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Application of novel magnified single balloon enteroscopy for a patient with Cronkhite-Canada syndrome.
World J Gastroenterol. 2017 Jun 14; 23(22):4121-4126.WJ

Abstract

We present a case of Cronkhite-Canada syndrome (CCS) in which the entire intestine was observed using a prototype of magnifying single-balloon enteroscope (SIF Y-0007, Olympus). CCS is a rare, non-familial gastrointestinal polyposis with ectodermal abnormalities. To our knowledge, this is the first report showing magnified intestinal lesions of CCS. A 73-year-old female visited our hospital with complaints of diarrhea and dysgeusia. The blood test showed mild anemia and hypoalbuminemia. The esophagogastroduodenoscopy and colonoscopy revealed diffuse and reddened sessile to semi-pedunculated polyps, resulting in the diagnosis of CCS. In addition to the findings of conventional balloon-assisted enteroscopy or capsule endoscopy, magnifying observation revealed tiny granular structures, non-uniformity of the villus, irregular caliber of the loop-like capillaries, scattered white spots in the villous tip, and patchy redness of the villus. Histologically, the scattered white spots and patchy redness of the villus reflect lymphangiectasia and bleeding to interstitium, respectively.

Authors+Show Affiliations

Masaki Murata, Shigeki Bamba, Kenichiro Takahashi, Hirotsugu Imaeda, Atsushi Nishida, Osamu Inatomi, Akira Andoh, Department of Medicine, Shiga University of Medical Science, Seta-Tsukinowa, Otsu 520-2192, Japan.Masaki Murata, Shigeki Bamba, Kenichiro Takahashi, Hirotsugu Imaeda, Atsushi Nishida, Osamu Inatomi, Akira Andoh, Department of Medicine, Shiga University of Medical Science, Seta-Tsukinowa, Otsu 520-2192, Japan.Masaki Murata, Shigeki Bamba, Kenichiro Takahashi, Hirotsugu Imaeda, Atsushi Nishida, Osamu Inatomi, Akira Andoh, Department of Medicine, Shiga University of Medical Science, Seta-Tsukinowa, Otsu 520-2192, Japan.Masaki Murata, Shigeki Bamba, Kenichiro Takahashi, Hirotsugu Imaeda, Atsushi Nishida, Osamu Inatomi, Akira Andoh, Department of Medicine, Shiga University of Medical Science, Seta-Tsukinowa, Otsu 520-2192, Japan.Masaki Murata, Shigeki Bamba, Kenichiro Takahashi, Hirotsugu Imaeda, Atsushi Nishida, Osamu Inatomi, Akira Andoh, Department of Medicine, Shiga University of Medical Science, Seta-Tsukinowa, Otsu 520-2192, Japan.Masaki Murata, Shigeki Bamba, Kenichiro Takahashi, Hirotsugu Imaeda, Atsushi Nishida, Osamu Inatomi, Akira Andoh, Department of Medicine, Shiga University of Medical Science, Seta-Tsukinowa, Otsu 520-2192, Japan.Masaki Murata, Shigeki Bamba, Kenichiro Takahashi, Hirotsugu Imaeda, Atsushi Nishida, Osamu Inatomi, Akira Andoh, Department of Medicine, Shiga University of Medical Science, Seta-Tsukinowa, Otsu 520-2192, Japan.Masaki Murata, Shigeki Bamba, Kenichiro Takahashi, Hirotsugu Imaeda, Atsushi Nishida, Osamu Inatomi, Akira Andoh, Department of Medicine, Shiga University of Medical Science, Seta-Tsukinowa, Otsu 520-2192, Japan.Masaki Murata, Shigeki Bamba, Kenichiro Takahashi, Hirotsugu Imaeda, Atsushi Nishida, Osamu Inatomi, Akira Andoh, Department of Medicine, Shiga University of Medical Science, Seta-Tsukinowa, Otsu 520-2192, Japan.Masaki Murata, Shigeki Bamba, Kenichiro Takahashi, Hirotsugu Imaeda, Atsushi Nishida, Osamu Inatomi, Akira Andoh, Department of Medicine, Shiga University of Medical Science, Seta-Tsukinowa, Otsu 520-2192, Japan.

Pub Type(s)

Case Reports
Journal Article
Video-Audio Media

Language

eng

PubMed ID

28652665

Citation

Murata, Masaki, et al. "Application of Novel Magnified Single Balloon Enteroscopy for a Patient With Cronkhite-Canada Syndrome." World Journal of Gastroenterology, vol. 23, no. 22, 2017, pp. 4121-4126.
Murata M, Bamba S, Takahashi K, et al. Application of novel magnified single balloon enteroscopy for a patient with Cronkhite-Canada syndrome. World J Gastroenterol. 2017;23(22):4121-4126.
Murata, M., Bamba, S., Takahashi, K., Imaeda, H., Nishida, A., Inatomi, O., Tsujikawa, T., Kushima, R., Sugimoto, M., & Andoh, A. (2017). Application of novel magnified single balloon enteroscopy for a patient with Cronkhite-Canada syndrome. World Journal of Gastroenterology, 23(22), 4121-4126. https://doi.org/10.3748/wjg.v23.i22.4121
Murata M, et al. Application of Novel Magnified Single Balloon Enteroscopy for a Patient With Cronkhite-Canada Syndrome. World J Gastroenterol. 2017 Jun 14;23(22):4121-4126. PubMed PMID: 28652665.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Application of novel magnified single balloon enteroscopy for a patient with Cronkhite-Canada syndrome. AU - Murata,Masaki, AU - Bamba,Shigeki, AU - Takahashi,Kenichiro, AU - Imaeda,Hirotsugu, AU - Nishida,Atsushi, AU - Inatomi,Osamu, AU - Tsujikawa,Tomoyuki, AU - Kushima,Ryoji, AU - Sugimoto,Mitsushige, AU - Andoh,Akira, PY - 2017/01/26/received PY - 2017/03/06/revised PY - 2017/03/30/accepted PY - 2017/6/28/entrez PY - 2017/6/28/pubmed PY - 2018/4/10/medline KW - Balloon-assisted enteroscopy KW - Magnified endoscopy KW - Narrow band imaging KW - Small intestine SP - 4121 EP - 4126 JF - World journal of gastroenterology JO - World J. Gastroenterol. VL - 23 IS - 22 N2 - We present a case of Cronkhite-Canada syndrome (CCS) in which the entire intestine was observed using a prototype of magnifying single-balloon enteroscope (SIF Y-0007, Olympus). CCS is a rare, non-familial gastrointestinal polyposis with ectodermal abnormalities. To our knowledge, this is the first report showing magnified intestinal lesions of CCS. A 73-year-old female visited our hospital with complaints of diarrhea and dysgeusia. The blood test showed mild anemia and hypoalbuminemia. The esophagogastroduodenoscopy and colonoscopy revealed diffuse and reddened sessile to semi-pedunculated polyps, resulting in the diagnosis of CCS. In addition to the findings of conventional balloon-assisted enteroscopy or capsule endoscopy, magnifying observation revealed tiny granular structures, non-uniformity of the villus, irregular caliber of the loop-like capillaries, scattered white spots in the villous tip, and patchy redness of the villus. Histologically, the scattered white spots and patchy redness of the villus reflect lymphangiectasia and bleeding to interstitium, respectively. SN - 2219-2840 UR - https://www.unboundmedicine.com/medline/citation/28652665/Application_of_novel_magnified_single_balloon_enteroscopy_for_a_patient_with_Cronkhite_Canada_syndrome_ L2 - http://www.wjgnet.com/1007-9327/full/v23/i22/4121.htm DB - PRIME DP - Unbound Medicine ER -