Clin Endosc.  2016 Mar;49(2):157-160. 10.5946/ce.2015.036.

Diagnostic and Therapeutic Capability of Double-Balloon Enteroscopy in Clinical Practice

• Akyuz U
• Akyuz F

• KMID: 2165039
• DOI: http://doi.org/10.5946/ce.2015.036

Abstract

Advances in technology have facilitated the common use of small-bowel imaging. Intraoperative enteroscopy was the gold standard method for small-bowel imaging. However, noninvasive capsule endoscopy and invasive balloon enteroscopy are currently the main endoscopic procedures that are routinely used for small-bowel pathologies, and the indications for both techniques are similar. Although obstruction is a contraindication for capsule endoscopy, it is not considered to be problematic for double-balloon enteroscopy. The most important advantage of double-balloon enteroscopy is the applicability of therapeutic interventions during the procedure; however, double-balloon enteroscopy has certain advantages as well as disadvantages.

Keyword

Double-balloon enteroscopy; Small bowel

MeSH Terms

Capsule Endoscopy
Double-Balloon Enteroscopy*
Pathology

Figure

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  Fig. 1. Polypectomy by using double-balloon enteroscopy.

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  Fig. 2. Intramural hematoma in a patient receiving warfarin.

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  Fig. 3. Leiomyosarcoma in a young patient diagnosed using double-balloon enteroscopy.

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  Fig. 4. Ulcerated jejunal lipoma (arrow shows the lesion) diagnosed using double-balloon enteroscopy in a patient with obscure bleeding (confirmed by examination of a surgical specimen).

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  Fig. 5. Selection of small-bowel imaging methods. MRI, magnetic resonance imaging; CT, computed tomography.

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