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push enteroscopy
Indications:
- obscure GI bleed localized to the distal duodenum or proximal jejunum with capsule endoscopy [1]
Procedure:
- push enteroscopy
a) uses a long endoscope designed to be passed into the jejunum
b) working channel of the endoscope allows for biopsy of lesions & cauterization of bleeding sites
c) endoscope can be advanced 150 cm past the gastric pylorus, depending upon anatomy of patient & operator skill [1]
Complications:
- push enteroscopy
a) mucosal ulceration & avulsion
b) hemorrhage
c) intestinal perforation [1]
Related
capsule endoscopy
double-balloon enteroscopy (push & pull enteroscopy)
Sonde enteroscopy
General
upper gastrointestinal (GI) endoscopy; esophagogastroduodenoscopy (EGD)
References
- Medical Knowledge Self Assessment Program (MKSAP) 11, 14, 15,
17. American College of Physicians, Philadelphia 1998, 2006,
2009, 2015
- Nguyen NQ et al
Push Enteroscopy Alters Management in a Majority of Patients
With Obscure Gastrointestinal Bleeding
MedScape from WebMD
http://www.medscape.com/viewarticle/502867