients and Methods. We retrospectively searched the DBE database (1,521 patients) at Nagoya University Hospital for patients with IE and collected data regarding endoscopic findings, clinical background, and histological findings. The cases were categorized according to whether they involved transient or stenotic IE. Results. The DBE database included 24 patients (14 men) with IE. Transient IE was identified in 9 patients, and stenotic IE was identified in 15. Half of the patients had a history of cerebrovascular and cardiovascular disease. A granular structure at the ulcer base was the most frequently observed DBE finding at the stenotic site. Enterography using the contrast medium revealed that transient IE had a similar stenotic lesion length, relative to stenotic IE, although stenotic IE had a significantly higher stenosis ratio (81% vs. 63%, P=0.033). Small bowel enteroclysis revealed the “lead pipe” sign (11 patients), thumbprinting (3 patients), and the serrated lumen sign (1 patient). Only 1 patient with stenotic IE experienced recurrence after conservative treatment. Conclusion. During DBE, IE was characterized by cannular stenosis with extended and variable ulceration types, which spread over the edge of the stenosis, and a granular appearance at the ulcer base. These findings may help guide the diagnosis of IE.http://dx.doi.org/10.1155/2021/8875564 |
| spellingShingle | Masanao Nakamura Takeshi Yamamura Keiko Maeda Tsunaki Sawada Yasuyuki Mizutani Eri Ishikawa Naomi Kakushima Kazuhiro Furukawa Takuya Ishikawa Eizaburo Ohno Takashi Honda Hiroki Kawashima Masatoshi Ishigami Mitsuhiro Fujishiro Clinical Features of Ischemic Enteritis Diagnosed by Double-Balloon Endoscopy Canadian Journal of Gastroenterology and Hepatology |
| title | Clinical Features of Ischemic Enteritis Diagnosed by Double-Balloon Endoscopy |
| title_full | Clinical Features of Ischemic Enteritis Diagnosed by Double-Balloon Endoscopy |
| title_fullStr | Clinical Features of Ischemic Enteritis Diagnosed by Double-Balloon Endoscopy |
| title_full_unstemmed | Clinical Features of Ischemic Enteritis Diagnosed by Double-Balloon Endoscopy |
| title_short | Clinical Features of Ischemic Enteritis Diagnosed by Double-Balloon Endoscopy |
| title_sort | clinical features of ischemic enteritis diagnosed by double balloon endoscopy |
| url | http://dx.doi.org/10.1155/2021/8875564 |
| work_keys_str_mv | AT masanaonakamura clinicalfeaturesofischemicenteritisdiagnosedbydoubleballoonendoscopy AT takeshiyamamura clinicalfeaturesofischemicenteritisdiagnosedbydoubleballoonendoscopy AT keikomaeda clinicalfeaturesofischemicenteritisdiagnosedbydoubleballoonendoscopy AT tsunakisawada clinicalfeaturesofischemicenteritisdiagnosedbydoubleballoonendoscopy AT yasuyukimizutani clinicalfeaturesofischemicenteritisdiagnosedbydoubleballoonendoscopy AT eriishikawa clinicalfeaturesofischemicenteritisdiagnosedbydoubleballoonendoscopy AT naomikakushima clinicalfeaturesofischemicenteritisdiagnosedbydoubleballoonendoscopy AT kazuhirofurukawa clinicalfeaturesofischemicenteritisdiagnosedbydoubleballoonendoscopy AT takuyaishikawa clinicalfeaturesofischemicenteritisdiagnosedbydoubleballoonendoscopy AT eizaburoohno clinicalfeaturesofischemicenteritisdiagnosedbydoubleballoonendoscopy AT takashihonda clinicalfeaturesofischemicenteritisdiagnosedbydoubleballoonendoscopy AT hirokikawashima clinicalfeaturesofischemicenteritisdiagnosedbydoubleballoonendoscopy AT masatoshiishigami clinicalfeaturesofischemicenteritisdiagnosedbydoubleballoonendoscopy AT mitsuhirofujishiro clinicalfeaturesofischemicenteritisdiagnosedbydoubleballoonendoscopy |