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Файл:Ординатура / Хирургия / Библиотека им академика М.И. Перельмана / Книга_5540_Библиотеки_им_академика_М_И_Перельмана.pdf
134
S. N. Hong
7.4.2 Small-Bowel Diverticulum
(A), (B) Luminal out-pouching diverticulum in the second duodenal portion around
the ampulla of Vater
(C), (D) Luminal out-pouching diverticulum in the proximal ileum.
a
c
b
d
7.5 Miscellaneous Small-Bowel Disease
7.5.1 Amyloidosis
(A) (B) Atypical diffuse edematous and hyperemic mucosal changes with fragility
and inltration with an irregularly shaped material
(C) Luminal narrowing with edematous mucosa with hypertrophied villi in the
jejunum.
7 Atlas ofSmall Bowel Diseases Diagnosed by Balloon-Assisted Enteroscopy
135
a
b
c
7.5.2 Foreign Body intheSmall Bowel
(A–D) Retention of the capsule endoscope at the site of jejunal stricture in a patient
with Crohn’s disease. Endoscopic balloon dilation was performed, and the cap-
sule endoscope was retrieved with a snare
(E–G) Removal of a displaced esophageal stent in the proximal jejunum.
136
ab
f
S. N. Hong
c
e
d
ab
7 Atlas ofSmall Bowel Diseases Diagnosed by Balloon-Assisted Enteroscopy
137
7.5.3 Intestinal Adhesion
(A), (B) Intestinal adhesions in a patient with a history of abdominal surgery. During
balloon-assisted enteroscopy, the small bowel was xed and difcult to advance.
The mucosa was normal. However, the lumen was shrunken, and the bowel did
not distend when air was insufated.
References
1. Hong SN, Kim ER, Ye BD, Jang HJ, Jeon SR, etal. Indications, diagnostic yield, and complica-
tion rate of balloon-assisted enteroscopy (BAE) during the rst decade of its use in Korea. Dig
Endosc. 2016;28(4):443–9. https://doi.org/10.1111/den.12593.
2. Hong YS, Woo YS, Park G, Lee K, Kang SH, etal. Endoscopic ndings of enteropathy-
associated T-cell lymphoma type II: a case series. Gut Liver. 2016;10(1):147–51. https://doi.
org/10.5009/gnl14457.
3. Yamamoto H, Sakamoto H, Kumagai H, Abe T, Ishiguro S, et al. Clinical guidelines for
diagnosis and Management of Peutz-Jeghers Syndrome in children and adults. Digestion.
2023;104(5):335–47. https://doi.org/10.1159/000529799.
4. Na JE, Kim HS, Hong SN, Song KD, Kim JE, etal. Comparison of an endoscopic scoring
system and the simplied magnetic resonance index of activity in patients with small bowel
Crohn’s disease. Gut Liver. 2024;18(1):97–105. https://doi.org/10.5009/gnl220422. Epub 2023
Apr 4. PMID: 37013455; PMCID: PMC10791503
5. Hong SN, Kim JE, Kim ER, Chang DK, Kim YH.Enteroscopic balloon dilation in small bowel
Stricturing Crohn’s disease: long-term outcomes and risk factors for surgery in a single-Center
prospective observational study. United European Gastroenterol J. 2025. Epub ahead of print;
https://doi.org/10.1002/ueg2.12775.
6. Yano T, Yamamoto H, Sunada K, Miyata T, Iwamoto M, etal. Endoscopic classication of
vascular lesions of the small intestine (with videos). Gastrointest Endosc. 2008;67(1):169–72.
https://doi.org/10.1016/j.gie.2007.08.005.
7. Hong SN, Jang HJ, Ye BD, Jeon SR, Im JP, etal. Diagnosis of bleeding Meckel’s diverticulum
in adults. PLoS One. 2016;11(9):e0162615. https://doi.org/10.1371/journal.pone.0162615.