Radiology
HOME HELP FEEDBACK SUBSCRIPTIONS ARCHIVE SEARCH TABLE OF CONTENTS
QUICK SEARCH:   [advanced]


     

This Article
Right arrow Abstract Freely available
Right arrow Full Text
Right arrow Full Text (PDF)
Right arrow Submit a response
Right arrow Alert me when this article is cited
Right arrow Alert me when eLetters are posted
Right arrow Alert me if a correction is posted
Services
Right arrow Email this article to a friend
Right arrow Similar articles in this journal
Right arrow Similar articles in PubMed
Right arrow Alert me to new issues of the journal
Right arrow Download to citation manager
Right arrow reprints & permissions
Citing Articles
Right arrow Citing Articles via Google Scholar
Google Scholar
Right arrow Articles by Taruishi, M.
Right arrow Articles by Kohgo, Y.
Right arrow Search for Related Content
PubMed
Right arrow PubMed Citation
Right arrow Articles by Taruishi, M.
Right arrow Articles by Kohgo, Y.

Balloon-occluded Endoscopic Retrograde Ileography1

Masaki Taruishi, MD, Yusuke Saitoh, MD, Jiro Watari, MD, Toshifumi Ashida, MD, Tokiyoshi Ayabe, MD, Kiyokazu Takemura, MD, Kinichi Yokota, MD, Takeshi Obara, MD and Yutaka Kohgo, MD

1 From the Third Department of Internal Medicine, Asahikawa Medical College, 4-5-3-11 Nishikagura, Asahikawa 078-8510, Japan. Received March 3, 1998; revision requested May 6; final revision received June 21, 1999; accepted July 21. Address reprint requests to Y.S. (e-mail: y52015@asahikawa-med.ac.jp).



View larger version (27K):

[in a new window]
  		Figure 1. Schematic of procedure. A, The colonoscope is inserted into the terminal ileum, and a Teflon-coated guide wire is introduced through the forceps channel. B, The colonoscope is removed, and the guide wire is left in place in the ileum. C, A double-lumen silicone balloon tube is advanced over a guide wire into the ileum. D, The balloon is inflated with 20 mL of air in the ileum, and the guide wire is removed. E, About 100 mL of 70% wt/vol barium is injected through the balloon tube, followed by an adequate amount of air into the ileum. After several changes in position by the patient, an air-barium double-contrast ileographic image is obtained.

 


View larger version (207K):

[in a new window]
  		Figure 2. Balloon-occluded endoscopic retrograde ileographic image obtained in a 32-year-old man with Crohn disease. Multiple narrowing and linear ulcers (arrowheads) and aphthous erosions (arrows) are clearly demonstrated with little overlapping ileum.

 


View larger version (207K):

[in a new window]
  		Figure 3a. Balloon-occluded endoscopic retrograde ileographic images obtained in a 17-year-old adolescent boy with Crohn disease. (a) Air-barium double-contrast ileographic image depicts little overlapping ileum. (b) Minute shallow aphthous ulcers (arrows), lymphoid hyperplasia, and short linear ulcers (arrowheads) are evident.

 


View larger version (216K):

[in a new window]
  		Figure 3b. Balloon-occluded endoscopic retrograde ileographic images obtained in a 17-year-old adolescent boy with Crohn disease. (a) Air-barium double-contrast ileographic image depicts little overlapping ileum. (b) Minute shallow aphthous ulcers (arrows), lymphoid hyperplasia, and short linear ulcers (arrowheads) are evident.

 




HOME HELP FEEDBACK SUBSCRIPTIONS ARCHIVE SEARCH TABLE OF CONTENTS
RADIOLOGY RADIOGRAPHICS RSNA JOURNALS ONLINE
Copyright © 2000 by the Radiological Society of North America.