Enteroscopy is a procedure used to examine the small intestine (small bowel).
How the Test is Performed
A thin, flexible tube (endoscope) is inserted through the mouth and into the upper gastrointestinal tract. During a double-balloon enteroscopy, balloons attached to the endoscope can be inflated to allow the doctor to view a section of the small intestine.
An endoscope is a medical device with a light attached. It is used to look inside a body cavity or organ. The scope is inserted through a natural o...Read Article Now Book Mark Article
In a colonoscopy, a flexible tube is inserted through your rectum and colon. The tube can most often reach into the end part of the small intestine (ileum). Capsule endoscopy is done with a disposable capsule that you swallow.
A colonoscopy is an exam that views the inside of the colon (large intestine) and rectum, using a tool called a colonoscope. The colonoscope has a sm...Read Article Now Book Mark Article
Endoscopy is a way of looking inside the body. Endoscopy is often done with a tube put into the body that the doctor can use to look inside. Anothe...Read Article Now Book Mark Article
Tissue samples removed during enteroscopy are sent to the lab for examination. (Biopsies cannot be taken with a capsule endoscopy.)
How to Prepare for the Test
Do not take products containing aspirin for 1 week before the procedure. Tell your health care provider if you take blood thinners such as warfarin (Coumadin), clopidogrel (Plavix), or apixaban (Eliquis) because these may interfere with the test. Do not stop taking any medicine unless told to do so by your provider.
Do not eat any solid foods or milk products after midnight the day of your procedure. You may have clear liquids until 4 hours before your exam.
You must sign a consent form.
How the Test will Feel
You will be given calming and sedating medicine for the procedure and will not feel any discomfort. You may have some bloating or cramping when you wake up. This is from air that is pumped into the abdomen to expand the area during the procedure.
A capsule endoscopy causes no discomfort.
Why the Test is Performed
This test is most often performed to help diagnose diseases of the small intestines. It may be done if you have:
- Abnormal x-ray results
- Tumors in the small intestines
- Unexplained diarrhea
- Unexplained gastrointestinal bleeding
In a normal test result, the provider will not find sources of bleeding in the small bowel, and will not find any tumors or other abnormal tissue.
What Abnormal Results Mean
Signs may include:
- Abnormalities of the tissue lining the small intestine (mucosa) or the tiny, finger-like projections on the surface of the small intestine (villi)
- Abnormal lengthening of blood vessels (angioectasis) in the intestinal lining
- Immune cells called PAS-positive macrophages
- Polyps or cancer
- Radiation enteritis
- Swollen or enlarged lymph nodes or lymphatic vessels
Changes found on enteroscopy may be signs of disorders and conditions, including:
- Celiac sprue
- Crohn disease
- Folate or vitamin B12 deficiency
Folic acid and folate are both terms for a type of B vitamin (vitamin B9). Folate is a B vitamin that occurs naturally in foods such as green leafy v...Read Article Now Book Mark Article
- Infectious gastroenteritis
- Small intestinal angiectasia
- Small intestinal cancer
- Tropical sprue
- Whipple disease
Complications are rare but may include:
Factors that prohibit use of this test may include:
- Uncooperative or confused person
- Untreated blood clotting (coagulation) disorders
- Use of aspirin or other medicines that prevent the blood from clotting normally (anticoagulants)
The greatest risk is bleeding. Signs include:
Michael M. Phillips, MD, Emeritus Professor of Medicine, The George Washington University School of Medicine, Washington, DC. Also reviewed by David Zieve, MD, MHA, Medical Director, Brenda Conaway, Editorial Director, and the A.D.A.M. Editorial team.
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