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November 25, 2009
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Push Endoscopy
(Push Enteroscopy)

Medical Author: Jay W. Marks, MD
Medical Editor: Dennis Lee, MD

What is endoscopy?

Standard upper gastrointestinal endoscopes (120 cm flexible tubes with a light and camera on their tips) are capable of reaching only a foot or so past the stomach into the small intestine. If abnormalities are located within this area, these endoscopes have working channels through which surgical instruments can be passed so that diagnostic and therapeutic procedures such as biopsy and electrocautery can be done.

Many abnormalities of the small bowel, however, lie further along the small intestine beyond the reach of the standard upper gastrointestinal endoscopes. Sometimes a colonoscope, similar to the upper gastrointestinal endoscope but 180 cm in length, can be used to reach a little further into the small intestine, but the additional reach of colonoscopes is limited.

It is not the length of the endoscope that is the most important problem in reaching further into the small intestine. The problem is that the path of the endoscope through the stomach and duodenum is twisty and the endoscopes curl in the stomach. In addition, the small intestine is not fixed in place, and this makes advancement of the endoscopes even more difficult.



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Push Endoscopy

What Is Digestion?

Digestion is the complex process of turning the food you eat into the energy you need to survive. The digestion process also involves creating waste to be eliminated.

The digestive tract (or gut) is a long twisting tube that starts at the mouth and ends at the anus. It is made up of a series of muscles that coordinate the movement of food and other cells that produce enzymes and hormones to aid in the breakdown of food. Along the way are three other organs that are needed for digestion: the liver, gallbladder and the pancreas.

Food's Journey

Stop 1: The Mouth

The mouth is the beginning of the digestive tract, and, in fact, digestion starts here before you even take the first bite of a meal. The smell of food triggers the salivary glands in your mouth to secrete saliva, causing your mouth to water. When you actually taste the food, saliva increases.

Once you ...

Read the The Digestive System article »










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