Year: 2024
Type: article
Study design: Case Report
Abstract: A 56-year-old, male patient presented with abdominal pain and watery diarrhea. Computed tomography demonstrated thickening of the terminal ileal wall. A colonoscopy was attempted but the terminal ileum was too narrow to admit colonoscope. So, a sliding tube of small bowel balloon endoscopy was placed for nasal endoscope insertion. The nasal endoscope was passed through the stenotic area, where multiple ulcers were observed. The biopsy found no malignancy. Based on these findings, Crohn's disease was suspected, and treatment with mesalamine and prednisone was begun. In this case, the ulcers ware monitored for relapses during treatment by using nasal endoscope. This method is safe and useful for evaluating stenotic areas that are difficult to pass through with a colonoscope.
Source: Progress of Digestive Endoscopy
Authors: Issei Fujii, Eriko Noma, Ryoko Shimizuguchi, Akinari Takao, Satomi Shibata, Shinichiro Horiguchi, Toshiro Iizuka
Institution: Tokyo Metropolitan Komagome Hospital
Language: English
Topic: Inflammatory Bowel Disease
Subfield: Genetics
Domain: Life Sciences
Open Access status: diamond
OpenAlex ID: W4405712414