Three cases with active bleeding from radiation enteritis that were diagnosed with video capsule endoscopy without retention.
Endoscopic exploration of the small bowel after pelvic radiation has limitations related to strong abdominal adhesion. It is often difficult to demonstrate the findings of radiation enteritis endoscopically, even with video capsule endoscopy (VCE) or double-balloon enteroscopy (DBE). We present our experience with three cases of radiation enteritis that were diagnosed using VCE and DBE, including their effective aspects. Radiation enteritis has not been diagnosed using conventional methods, and DBE may not accomplish deeper insertion into the ileum, although it is capable of both diagnosis and hemostasis. Therefore, VCE is thought to be the initial tool for the diagnosis of radiation enteritis when small bowel stenosis has not been previously detected and the risk of retention has been discussed.
Department of Gastroenterology and Hepatology, Nagoya University Graduate School of Medicine, Nagoya, Japan.
Masanao
M
Nakamura
Department of Endoscopy, Nagoya University Hospital, Nagoya, Japan.
Yoshiki
Y
Hirooka
Department of Gastroenterology and Hepatology, Nagoya University Graduate School of Medicine, Nagoya, Japan.
Osamu
O
Watanabe
Department of Endoscopy, Nagoya University Hospital, Nagoya, Japan.
Takeshi
T
Yamamura
Department of Gastroenterology and Hepatology, Nagoya University Graduate School of Medicine, Nagoya, Japan.
Kazuhiro
K
Furukawa
Department of Endoscopy, Nagoya University Hospital, Nagoya, Japan.
Kohei
K
Funasaka
Department of Gastroenterology and Hepatology, Nagoya University Graduate School of Medicine, Nagoya, Japan.
Eizaburo
E
Ohno
Department of Gastroenterology and Hepatology, Nagoya University Graduate School of Medicine, Nagoya, Japan.
Ryoji
R
Miyahara
Department of Gastroenterology and Hepatology, Nagoya University Graduate School of Medicine, Nagoya, Japan.
Hiroki
H
Kawashima
Department of Gastroenterology and Hepatology, Nagoya University Graduate School of Medicine, Nagoya, Japan.
Takafumi
T
Ando
Department of Gastroenterology, Fujita Health University, School of Medicine, Toyoake, Japan.
Naoki
N
Ohmiya
Department of Gastroenterology and Hepatology, Nagoya University Graduate School of Medicine, Nagoya, Japan.
Hidemi
H
Goto
capsule endoscopy; double-balloon enteroscopy; mid-GI bleeding; radiation enteritis; small bowel