Magnifying endoscopy of the duodenum with dye scattering method in a case with celiac disease

Author:

Morishita Tetsuo1,Kamiya Toshiaki2,Ishii Hiromasa3

Affiliation:

1. Tokyo Dental College, Japan

2. Christian University of Bolivia, Bolivia

3. Keio University, Japan

Abstract

AIM: To know the more detailed findings of the small intestinal mucosa with the use of a magnifying endoscope and a vital dye, and the efficacy of the both tools. PATIENT AND METHODS: A 54-year old female patient with celiac disease. The duodenal mucosa downward as far as the descending portion was observed with a magnifying endoscope (Olympus GIF HM) before and after spraying the mucosa with 0.1% indigo carmine. RESULTS: The endoscopy clarified the atrophy and edema of each villus, and scattering of the dye revealed shorter villi with the relatively longer villi remaining in islands. CONCLUSION: The combination of magnifying endoscopy and the dye scattering method is useful for closer observation of the intestinal mucosa in celiac diseases.

Publisher

FapUNIFESP (SciELO)

Subject

Gastroenterology

Reference20 articles.

1. Endoscopic demonstration of loss of duodenal folds in the diagnosis of celiac disease;Brocchi E;N Eng J Med,1988

2. Unsuspected celiac disease diagnosed by endoscopic visualization of duodenal bulb micronodules;Brocchi E;Gastrointest Endosc,1996

3. Coeliac disease diagnosed by means of duodenoscopy and endoscopic duodenal biopsy;Gillberg R;Scand J Gastroenterol,1977

4. Examination of the magnified mucosal surface and pathological changes of the human intestine;Hiratsuka H;Stomach and Intestine,,1978

5. Scalloped valvulae conniventes: an endoscopic marker of celiac sprue;Jabbari M;Gastroenterology,1988

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