title: Small bowel tuberculosis diagnosed by the combination of video capsule endoscopy and double balloon enteroscopy.
abstract: Small bowel tuberculosis is sometimes encountered in oriental countries, and because its symptoms are vague and present a nonspecific pattern, confirmative diagnosis is difficult to achieve. In 2001, two new innovative endoscopic techniques for the small bowel, video capsule endoscopy and double balloon enteroscopy, were introduced, thus advancing the diagnostic technology for small bowel disorders. Our asymptomatic patient with small bowel tuberculosis was diagnosed definitively using the combination of video capsule endoscopy and double balloon enteroscopy. The number of such cases will increase when those procedures become more widely used. At present, the endoscopic view of small bowel tuberculosis is difficult to differentiate from Crohn's disease and drug-induced enteropathy, but from now on it will be possible to distinguish them utilizing endoscopic and fluoroscopic images. On the basis of the characteristics of small bowel tuberculosis with its endoscopic images, referring to our case report and previous literature, we report a topical diagnostic procedure, the combination of video capsule endoscopy and double balloon enteroscopy.
authors.affiliation: Department of Gastroenterology, Nagoya University Graduate School of Medicine, Nagoya, Japan.
authors.forename: Masanao
authors.initials: M
authors.lastname: Nakamura
authors.forename: Yasumasa
authors.initials: Y
authors.lastname: Niwa
authors.forename: Naoki
authors.initials: N
authors.lastname: Ohmiya
authors.forename: Daigo
authors.initials: D
authors.lastname: Arakawa
authors.forename: Wataru
authors.initials: W
authors.lastname: Honda
authors.forename: Ryoji
authors.initials: R
authors.lastname: Miyahara
authors.forename: Tetsuo
authors.initials: T
authors.lastname: Matsuura
authors.forename: Takafumi
authors.initials: T
authors.lastname: Ando
authors.forename: Osamu
authors.initials: O
authors.lastname: Maeda
authors.forename: Akihiro
authors.initials: A
authors.lastname: Itoh
authors.forename: Yoshiki
authors.initials: Y
authors.lastname: Hirooka
authors.forename: Hidemi
authors.initials: H
authors.lastname: Goto
mesh_terms: D000995:Antitubercular Agents / Q000627:therapeutic use; D053704:Capsule Endoscopy / Q000379:methods; D016099:Endoscopy, Gastrointestinal / Q000379:methods*; D006801:Humans; D007077:Ileal Diseases / Q000175:diagnosis* / Q000188:drug therapy; D008297:Male; D008875:Middle Aged; D016896:Treatment Outcome; D014385:Tuberculosis, Gastrointestinal / Q000175:diagnosis* / Q000188:drug therapy
chemical_list: D000995:Antitubercular Agents