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Advances in Small Bowel Imaging

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Abstract

The small intestine has been difficult to examine by traditional endoscopic and radiologic techniques. Within the past 10 years, advances have led to an explosion of technologies that facilitate examination of the entire small intestine. Wireless video capsule endoscopy, deep enteroscopy using balloon-assisted or spiral techniques, computer tomography (CT) and magnetic resonance (MR) enterography have facilitated the diagnosis, monitoring, and management of patients with small intestinal diseases. These technologies are complementary, each with its advantages and limitations. Capsule endoscopy provides a detailed view of the mucosal surface and has excellent patient acceptance, but does not allow therapeutics. Deep enteroscopy allows careful inspection of the mucosa and therapeutics, but is time consuming and invasive. Enterography (CT or MR) allows examination of the small bowel wall and surrounding structures. The initial best test for detecting small intestinal disease depends on clinical presentation and an astute differential diagnosis.

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Disclosure

Carol E. Semrad has worked as a consultant for Intro Medic, received an equipment grant from Fujinon, and honoraria from Abbott Nutrition. Christina A. Tennyson reported no potential conflicts of interest relevant to this article.

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  1. Columbia University College of Physicians and Surgeons, 180 Fort Washington Avenue, Room 936, New York, NY, 10032, USA

    Christina A. Tennyson

  2. The University of Chicago, 5841 S. Maryland Avenue, S401 MC 4080, Chicago, IL, 60637, USA

    Carol E. Semrad

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Tennyson, C.A., Semrad, C.E. Advances in Small Bowel Imaging. Curr Gastroenterol Rep 13, 408–417 (2011). https://doi.org/10.1007/s11894-011-0221-9

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