The American Journal of Medicine
Volume 122, Issue 2 , Pages 132-134 , February 2009

Beneath the Surface

  • H.A. Martens, MD

      Affiliations

    • Department of Rheumatology and Clinical Immunology, University Medical Center Groningen, University of Groningen, The Netherlands
    • Corresponding Author InformationRequests for reprints should be addressed to Henk A. Martens, MD, Department of Rheumatology and Clinical Immunology, University Medical Center Groningen, University of Groningen, PO Box 30 0001, 9700 RB Groningen, The Netherlands
    • ,
  • J.J. Koornstra, MD, PhD

      Affiliations

    • Department of Gastroenterology and Hepathology, University Medical Center Groningen, University of Groningen, The Netherlands
    • ,
  • A. Diepstra, MD, PhD

      Affiliations

    • Department of Pathology, University Medical Center Groningen, University of Groningen, The Netherlands
    • ,
  • H.G. Sprenger, MD, PhD

      Affiliations

    • Department of Internal Medicine, University Medical Center Groningen, University of Groningen, The Netherlands
    • ,
  • C.G.M. Kallenberg, MD, PhD

      Affiliations

    • Department of Rheumatology and Clinical Immunology, University Medical Center Groningen, University of Groningen, The Netherlands

References 

  1. Fenollar F, Puéchal X, Raoult D. Whipple's disease. N Engl J Med. 2007;356:55–66
  2. Nahon S, Lesgourgues B, Delas N. Unusual endoscopic presentation of Whipple's disease. Clin Gastroenterol Hepatol. 2006;4:xxvi
  3. Riemann JF, Rösch W. Synopsis of endoscopic and related morphological findings in Whipple's disease. Endoscopy. 1978;10:98–103
  4. Crane S, Schlippert W. Duodenoscopic findings in Whipple's disease. Gastrointest Endosc. 1978;24:248–249
  5. D'Incà R, Pagnan A, Vettorato MG, et al. Whipple's disease. Gastrointest Endosc. 2004;60:800–801
  6. Geboes K, Ectors N, Heidbuchel H, et al. Whipple's disease: endoscopic aspects before and after therapy. Gastrointest Endosc. 1990;36:247–252
  7. Mayberry J, Furness P, Austin M, Toghill P. Endoscopic appearances in Whipple's disease. J R Soc Med. 1986;79:483–485
  8. Pennazio M. Small-intestinal pathology on capsule endoscopy: miscellaneous. Endoscopy. 2005;37:1149–1154
  9. Fry LC, Curioso WH, Lazenby AJ, Mönkemüller KE. Whipple's disease. Gastrointest Endosc. 2004;59:538–539
  10. Westerhof J, Koornstra JJ, Weersma RK. Capsule endoscopy: a review from the clinician's perspectives. Minerva Gastroenterol Dietol. 2008;54:189–207
  11. Heine GD, Hadithi M, Groenen MJ, et al. Double-balloon enteroscopy: indications, diagnostic yield, and complications in a series of 275 patients with suspected small-bowel disease. Endoscopy. 2006;38:42–48
  12. André MF, Delèvaux I, Cachin F, et al. 18F-fluorodeoxyglucose positron emission tomography in Whipple's disease. Scand J Gastroenterol. 2006;41:1491–1492
  13. Kuhajda FP, Belitsos NJ, Keren DF, Hutchins GM. A submucosal variant of Whipple's disease. Gastroenterology. 1982;82:46–50
  14. Ribaux C, Saguem MH, Allaz AF, Kovacsovics T. Whipple's disease (Involvement of the small intestine with submucosal presentation). Ann Pathol. 1990;10:191–193
  15. Keinath RD, Merrell DE, Vlietstra R, Dobbins WO. Antibiotic treatment and relapse in Whipple's disease (Long-term follow-up of 88 patients). Gastroenterology. 1985;88:1867–1873
  16. Feurle GE, Marth T. An evaluation of antimicrobial treatment for Whipple's disease (Tetracycline versus trimethoprim-sulfamethoxazole). Dig Dis Sci. 1994;39:1642–1648
  17. von Herbay A, Ditton HJ, Schuhmacher F, Maiwald M. Whipple's disease: staging and monitoring by cytology and polymerase chain reaction analysis of cerebrospinal fluid. Gastroenterology. 1997;113:434–441
  18. Marth T, Schneider T. Whipple disease. Curr Opin Gastroenterol. 2008;24:141–148

 Charles M. Wiener, MD, Section Editor

 Funding: None.

 Conflict of Interest: All authors declare that they have no conflicts of interest.

 Authorship: All authors had access to the data and contributed to the writing of the manuscript.

PII: S0002-9343(08)01067-X

doi: 10.1016/j.amjmed.2008.10.023

The American Journal of Medicine
Volume 122, Issue 2 , Pages 132-134 , February 2009

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