Skip to main page content
U.S. flag

An official website of the United States government

Dot gov

The .gov means it’s official.
Federal government websites often end in .gov or .mil. Before sharing sensitive information, make sure you’re on a federal government site.

Https

The site is secure.
The https:// ensures that you are connecting to the official website and that any information you provide is encrypted and transmitted securely.

Access keys NCBI Homepage MyNCBI Homepage Main Content Main Navigation
Review
. 2015 Mar 16;7(3):247-52.
doi: 10.4253/wjge.v7.i3.247.

Examining the whole bowel, double balloon enteroscopy: Indications, diagnostic yield and complications

Fatih Saygili  1 , Saba Mukaddes Saygili  1 , Erkin Oztas  1
Affiliations
Review

Examining the whole bowel, double balloon enteroscopy: Indications, diagnostic yield and complications

Fatih Saygili et al. World J Gastrointest Endosc. .

Abstract

Double balloon enteroscopy (DBE) is an advanced type of endoscopic procedure which brings the advantage of reaching the whole small bowel using anterograde or the retrograde route. This procedure is both diagnostic and interventional for a variety of small intestinal diseases, such as vascular lesions, tumors, polyps and involvement of inflammatory bowel diseases. Main indication is the diagnosis and treatment of mid-gastrointestinal bleeding according to the recent published data all over the world. The complication rates seem to be higher than conventional procedures but growing experience is lowering them and improving the procedure to be safe and well tolerated. This review is about the technique, indications, diagnostic importance and complications of DBE according to the literature growing since 2001.

Keywords: Double balloon enteroscopy; Endoscopy; Small bowel.

PubMed Disclaimer

Figures

Figure 1
Figure 1
Double balloon system, the tip and overtube.
Figure 2
Figure 2
Algorithm for suspected occult gastrointestinal bleeding. Radiological imaging or video capsule endoscopy can be used for initial addressing the focus and enteroscopy (suitable route and modality) can be used for definitive diagnosis and therapeutic intervention. GI: Gastrointestinal; VCE: Video capsule endoscopy; MR: Magnetic resonance.
Figure 3
Figure 3
Double balloon enteroscopy. A: Endoscopic appearance of an angioectasia in mid jejunum; B: Eradication of angioectasia with Argon Plasma Coagulation application.
Figure 4
Figure 4
Jejunal polyp of Peutz-Jeghers syndrome.
Figure 5
Figure 5
Polypectomy with double balloon enteroscopy.
Figure 6
Figure 6
Jejunal stricture of Crohn’s disease.
Figure 7
Figure 7
Ulcerating tumor located in mid jejunum.
See this image and copyright information in PMC

References

    1. Yamamoto H, Sekine Y, Sato Y, Higashizawa T, Miyata T, Iino S, Ido K, Sugano K. Total enteroscopy with a nonsurgical steerable double-balloon method. Gastrointest Endosc. 2001;53:216–220. - PubMed
    1. Gerson LB, Flodin JT, Miyabayashi K. Balloon-assisted enteroscopy: technology and troubleshooting. Gastrointest Endosc. 2008;68:1158–1167. - PubMed
    1. Choi H, Choi KY, Eun CS, Jang HJ, Park DI, Chang DK, Kim JO, Ko BM, Lee MS, Huh KC, et al. Korean experience with double balloon endoscopy: Korean Association for the Study of Intestinal Diseases multi-center study. Gastrointest Endosc. 2007;66:S22–S25. - PubMed
    1. Sun B, Rajan E, Cheng S, Shen R, Zhang C, Zhang S, Wu Y, Zhong J. Diagnostic yield and therapeutic impact of double-balloon enteroscopy in a large cohort of patients with obscure gastrointestinal bleeding. Am J Gastroenterol. 2006;101:2011–2015. - PubMed
    1. May A, Nachbar L, Ell C. Double-balloon enteroscopy (push-and-pull enteroscopy) of the small bowel: feasibility and diagnostic and therapeutic yield in patients with suspected small bowel disease. Gastrointest Endosc. 2005;62:62–70. - PubMed

LinkOut - more resources