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This book covers all aspects of small intestinal disease with the aim of providing an up-to-date reference of the highest quality that will assist in everyday clinical practice. After introductory chapters on anatomy, pathophysiology, epidemiology, and signs and symptoms, the roles of different imaging modalities in the diagnosis of small intestinal disease are clearly explained, focusing particularly on capsule endoscopy, device-assisted enteroscopy, CT and MR enterography, and nuclear medicine techniques. A series of chapters then address each of the diseases and conditions that may be encountered. The coverage is wide ranging, including, for example, obscure gastrointestinal bleeding, Crohn’s disease and other inflammatory conditions, celiac disease, Behçet’s disease, Meckel’s diverticulum, intestinal tuberculosis, and various malignancies. Numerous informative clinical cases are presented to identify characteristic imaging findings and assist in treatment decision making. Small intestinal disease continues to represent a significant challenge. The scope and detail of this book will make it an invaluable asset for gastroenterologists and other clinicians.
Pages i-xviii
Front Matter
Pages 1-1
Anatomy of the Small Intestine
Pages 3-6
Physiological Function of the Small Intestine
Pages 7-11
Front Matter
Pages 13-13
Pages 15-18
Inflammatory Diseases of Small Bowel
Pages 19-22
Pages 23-25
Pages 27-29
Symptoms and Signs of Suspected Small Bowel Disease
Pages 31-33
Front Matter
Pages 35-35
Radiologic Imaging for Small-Bowel Evaluation
Pages 37-45
Pages 47-53
Front Matter
Pages 55-55
Pages 57-59
Current Trends in Capsule Endoscopy
Pages 61-64
The Future of Capsule Endoscopy
Pages 65-68
Indications and Contraindications of Small-bowel Capsule Endoscopy
Pages 69-72
Preparation Before Capsule Endoscopy
Pages 73-78
Procedure and Informed Consent of Patients for Capsule Endoscopy
Pages 79-82
Interpretation of Small Bowel Capsule Endoscopy
Pages 83-86
Normal Findings of Capsule Endoscopy
Pages 87-94
Pages 95-97
Capsule Endoscopy in Special Circumstances
Pages 99-104
Pages 105-107
Front Matter
Pages 109-109
History of Small-Intestinal Enteroscopy
Pages 111-113
Pages 115-120
Indications and Contraindications of Device-Assisted Enteroscopy
Pages 121-123
Common Preparation for Device-Assisted Enteroscopy
Pages 125-126
Preparation of Procedure by Device Type
Pages 127-130
Insertion Method in Balloon-Assisted Enteroscopy
Pages 131-134
Pages 135-140
Therapeutic Enteroscopy (Hemostasis, Polypectomy, Balloon Dilation, and Others)
Pages 141-145
Complications Related to Device-Assisted Enteroscopy
Pages 147-149
Various Applications of Device-Assisted Enteroscopy
Pages 151-155
Front Matter
Pages 157-157
Principle and Clinical Application of the Hydrogen Breath Test
Pages 159-163
The Principles and Practice of Alpha-1 Antitrypsin Clearance
Pages 165-167
Front Matter
Pages 169-169
Hemodynamically Unstable Patients with Acute Gastrointestinal Bleeding
Pages 171-173
Hemodynamically Stable Acute or Chronic Small-Bowel Bleeding
Pages 175-177
Front Matter
Pages 179-179
Vascular Diseases of the Small Intestine
Pages 181-186
Front Matter
Pages 187-187
Diagnostic Criteria for Crohn’s Disease
Pages 189-192
Clinical Features of Small Bowel Crohn’s Disease
Pages 193-196
Indication of Small Bowel Evaluation in Crohn’s Disease
Pages 197-199
Front Matter
Pages 201-201
Pages 203-207
Pages 209-212
Non-steroidal Anti-inflammatory Drug Enteropathy
Pages 213-219
Pages 221-226
Cryptogenic Multifocal Ulcerous Stenosing Enteritis
Pages 227-230
Pages 231-233
Pages 235-238
Pages 239-242
Pages 243-248
Pages 249-253
Amyloidosis of the Small Bowel
Pages 255-258
Small-bowel Involvement of Connective Tissue Diseases
Pages 259-264
Pages 265-267
Pages 269-275
Primary Intestinal Lymphangiectasia
Pages 277-281
Pages 283-285
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