Evaluation for Enterography with Double-Balloon Enteroscopy for Patients with Crohn's Disease-Introduction for New Method “Double-Balloon Sandwitch Fistulography Using Overtube-Attachment Backflow-Preventing Cap”

Small Bowel Endoscopic Exploration Spanish GI Endoscopy Society Recommendations

“…These stenoses may be inflammatory, cicatricial or related to the anastomosis after SB resection and may have associated fistulas. All of these factors are important to consider for making FE therapeutic decisions [77,78]. Dilatation is accepted in selected symptomatic cases with short stenosis (less than 5 cm) and a favourable anatomy [79 -81] (absence of multiplicity or marked angulation etc.…”

“…Contrast with x-ray control should be used to determine the length of the stenosis. The presence of fistulas may be evaluated using DBE by instilling contrast between the two balloons ("sandwich" technique, described by Kato et al [78]). Short series of dilatation have been published using a combination of corticoids (triamcinolone) or infliximab ® [82,83].…”