New balloon-guided technique for deep small-intestine endoscopy using standard endoscopes

Adler, Samuel N.; Bjarnason, Ingvar; Metzger, Yoav C.

doi:10.1055/s-2007-995677

Cited by 31 publications

(18 citation statements)

References 6 publications

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“…A single-use double-balloon spiral overtube is available that can be mounted on most of the standard endoscopes, thus enabling push-and-pull manoeuvres [180]. Recent advances in endoscopic design include high definition imaging and optical or electronic structure enhancement of images, facilitating detection of subtle mucosal changes.…”

Section: What Is the Evidence Behind New Technology?mentioning

confidence: 99%

Role of small-bowel endoscopy in the management of patients with inflammatory bowel disease: an international OMED–ECCO consensus

Bourreille¹,

Ignjatovic²,

Aabakken³

et al. 2009

Endoscopy

304

185

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Section: What Is the Evidence Behind New Technology?mentioning

confidence: 99%

Role of small-bowel endoscopy in the management of patients with inflammatory bowel disease: an international OMED–ECCO consensus

Bourreille¹,

Ignjatovic²,

Aabakken³

et al. 2009

Endoscopy

304

185

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“…Fortunately, this series revealed no severe complications during or after DBE procedures. Recently, singleballoon enteroscopy became available [34][35][36][37][38] . Whether single-balloon enteroscopy will be as useful for the investigation of small bowel disorders remains to be evaluated.…”

Section: Discussionmentioning

confidence: 99%

Small Bowel Endoscopy Using the Double-Balloon Technique: Four-Year Results in a Tertiary Referral Hospital in Brazil

Kuga¹,

Safatle‐Ribeiro²,

Ishida³

et al. 2008

Dig Dis

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Background: Double-balloon enteroscopy (DBE) allows evaluation and therapy for various small bowel diseases. In this series the outcome of a 4-year experience in a tertiary hospital school in Brazil is reported. Methods: A total of 457 consecutive DBE were performed in 418 patients from August 2004 to August 2008. 93 patients with several indications, whose aim was not the evaluation of suspected diseases of the small bowel mucosa, were excluded, therefore leaving 364 DBE in 325 patients for analysis. Data were retrospectively collected with regard to clinical, endoscopic findings, therapy and complications. Results: Among the 364 DBE performed in 325 patients, 143/325 were males (44%) and 182/325 females (56%) with a mean age of 48.6 ± 15.7 years (range 17–89). Mean investigation time was 64 ± 22 min (range 35–135). The depth of insertion beyond the ligament of Treitz was 230 ± 85 cm (range 30–500) by the antegrade approach and 140 ± 75 cm (range 0–320) by the retrograde approach. Total enteroscopy was achieved in 41.66% of the attempts (30 of 72 patients). Overall diagnostic yield was 54.95% (200 of 364 procedures) ranging from 0 to 100% in this series, depending on the indication. Angiodysplasia was the main diagnosis in 24.5% (49 of 200 procedures) and endoscopic treatment, including biopsies, hemostasis, tattooing and polypectomy were performed in 65.38% (238 of 364 procedures). No major complications were reported. Conclusions: DBE is a feasible, safe and well-tolerated procedure allowing endoscopic therapy. Selection of indications increases its diagnostic yield.

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“…The BGE device compromises a two-balloon add-on disposable element and an air supply unit to control the inflation and deflation of the balloons [18]. The BGE also follows the push-and-pull principle, but in contrast to DBE and SBE the guidance during advancement into the small bowel is taken by the balloon, not by the endoscope.…”

Section: Diagnostic Work-up Of Small Bowel Diseasesmentioning

confidence: 99%

“…There are only preliminary data published on BGE showing limited insertion depth [18]. No comparing studies exist.…”

Section: Comparison Of the Different Flexible Enteroscopy Techniquesmentioning

confidence: 99%

Modern Imaging Techniques: Which - When - Why?

May¹

2013

Dig Dis

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Within the last decade, the technological development improved the diagnostic work-up of small bowel diseases. In addition to abdominal ultrasound and radiological methods, the importance of endoscopy is increasing. Nowadays, five nonsurgical flexible endoscopy techniques are available for small bowel endoscopy: push enteroscopy and balloon-guided enteroscopy for evaluation of the proximal small bowel, balloon-assisted enteroscopy using two balloons (double-balloon enteroscopy) or one balloon (single-balloon enteroscopy), and spiral enteroscopy for evaluation of the deep small bowel. Intraoperative enteroscopy has become a reserve method.

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New balloon-guided technique for deep small-intestine endoscopy using standard endoscopes

Abstract: BGE is safe. BGE enables deep intubation of the small bowel beyond the ligament of Treitz utilizing standard endoscopes. Insertion depth with this technique is beyond that achieved by push enteroscopy. Further studies are needed, and technical improvements will lead to deeper insertion.

Cited by 31 publications

References 6 publications

Role of small-bowel endoscopy in the management of patients with inflammatory bowel disease: an international OMED–ECCO consensus

Role of small-bowel endoscopy in the management of patients with inflammatory bowel disease: an international OMED–ECCO consensus

Small Bowel Endoscopy Using the Double-Balloon Technique: Four-Year Results in a Tertiary Referral Hospital in Brazil

Modern Imaging Techniques: Which - When - Why?

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