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Infectious Diseases of the Small Intestine

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Video Capsule Endoscopy

Abstract

Most infections that involve the small bowel are self-limiting, and endoscopic examination is rarely indicated in these cases. Suspicion of microbial enteritis can be confirmed by stool cultures and, if necessary, by detection of toxins or antigens. Persistent diarrhea and associated symptoms such as weight loss, fever, arthralgia, and neurologic deficits or findings such as anemia, inflammatory signs, eosinophilia, or signs of malabsorption warrant further investigation. Besides microscopic stool examination, the main tool for this purpose is flexible endoscopy with tissue sampling from the duodenum, terminal ileum, and colon. Video capsule endoscopy (VCE) can sometimes reveal changes in the jejunum or ileum, and it has a high negative predictive value to exclude such lesions. Its usefulness is limited by its inability to obtain biopsy specimens, but it can direct the type and approach of subsequent enteroscopy by providing information on localization and extent of the detected lesions.

The work was first published in 2006 by Springer Medizin Verlag Heidelberg with the following title: Atlas of Video Capsule Endoscopy.

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Authors and Affiliations

  1. Department of Internal Medicine, Bethesda Krankenhaus Bergedorf, Hamburg, Germany

    Peter Baltes & Martin Keuchel MD

  2. Department of Gastroenterology, University of Sao Paulo, Sao Paulo, Brazil

    Adriana Safatle-Ribeiro

  3. Department of Medical Gastroenterology, Asian Institute of Gastroenterology, Hyderabad, India

    D. Nageshwar Reddy

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  1. Peter Baltes
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  2. Adriana Safatle-Ribeiro
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  3. Martin Keuchel MD
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  4. D. Nageshwar Reddy
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Corresponding author

Correspondence to Peter Baltes .

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Editors and Affiliations

  1. Department of Internal Medicine, Bethesda Krankenhaus Bergedorf, Academic Teaching Hospital of the University of Hamburg, Hamburg, Germany

    Martin Keuchel

  2. 1st Medical Department, Asklepios Klinik Altona, Academic Teaching Hospital of the University of Hamburg, Hamburg, Germany

    Friedrich Hagenmüller

  3. Dept. Internal Medicine, Division of Gastroenterology and Hepatology, The Jikei University School of Medicine, Tokyo, Japan

    Hisao Tajiri

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Baltes, P., Safatle-Ribeiro, A., Keuchel, M., Reddy, D.N. (2014). Infectious Diseases of the Small Intestine. In: Keuchel, M., Hagenmüller, F., Tajiri, H. (eds) Video Capsule Endoscopy. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-662-44062-9_28

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  • DOI: https://doi.org/10.1007/978-3-662-44062-9_28

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