Small Bowel Angiodysplasia Managed with Novel Motorized Spiral Enteroscope: A Case Report
We report a case of 72-year-old woman, who presented with complaints of melena associated with shortness of breath on exertion for more than 2 weeks. On evaluation, she was diagnosed to have severe anemia with evidence of occult blood in stool. After initial management, further workup was done to fi...
| Main Authors: | , , , |
|---|---|
| Format: | Article |
| Language: | English |
| Published: |
Thieme Medical and Scientific Publishers Pvt. Ltd.
2020-06-01
|
| Series: | Journal of Digestive Endoscopy |
| Subjects: | |
| Online Access: | http://www.thieme-connect.de/DOI/DOI?10.1055/s-0040-1713552 |
| _version_ | 1818032611971301376 |
|---|---|
| author | Sunil Raviraj Kothakota Madhu Sasidharan Harish Kareem Ajith K. Nair |
| author_facet | Sunil Raviraj Kothakota Madhu Sasidharan Harish Kareem Ajith K. Nair |
| author_sort | Sunil Raviraj Kothakota |
| collection | DOAJ |
| description | We report a case of 72-year-old woman, who presented with complaints of melena associated with shortness of breath on exertion for more than 2 weeks. On evaluation, she was diagnosed to have severe anemia with evidence of occult blood in stool. After initial management, further workup was done to find out the source of bleeding. Upper and lower gastrointestinal endoscopy were normal. Computerized tomography enteroclysis showed no significant abnormality. Later small bowel enteroscopy was performed with the help of Novel Motorized Spiral Enteroscope in antegrade approach and scope passed through oral cavity up to cecum. Multiple angiodysplasia lesions seen in ileum. All the lesions were managed with argon plasma coagulation (APC). Postprocedure, patient improved well and hemoglobin also remained stable. Small bowel diseases always remain a diagnostic and therapeutic challenge, despite the introduction of various modalities for deep enteroscopy. Spiral enteroscopy is a recent advance which uses an overtube with a raised spiral at the distal end to pleat the small intestine. It consumes less time and suits for both diagnostic and therapeutic needs of small bowel diseases. |
| first_indexed | 2024-12-10T06:10:08Z |
| format | Article |
| id | doaj.art-915635cfefbd4f5e899f89b158e89184 |
| institution | Directory Open Access Journal |
| issn | 0976-5042 0976-5050 |
| language | English |
| last_indexed | 2024-12-10T06:10:08Z |
| publishDate | 2020-06-01 |
| publisher | Thieme Medical and Scientific Publishers Pvt. Ltd. |
| record_format | Article |
| series | Journal of Digestive Endoscopy |
| spelling | doaj.art-915635cfefbd4f5e899f89b158e891842022-12-22T01:59:36ZengThieme Medical and Scientific Publishers Pvt. Ltd.Journal of Digestive Endoscopy0976-50420976-50502020-06-01110215615810.1055/s-0040-1713552Small Bowel Angiodysplasia Managed with Novel Motorized Spiral Enteroscope: A Case ReportSunil Raviraj Kothakota0Madhu Sasidharan1Harish Kareem2Ajith K. Nair3Department of Gastroenterology, Kerala Institute of Medical Sciences Hospital, Trivandrum, Kerala, IndiaDepartment of Gastroenterology, Kerala Institute of Medical Sciences Hospital, Trivandrum, Kerala, IndiaDepartment of Gastroenterology, Kerala Institute of Medical Sciences Hospital, Trivandrum, Kerala, IndiaDepartment of Gastroenterology, Kerala Institute of Medical Sciences Hospital, Trivandrum, Kerala, IndiaWe report a case of 72-year-old woman, who presented with complaints of melena associated with shortness of breath on exertion for more than 2 weeks. On evaluation, she was diagnosed to have severe anemia with evidence of occult blood in stool. After initial management, further workup was done to find out the source of bleeding. Upper and lower gastrointestinal endoscopy were normal. Computerized tomography enteroclysis showed no significant abnormality. Later small bowel enteroscopy was performed with the help of Novel Motorized Spiral Enteroscope in antegrade approach and scope passed through oral cavity up to cecum. Multiple angiodysplasia lesions seen in ileum. All the lesions were managed with argon plasma coagulation (APC). Postprocedure, patient improved well and hemoglobin also remained stable. Small bowel diseases always remain a diagnostic and therapeutic challenge, despite the introduction of various modalities for deep enteroscopy. Spiral enteroscopy is a recent advance which uses an overtube with a raised spiral at the distal end to pleat the small intestine. It consumes less time and suits for both diagnostic and therapeutic needs of small bowel diseases.http://www.thieme-connect.de/DOI/DOI?10.1055/s-0040-1713552small bowel bleedileal angiodysplasiaspiral enteroscope |
| spellingShingle | Sunil Raviraj Kothakota Madhu Sasidharan Harish Kareem Ajith K. Nair Small Bowel Angiodysplasia Managed with Novel Motorized Spiral Enteroscope: A Case Report Journal of Digestive Endoscopy small bowel bleed ileal angiodysplasia spiral enteroscope |
| title | Small Bowel Angiodysplasia Managed with Novel Motorized Spiral Enteroscope: A Case Report |
| title_full | Small Bowel Angiodysplasia Managed with Novel Motorized Spiral Enteroscope: A Case Report |
| title_fullStr | Small Bowel Angiodysplasia Managed with Novel Motorized Spiral Enteroscope: A Case Report |
| title_full_unstemmed | Small Bowel Angiodysplasia Managed with Novel Motorized Spiral Enteroscope: A Case Report |
| title_short | Small Bowel Angiodysplasia Managed with Novel Motorized Spiral Enteroscope: A Case Report |
| title_sort | small bowel angiodysplasia managed with novel motorized spiral enteroscope a case report |
| topic | small bowel bleed ileal angiodysplasia spiral enteroscope |
| url | http://www.thieme-connect.de/DOI/DOI?10.1055/s-0040-1713552 |
| work_keys_str_mv | AT sunilravirajkothakota smallbowelangiodysplasiamanagedwithnovelmotorizedspiralenteroscopeacasereport AT madhusasidharan smallbowelangiodysplasiamanagedwithnovelmotorizedspiralenteroscopeacasereport AT harishkareem smallbowelangiodysplasiamanagedwithnovelmotorizedspiralenteroscopeacasereport AT ajithknair smallbowelangiodysplasiamanagedwithnovelmotorizedspiralenteroscopeacasereport |