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November 22, 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 Crohn's disease?

Crohn's disease is a chronic inflammatory disease of the intestines. It primarily causes ulcerations (breaks in the lining) of the small and large intestines, but can affect the digestive system anywhere from the mouth to the anus. It is named after the physician who described the disease in 1932. It also is called granulomatous enteritis or colitis, regional enteritis, ileitis, or terminal ileitis.

Crohn's disease is related closely to another chronic inflammatory condition that involves only the colon called ulcerative colitis. Together, Crohn's disease and ulcerative colitis are frequently referred to as inflammatory bowel disease (IBD). Ulcerative colitis and Crohn's disease have no medical cure. Once the diseases begin, they tend to fluctuate between periods of inactivity (remission) and activity (relapse). They affect approximately 500,000 to two million people in the United States. Men and women are equally affected. IBD m...

Read the Crohn's Disease article »










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