Curbside Consultation in Endoscopy: 49 Clinical Questions, Second Edition

Joseph Leung, MD; Simon Lo, MD

Question 49: If I Suspect A Small Bowel Lesion, How Do I Choose Among Small-Bowel Series, Capsule Endoscopy, Ct Enterography, And Double-Balloon Enteroscopy As The Diagnostic Test? (continued)

Jamie S. Barkin, MD, MACP, MACG, FASGE, AGAF; Ravi K. Ghanta, MD

The classic approach to a patient with a suspected small bowel lesion has been to use small bowel series imaging as an initial diagnostic choice. However, recent advances in radiological and endoscopic technologies have provided a wider range of choices. Each test or procedure has its own availabilities, limitations, benefits, and drawbacks; therefore, the appropriate diagnostic choice should depend on the suspected problem, as well as the resources available to the clinician. The most common causes of obscure gastrointestinal bleeding (OGIB) in Western countries are vascular lesions…