title: Spiral enteroscopy--a novel method for the management of small bowel diseases--case report and description of technique.
abstract: Small bowel diseases are associated with difficult management. Recently, new methods such as single or double balloon enteroscopy and capsule endoscopy have been implemented for the investigation of small bowel, but none is perfect. Spiral enteroscopy seems to be an alternative primising technique for the diagnosis and therapy of small bowel diseases. We report two cases in which spiral enetroscopy was useful both for diagnosis and therapy. One was the case of a man with repeated digestive bleeding of unknown cause and spiral enteroscopy helped for diagnosis and treatment with argon plasma coagulation of the vascular lesions. The later was a patient with Gartner Syndrome with multiple duodenal and intestinal polyps and spiral enteroscopy allowed small bowel evaluation. In conclusion, this novel method seems to allow a rapid and efficient diagnosis of small bowel diseases.
authors.affiliation: School of Medicine, Institute of Gastroenterology and Hepatology Iaşi, "Gr T Popa" University of Medicine and Pharmacy Iaşi.
authors.forename: V L
authors.initials: VL
authors.lastname: Drug
authors.forename: Gh
authors.initials: G
authors.lastname: Balan
authors.forename: Ana-Maria
authors.initials: AM
authors.lastname: Sângeap
authors.forename: Q
authors.initials: Q
authors.lastname: Akbar
authors.forename: Dana
authors.initials: D
authors.lastname: Mitrică
authors.forename: G
authors.initials: G
authors.lastname: Dimofte
mesh_terms: D000328:Adult; D000368:Aged; D057908:Argon Plasma Coagulation / Q000379:methods; D053704:Capsule Endoscopy / Q000379:methods; D004378:Duodenal Diseases / Q000473:pathology* / Q000601:surgery; D004384:Duodenoscopy; D019723:Endoscopes; D016099:Endoscopy, Gastrointestinal / Q000295:instrumentation* / Q000379:methods; D006471:Gastrointestinal Hemorrhage / Q000209:etiology / Q000473:pathology* / Q000601:surgery; D006801:Humans; D007077:Ileal Diseases / Q000150:complications / Q000473:pathology* / Q000601:surgery; D044483:Intestinal Polyposis / Q000473:pathology* / Q000601:surgery; D007579:Jejunal Diseases / Q000473:pathology* / Q000601:surgery; D008297:Male; D016896:Treatment Outcome