The Experts below are selected from a list of 84 Experts worldwide ranked by ideXlab platform

Dian-yuan Zhou - One of the best experts on this subject based on the ideXlab platform.

  • The diagnostic value of double balloon endoscopy in Small Intestine Disease
    Zhonghua nei ke za zhi, 2007
    Co-Authors: Fa-chao Zhi, Hui Yue, Yang Bai, Bo Jiang, Bing Xiao, Dian-yuan Zhou
    Abstract:

    OBJECTIVE To study the diagnostic value of double-balloon endoscopy (DBE) for Small intestinal Diseases. METHODS 155 patients clinically suspicious of Small intestinal Diseases were studied. 110 of them were male and 45 female. Their age ranged from 6 to 75 and with an average of 41 years. They consisted of 92 cases of Small intestinal hemorrhage, 39 abdominal pain, 7 diarrhoea, 13 abdominal distention, 3 malnutrition and one diarrhoea as well as refractory hypoalbuminemia. In the procedure, the operator manipulated and advanced the endoscope and the assistant helped to advance the over tube. RESULTS Among the 155 cases lesions were found in 125 cases, with positive results accounting for 80.6%. These lesions mainly consisted of Small intestinal ulcer (including Crohn's Disease), chronic inflammation, Meckel's diverticulum, interstizialoma, vascular deformity and carcinoma of Small Intestine. In 84 of the 92 patients suspicious of intestinal hemorrhage the lesions were confirmed with a positive rate of 91.3%. In 24 of the 39 patients with abdomen pain the etiologies were confirmed with a positive rate of 61.5%. In 16 of the 23 patients with diarrhoea, abdominal distention and malnutrition the positive rate was 69.6%. The cause of the only one case with refractory hypoalbuminemia was confirmed. Among the 155 cases, 9 had lesions located in stomach and duodenum, 115 in Small Intestine and one in large bowel, no lesion was found in 30 cases. Among the patients, 43 were found to have Small intestinal ulcer. In the 43 patients, 12 patients were with single intestinal ulcer and 31 with multiple. For cases of Meckel's diverticulum, interstizialoma, carcinoma, vascular deformity and intestinal adhesion of Small Intestine in this series, diagnoses made by DBE combined with morphology were completely consistent with those found in operation. However, for ulcer lesions (mainly Crohn's Disease), there was diversity in the diagnoses between the two methods, the coincidence was 57.1%. Two patients had complication, one perforation of Small Intestine and the other acute intestinal stasis. CONCLUSIONS DBE is efficient and safe for the diagnosis of Small intestinal Diseases, especially in confirming the lesions. However, for ulcer of Small Intestine, this method even combined with biopsy is sometimes unable to determine its nature, so surgery may be beneficial in this condition.

  • Diagnostic value of double balloon enteroscopy for Small-intestinal Disease: experience from China.
    Gastrointestinal endoscopy, 2007
    Co-Authors: Fa-chao Zhi, Hui Yue, Yang Bai, Bo Jiang, Bing Xiao, Dian-yuan Zhou
    Abstract:

    Diseases of the Small Intestine include, among others, ulceration, chronic inflammation, Meckel's diverticula, vascular deformities, and cancer. To study the diagnostic value of double balloon enteroscopy (DBE) for Small-intestinal Disease in a Chinese patient cohort. DBE was performed via the mouth, anus, or both approaches to diagnose Small-intestinal Disease. We studied 155 patients with clinically suspected Small-intestinal Disease: 110 men and 45 women. Their age ranged from 6 to 75 (mean 41). There were 92 cases with Small-intestinal hemorrhage, 39 with abdominal pain, 7 with diarrhea, 13 with abdominal distention, 3 cases with malnutrition, and 1 with diarrhea and refractory hypoalbuminemia. Among the 155 patients, lesions were found in 126 (81.3%). These lesions found were Small-intestinal ulcers (including Crohn's Disease), chronic inflammation, Meckel's diverticulae, vascular deformities, and carcinoma. Eighty-five of the 92 patients with suspected intestinal hemorrhage were confirmed, with a positive rate of 92.4%. Also confirmed were 24 of the 39 patients with abdominal pain (positive rate of 61.5%); 16 of the 23 patients with diarrhea, abdominal distention, or malnutrition (positive rate of 69.6%); and 1 patient with refractory hypoalbuminemia. Among the 126 patients with positive findings, the lesions were located in the Small Intestine in 116 patients, in the stomach and duodenum in 9 patients, and in the colon in 1 patient. In the 45 patients with Small-intestinal ulcer, 29 patients had recurrent hemorrhage, 9 had abdominal pain, 4 had abdominal distention, 2 had malnutrition, and 1 had diarrhea. Ulcers were located in the jejunum in 20 patients, in the ileum in 20 patients, and in both the jejunum and ileum in 5 patients. For 7 patients with Small-intestinal ulceration diagnosed as Crohn's Disease, the concordance rate of diagnosis between preoperative and postoperative diagnosis was 57.1%, lower than other Diseases (P < .01). One patient had a perforation. DBE is effective and safe for the diagnosis of Small-Intestine Disease in a Chinese patient cohort.

Fa-chao Zhi - One of the best experts on this subject based on the ideXlab platform.

  • The diagnostic value of double balloon endoscopy in Small Intestine Disease
    Zhonghua nei ke za zhi, 2007
    Co-Authors: Fa-chao Zhi, Hui Yue, Yang Bai, Bo Jiang, Bing Xiao, Dian-yuan Zhou
    Abstract:

    OBJECTIVE To study the diagnostic value of double-balloon endoscopy (DBE) for Small intestinal Diseases. METHODS 155 patients clinically suspicious of Small intestinal Diseases were studied. 110 of them were male and 45 female. Their age ranged from 6 to 75 and with an average of 41 years. They consisted of 92 cases of Small intestinal hemorrhage, 39 abdominal pain, 7 diarrhoea, 13 abdominal distention, 3 malnutrition and one diarrhoea as well as refractory hypoalbuminemia. In the procedure, the operator manipulated and advanced the endoscope and the assistant helped to advance the over tube. RESULTS Among the 155 cases lesions were found in 125 cases, with positive results accounting for 80.6%. These lesions mainly consisted of Small intestinal ulcer (including Crohn's Disease), chronic inflammation, Meckel's diverticulum, interstizialoma, vascular deformity and carcinoma of Small Intestine. In 84 of the 92 patients suspicious of intestinal hemorrhage the lesions were confirmed with a positive rate of 91.3%. In 24 of the 39 patients with abdomen pain the etiologies were confirmed with a positive rate of 61.5%. In 16 of the 23 patients with diarrhoea, abdominal distention and malnutrition the positive rate was 69.6%. The cause of the only one case with refractory hypoalbuminemia was confirmed. Among the 155 cases, 9 had lesions located in stomach and duodenum, 115 in Small Intestine and one in large bowel, no lesion was found in 30 cases. Among the patients, 43 were found to have Small intestinal ulcer. In the 43 patients, 12 patients were with single intestinal ulcer and 31 with multiple. For cases of Meckel's diverticulum, interstizialoma, carcinoma, vascular deformity and intestinal adhesion of Small Intestine in this series, diagnoses made by DBE combined with morphology were completely consistent with those found in operation. However, for ulcer lesions (mainly Crohn's Disease), there was diversity in the diagnoses between the two methods, the coincidence was 57.1%. Two patients had complication, one perforation of Small Intestine and the other acute intestinal stasis. CONCLUSIONS DBE is efficient and safe for the diagnosis of Small intestinal Diseases, especially in confirming the lesions. However, for ulcer of Small Intestine, this method even combined with biopsy is sometimes unable to determine its nature, so surgery may be beneficial in this condition.

  • Diagnostic value of double balloon enteroscopy for Small-intestinal Disease: experience from China.
    Gastrointestinal endoscopy, 2007
    Co-Authors: Fa-chao Zhi, Hui Yue, Yang Bai, Bo Jiang, Bing Xiao, Dian-yuan Zhou
    Abstract:

    Diseases of the Small Intestine include, among others, ulceration, chronic inflammation, Meckel's diverticula, vascular deformities, and cancer. To study the diagnostic value of double balloon enteroscopy (DBE) for Small-intestinal Disease in a Chinese patient cohort. DBE was performed via the mouth, anus, or both approaches to diagnose Small-intestinal Disease. We studied 155 patients with clinically suspected Small-intestinal Disease: 110 men and 45 women. Their age ranged from 6 to 75 (mean 41). There were 92 cases with Small-intestinal hemorrhage, 39 with abdominal pain, 7 with diarrhea, 13 with abdominal distention, 3 cases with malnutrition, and 1 with diarrhea and refractory hypoalbuminemia. Among the 155 patients, lesions were found in 126 (81.3%). These lesions found were Small-intestinal ulcers (including Crohn's Disease), chronic inflammation, Meckel's diverticulae, vascular deformities, and carcinoma. Eighty-five of the 92 patients with suspected intestinal hemorrhage were confirmed, with a positive rate of 92.4%. Also confirmed were 24 of the 39 patients with abdominal pain (positive rate of 61.5%); 16 of the 23 patients with diarrhea, abdominal distention, or malnutrition (positive rate of 69.6%); and 1 patient with refractory hypoalbuminemia. Among the 126 patients with positive findings, the lesions were located in the Small Intestine in 116 patients, in the stomach and duodenum in 9 patients, and in the colon in 1 patient. In the 45 patients with Small-intestinal ulcer, 29 patients had recurrent hemorrhage, 9 had abdominal pain, 4 had abdominal distention, 2 had malnutrition, and 1 had diarrhea. Ulcers were located in the jejunum in 20 patients, in the ileum in 20 patients, and in both the jejunum and ileum in 5 patients. For 7 patients with Small-intestinal ulceration diagnosed as Crohn's Disease, the concordance rate of diagnosis between preoperative and postoperative diagnosis was 57.1%, lower than other Diseases (P < .01). One patient had a perforation. DBE is effective and safe for the diagnosis of Small-Intestine Disease in a Chinese patient cohort.

Chun-jun Lin - One of the best experts on this subject based on the ideXlab platform.

  • Double Balloon Enteroscopy–The Last Blind-Point of the Gastrointestinal Tract
    Digestive Diseases and Sciences, 2005
    Co-Authors: Nai-jen Liu, Chen-ming Hsu, Cheng-tang Chiu, Pang-chi Chen, Chun-jun Lin
    Abstract:

    Technical challenges have obstructed the diagnosis and treatment of Small Intestine Disease. An innovative form of enteroscopy—the double balloon method—permits visualization of the complete Small Intestine, to-and-fro examination of an area of interest, and biopsy and endoscopic procedures which are safer, faster, and less painful than earlier methods. From October 2003 to May 2004, a total of 10 patients with obscure gastrointestinal bleeding received 12 enteroscopic examinations, 8 per oral and 4 per rectal examinations, while 2 patients received per oral enteroscopy first and further per rectal procedures 2 days later. Two cases with intestinal submucosal tumors were discovered by per oral enteroscopy, one with a 5-cm SMT with reddish mucosa at the jejunum and another with a 4-cm SMT and surface ulceration, in which the biopsy showed GIST. Both patients received an operation later. Four patients were found to have intestinal angiodysplasia in jejunum(per oral) and one in ileum (per rectal), and after local therapy bleeding stopped. Multiple angiodysplasias were observed in a patient who was operated on for active bleeding from the ileum after Indian ink tattooing. The two patients who received per oral and per rectal procedures did not display definite Small intestinal lesions. All patients underwent the procedures satisfactorily without any complications, and the examination times varied from 90 to 360 min. Double balloon enteroscopy permits deep insertion of an endoscope into the Small Intestine without excessive stretching of the intestinal tract. This method can use either an oral or an anal approach. To-and-fro observation of almost the complete Small Intestine is possible, as are interventions.

Bing Xiao - One of the best experts on this subject based on the ideXlab platform.

  • The diagnostic value of double balloon endoscopy in Small Intestine Disease
    Zhonghua nei ke za zhi, 2007
    Co-Authors: Fa-chao Zhi, Hui Yue, Yang Bai, Bo Jiang, Bing Xiao, Dian-yuan Zhou
    Abstract:

    OBJECTIVE To study the diagnostic value of double-balloon endoscopy (DBE) for Small intestinal Diseases. METHODS 155 patients clinically suspicious of Small intestinal Diseases were studied. 110 of them were male and 45 female. Their age ranged from 6 to 75 and with an average of 41 years. They consisted of 92 cases of Small intestinal hemorrhage, 39 abdominal pain, 7 diarrhoea, 13 abdominal distention, 3 malnutrition and one diarrhoea as well as refractory hypoalbuminemia. In the procedure, the operator manipulated and advanced the endoscope and the assistant helped to advance the over tube. RESULTS Among the 155 cases lesions were found in 125 cases, with positive results accounting for 80.6%. These lesions mainly consisted of Small intestinal ulcer (including Crohn's Disease), chronic inflammation, Meckel's diverticulum, interstizialoma, vascular deformity and carcinoma of Small Intestine. In 84 of the 92 patients suspicious of intestinal hemorrhage the lesions were confirmed with a positive rate of 91.3%. In 24 of the 39 patients with abdomen pain the etiologies were confirmed with a positive rate of 61.5%. In 16 of the 23 patients with diarrhoea, abdominal distention and malnutrition the positive rate was 69.6%. The cause of the only one case with refractory hypoalbuminemia was confirmed. Among the 155 cases, 9 had lesions located in stomach and duodenum, 115 in Small Intestine and one in large bowel, no lesion was found in 30 cases. Among the patients, 43 were found to have Small intestinal ulcer. In the 43 patients, 12 patients were with single intestinal ulcer and 31 with multiple. For cases of Meckel's diverticulum, interstizialoma, carcinoma, vascular deformity and intestinal adhesion of Small Intestine in this series, diagnoses made by DBE combined with morphology were completely consistent with those found in operation. However, for ulcer lesions (mainly Crohn's Disease), there was diversity in the diagnoses between the two methods, the coincidence was 57.1%. Two patients had complication, one perforation of Small Intestine and the other acute intestinal stasis. CONCLUSIONS DBE is efficient and safe for the diagnosis of Small intestinal Diseases, especially in confirming the lesions. However, for ulcer of Small Intestine, this method even combined with biopsy is sometimes unable to determine its nature, so surgery may be beneficial in this condition.

  • Diagnostic value of double balloon enteroscopy for Small-intestinal Disease: experience from China.
    Gastrointestinal endoscopy, 2007
    Co-Authors: Fa-chao Zhi, Hui Yue, Yang Bai, Bo Jiang, Bing Xiao, Dian-yuan Zhou
    Abstract:

    Diseases of the Small Intestine include, among others, ulceration, chronic inflammation, Meckel's diverticula, vascular deformities, and cancer. To study the diagnostic value of double balloon enteroscopy (DBE) for Small-intestinal Disease in a Chinese patient cohort. DBE was performed via the mouth, anus, or both approaches to diagnose Small-intestinal Disease. We studied 155 patients with clinically suspected Small-intestinal Disease: 110 men and 45 women. Their age ranged from 6 to 75 (mean 41). There were 92 cases with Small-intestinal hemorrhage, 39 with abdominal pain, 7 with diarrhea, 13 with abdominal distention, 3 cases with malnutrition, and 1 with diarrhea and refractory hypoalbuminemia. Among the 155 patients, lesions were found in 126 (81.3%). These lesions found were Small-intestinal ulcers (including Crohn's Disease), chronic inflammation, Meckel's diverticulae, vascular deformities, and carcinoma. Eighty-five of the 92 patients with suspected intestinal hemorrhage were confirmed, with a positive rate of 92.4%. Also confirmed were 24 of the 39 patients with abdominal pain (positive rate of 61.5%); 16 of the 23 patients with diarrhea, abdominal distention, or malnutrition (positive rate of 69.6%); and 1 patient with refractory hypoalbuminemia. Among the 126 patients with positive findings, the lesions were located in the Small Intestine in 116 patients, in the stomach and duodenum in 9 patients, and in the colon in 1 patient. In the 45 patients with Small-intestinal ulcer, 29 patients had recurrent hemorrhage, 9 had abdominal pain, 4 had abdominal distention, 2 had malnutrition, and 1 had diarrhea. Ulcers were located in the jejunum in 20 patients, in the ileum in 20 patients, and in both the jejunum and ileum in 5 patients. For 7 patients with Small-intestinal ulceration diagnosed as Crohn's Disease, the concordance rate of diagnosis between preoperative and postoperative diagnosis was 57.1%, lower than other Diseases (P < .01). One patient had a perforation. DBE is effective and safe for the diagnosis of Small-Intestine Disease in a Chinese patient cohort.

Bo Jiang - One of the best experts on this subject based on the ideXlab platform.

  • The diagnostic value of double balloon endoscopy in Small Intestine Disease
    Zhonghua nei ke za zhi, 2007
    Co-Authors: Fa-chao Zhi, Hui Yue, Yang Bai, Bo Jiang, Bing Xiao, Dian-yuan Zhou
    Abstract:

    OBJECTIVE To study the diagnostic value of double-balloon endoscopy (DBE) for Small intestinal Diseases. METHODS 155 patients clinically suspicious of Small intestinal Diseases were studied. 110 of them were male and 45 female. Their age ranged from 6 to 75 and with an average of 41 years. They consisted of 92 cases of Small intestinal hemorrhage, 39 abdominal pain, 7 diarrhoea, 13 abdominal distention, 3 malnutrition and one diarrhoea as well as refractory hypoalbuminemia. In the procedure, the operator manipulated and advanced the endoscope and the assistant helped to advance the over tube. RESULTS Among the 155 cases lesions were found in 125 cases, with positive results accounting for 80.6%. These lesions mainly consisted of Small intestinal ulcer (including Crohn's Disease), chronic inflammation, Meckel's diverticulum, interstizialoma, vascular deformity and carcinoma of Small Intestine. In 84 of the 92 patients suspicious of intestinal hemorrhage the lesions were confirmed with a positive rate of 91.3%. In 24 of the 39 patients with abdomen pain the etiologies were confirmed with a positive rate of 61.5%. In 16 of the 23 patients with diarrhoea, abdominal distention and malnutrition the positive rate was 69.6%. The cause of the only one case with refractory hypoalbuminemia was confirmed. Among the 155 cases, 9 had lesions located in stomach and duodenum, 115 in Small Intestine and one in large bowel, no lesion was found in 30 cases. Among the patients, 43 were found to have Small intestinal ulcer. In the 43 patients, 12 patients were with single intestinal ulcer and 31 with multiple. For cases of Meckel's diverticulum, interstizialoma, carcinoma, vascular deformity and intestinal adhesion of Small Intestine in this series, diagnoses made by DBE combined with morphology were completely consistent with those found in operation. However, for ulcer lesions (mainly Crohn's Disease), there was diversity in the diagnoses between the two methods, the coincidence was 57.1%. Two patients had complication, one perforation of Small Intestine and the other acute intestinal stasis. CONCLUSIONS DBE is efficient and safe for the diagnosis of Small intestinal Diseases, especially in confirming the lesions. However, for ulcer of Small Intestine, this method even combined with biopsy is sometimes unable to determine its nature, so surgery may be beneficial in this condition.

  • Diagnostic value of double balloon enteroscopy for Small-intestinal Disease: experience from China.
    Gastrointestinal endoscopy, 2007
    Co-Authors: Fa-chao Zhi, Hui Yue, Yang Bai, Bo Jiang, Bing Xiao, Dian-yuan Zhou
    Abstract:

    Diseases of the Small Intestine include, among others, ulceration, chronic inflammation, Meckel's diverticula, vascular deformities, and cancer. To study the diagnostic value of double balloon enteroscopy (DBE) for Small-intestinal Disease in a Chinese patient cohort. DBE was performed via the mouth, anus, or both approaches to diagnose Small-intestinal Disease. We studied 155 patients with clinically suspected Small-intestinal Disease: 110 men and 45 women. Their age ranged from 6 to 75 (mean 41). There were 92 cases with Small-intestinal hemorrhage, 39 with abdominal pain, 7 with diarrhea, 13 with abdominal distention, 3 cases with malnutrition, and 1 with diarrhea and refractory hypoalbuminemia. Among the 155 patients, lesions were found in 126 (81.3%). These lesions found were Small-intestinal ulcers (including Crohn's Disease), chronic inflammation, Meckel's diverticulae, vascular deformities, and carcinoma. Eighty-five of the 92 patients with suspected intestinal hemorrhage were confirmed, with a positive rate of 92.4%. Also confirmed were 24 of the 39 patients with abdominal pain (positive rate of 61.5%); 16 of the 23 patients with diarrhea, abdominal distention, or malnutrition (positive rate of 69.6%); and 1 patient with refractory hypoalbuminemia. Among the 126 patients with positive findings, the lesions were located in the Small Intestine in 116 patients, in the stomach and duodenum in 9 patients, and in the colon in 1 patient. In the 45 patients with Small-intestinal ulcer, 29 patients had recurrent hemorrhage, 9 had abdominal pain, 4 had abdominal distention, 2 had malnutrition, and 1 had diarrhea. Ulcers were located in the jejunum in 20 patients, in the ileum in 20 patients, and in both the jejunum and ileum in 5 patients. For 7 patients with Small-intestinal ulceration diagnosed as Crohn's Disease, the concordance rate of diagnosis between preoperative and postoperative diagnosis was 57.1%, lower than other Diseases (P < .01). One patient had a perforation. DBE is effective and safe for the diagnosis of Small-Intestine Disease in a Chinese patient cohort.