Magnifying endoscopy of the duodenum with dye scattering method in a case with celiac disease.
OBJECTIVE
To know the more detailed findings of the small intestinal mucosa with the use of a magnifying endoscope and a vital dye, and the efficacy of the both tools.


METHODS
A 54-year old female patient with celiac disease. The duodenal mucosa downward as far as the descending portion was observed with a magnifying endoscope (Olympus GIF HM) before and after spraying the mucosa with 0.1% indigo carmine.


RESULTS
The endoscopy clarified the atrophy and edema of each villus, and scattering of the dye revealed shorter villi with the relatively longer villi remaining in islands.


CONCLUSIONS
The combination of magnifying endoscopy and the dye scattering method is useful for closer observation of the intestinal mucosa in celiac diseases.
Morishita
Tetsuo
T
Department of Internal Medicine, Tokyo Dental College, Chiba, Japan. tmorishi@tdc.ac.jp
Kamiya
Toshiaki
T
Ishii
Hiromasa
H
D002446:Celiac Disease / Q000175:diagnosis*; D004396:Coloring Agents; D004384:Duodenoscopy / Q000379:methods*; D004386:Duodenum / Q000473:pathology; D005260:Female; D006801:Humans; D007089:Image Enhancement; D007203:Indigo Carmine; D007413:Intestinal Mucosa / Q000473:pathology; D008875:Middle Aged
D004396:Coloring Agents; D007203:Indigo Carmine