Collagenous sprue diagnosed by double balloon endoscopy. Issue 1 (17th December 2012)

• Record Type: Journal Article
• Authors: Yamamoto, Yu; Yamada, Takeshi; Akutsu, Daisuke; Sugaya, Akinori; Murashita, Tetsuya; Matsuda, Kenji; Yamamoto, Yoshiyuki; Kusakabe, Ryoko; Kaneko, Tsuyoshi; Suzuki, Hideo; Hyodo, Ichinosuke; Sato, Taiki; Takayashiki, Norio; Murakoshi, Naoto; Hara, Ken; Mizokami, Yuji
• Is Part Of: Digestive endoscopy. Volume 26:Issue 1(2014:Jan.)
• Page Start: 108
• Page End: 112
• Publication Date: 2012-12-17
• Subjects: capsule endoscopy -- collagenous sprue -- double balloon endoscopy -- low‐gluten diet -- subepithelial collagen band; Digestive organs -- Diseases -- Periodicals; Digestive organs -- Diseases -- Diagnosis -- Periodicals; Endoscopy -- Periodicals; Digestive System Diseases -- diagnosis -- Periodicals; Digestive System Diseases -- therapy -- Periodicals; Endoscopy -- Periodicals; 616.3
• DOI: 10.1111/den.12007
• Languages: English
• ISSNs: 0915-5635

Abstract

Abstract : Double balloon endoscopy (DBE) is useful for diagnosing many intestinal diseases and for endoscopic procedures. We report a case of chronic diarrhea in a 58‐year‐old Japanese man. He was initially suspected to have malabsorption syndrome. DBE showed reduction of folds, scalloping, mucosal nodularity and granularity. Pathological examinations of biopsies from the jejunum showed severe villous atrophy with subepithelial collagen bands. These findings led to the final diagnosis of collagenous sprue (CS). With1 month of total parenteral nutrition followed by a low‐gluten diet, his symptoms gradually improved. CS has never been reported before in Japan. DBE is useful for making a diagnosis of CS, and may be considered for patients who are suffering from diarrhea of unknown cause.