130:
Following this, the endoscope is advanced a small distance in front of the overtube and the balloon at the end is inflated. Using the assistance of friction at the interface of the enteroscope and intestinal wall, the small bowel is accordioned back to the overtube. The overtube balloon is then
26:
623:
Nishimura, M; Yamamoto, H; Kita, H; Yano, T; Sunada, K; Miyata, T; Sugimoto, T; Iino, S; et al. (2004). "Gastrointestinal stromal tumor in the jejunum: diagnosis and control of bleeding with electrocoagulation by using double-balloon enteroscopy".
252:
The key disadvantage of double-balloon enteroscopy is the time required to visualize the small bowel; this can exceed three hours, and may require that patients be admitted to hospital for the procedure. There have also been case reports of
667:
Ohmiya, N; Taguchi, A; Shirai, K; Mabuchi, N; Arakawa, D; Kanazawa, H; Ozeki, M; Yamada, M; et al. (2005). "Endoscopic resection of Peutz-Jeghers polyps throughout the small intestine at double-balloon enteroscopy without laparotomy".
183:
272:
can be observed in up to 20% patients." Depending on whether the oral or rectal approach was used, a patient may experience a sore throat (following use of the oral route), upset stomach, vomiting, and painful
380:
May, A; Nachbar, L; Wardak, A; Yamamoto, H; Ell, C (2003). "Double-balloon enteroscopy: preliminary experience in patients with obscure gastrointestinal bleeding or chronic abdominal pain".
423:
Yamamoto, H; Yano, T; Kita, H; Sunada, K; Ido, K; Sugano, K (2003). "New system of double-balloon enteroscopy for diagnosis and treatment of small intestinal disorders".
301:
Yamamoto, H; Sekine, Y; Sato, Y; Higashizawa, T; Miyata, T; Iino, S; Ido, K; Sugano, K (2001). "Total enteroscopy with a nonsurgical steerable double-balloon method".
170:
588:
Mönkemüller, K; Bellutti, M; Neumann, H; Malfertheiner, P (2008). "Therapeutic ERCP with the double-balloon enteroscope in patients with Roux-en-Y anastomosis".
107:
camera and an overtube, which is a tube that fits over the endoscope, and which is also fitted with a balloon. The procedure is usually done under general
926:
931:
131:
deployed, and the enteroscope balloon is deflated. The process is then continued until the entire small bowel is visualized.
88:
902:
553:
Kita, H; Yamamoto, H (2006). "Double-balloon endoscopy for the diagnosis and treatment of small intestinal disease".
792:
Honda, K; Mizutani, T; Nakamura, K; Higuchi, N; Kanayama, K; Sumida, Y; Yoshinaga, S; Itaba, S; et al. (2006).
884:
195:
39:
257:(at a rate of 0.3%–0.4%, when the oral route is used) and intestinal necrosis associated with the technique.
265:
845:"Intestinal necrosis as a complication of epinephrine injection therapy during double-balloon enteroscopy"
190:
Double-balloon enteroscopy offers a number of advantages to other small bowel image techniques, including
157:
743:"Examining the whole bowel, double balloon enteroscopy: Indications, diagnostic yield and complications"
243:
It allows for access to the papilla in patients with long afferent limbs after
Billroth II antrectomy.
167:
Visualization and therapeutic intervention on abnormalities seen on traditional small bowel imaging
25:
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83:. It was developed by Hironori Yamamoto in 2001. It is novel in the field of diagnostic
820:
793:
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484:
459:
269:
203:
794:"Acute pancreatitis associated with peroral double-balloon enteroscopy: a case report"
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920:
134:
The double-balloon enteroscope can also be passed in retrograde fashion, through the
653:
536:
409:
150:
Double-balloon enteroscopy has found a niche application in the following settings:
229:
436:
45:
703:
Lo, SK; Mehdizadeh, S (2006). "Therapeutic uses of double-balloon enteroscopy".
507:
Chan, AO; Lai, KC (2006). "A patient with long-standing iron-deficient anemia".
237:
191:
161:
124:
120:
80:
71:
31:
716:
186:
Endoscopic image of polyp in small bowel detected on double-balloon enteroscopy
637:
601:
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277:, cramping, or abdominal discomfort in reaction to the gas in the intestines.
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810:
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76:
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741:
Saygili, Fatih; Saygili, Saba
Mukaddes; Oztas, Erkin (March 16, 2015).
100:
55:
217:
213:
182:
87:
as it is the first endoscopic technique that allows for the entire
903:"Balloon-Assisted Enteroscopy: Definition, Process & Recovery"
225:
181:
139:
116:
202:
It allows for visualization of the entire small bowel to the
509:
Nature
Clinical Practice Gastroenterology & Hepatology
173:(ERCP) in post-surgical patients with long afferent limbs
154:
Bleeding from the gastrointestinal tract of obscure cause
115:. The enteroscope and overtube are inserted through the
341:"A new method of enteroscopy--the double-balloon method"
555:
Best
Practice & Research. Clinical Gastroenterology
460:"An unusual cause of obscure gastrointestinal bleeding"
843:
Yen, HH; Chen, YY; Su, WW; Soon, MS; Lin, YM (2006).
119:
and passed in conventional fashion (that is, as with
705:
Gastrointestinal
Endoscopy Clinics of North America
264:reported that: "Due to prolonged procedure and air
38:
18:
209:It allows for the application of therapeutics.
171:Endoscopic retrograde cholangiopancreatography
458:Yen, HH; Chen, YY; Soon, MS; Lin, YM (2007).
8:
224:of the small bowel, and in the placement of
747:World Journal of Gastrointestinal Endoscopy
262:World Journal of Gastrointestinal Endoscopy
24:
860:
819:
809:
768:
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483:
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142:to visualize the end of the small bowel.
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734:
286:
548:
546:
334:
332:
296:
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292:
290:
15:
7:
345:Canadian Journal of Gastroenterology
99:The technique involves the use of a
79:technique for visualization of the
51:
111:, but may be done with the use of
14:
798:World Journal of Gastroenterology
431:(5): 1556, author reply 1556–7.
339:Yamamoto, H; Sugano, K (2003).
91:to be visualized in real time.
212:It allows for the sampling or
1:
682:10.1016/S0016-5107(04)02457-5
437:10.1016/j.gastro.2003.03.004
927:Diagnostic gastroenterology
626:Journal of Gastroenterology
30:Endoscopic image of normal
953:
717:10.1016/j.giec.2006.03.002
670:Gastrointestinal Endoscopy
590:Gastrointestinal Endoscopy
303:Gastrointestinal Endoscopy
196:wireless capsule endoscopy
66:Double-balloon enteroscopy
19:Double-balloon enteroscopy
638:10.1007/s00535-004-1434-6
602:10.1016/j.gie.2007.10.023
567:10.1016/j.bpg.2005.09.004
52:
23:
932:Digestive system imaging
811:10.3748/wjg.v12.i11.1802
103:at the end of a special
889:www.hopkinsmedicine.org
476:10.1136/gut.2006.094631
315:10.1067/mge.2001.112181
220:, for the resection of
760:10.4253/wjge.v7.i3.247
521:10.1038/ncpgasthep0413
515:(2): 112–6, quiz 117.
198:and push enteroscopy:
187:
158:Iron deficiency anemia
89:gastrointestinal tract
862:10.1055/s-2006-925184
185:
891:. November 14, 2022.
394:10.1055/s-2003-44582
260:A 2015 study in the
358:10.1155/2003/309532
255:acute pancreatitis
188:
113:conscious sedation
63:
62:
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911:
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907:Cleveland Clinic
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85:gastroenterology
68:, also known as
56:edit on Wikidata
48:
28:
16:
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338:
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216:of small bowel
180:
164:and gastroscopy
148:
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59:
44:
34:
12:
11:
5:
950:
948:
940:
939:
934:
929:
919:
918:
913:
912:
894:
876:
835:
804:(11): 1802–4.
784:
753:(3): 247–252.
730:
695:
659:
632:(10): 1001–4.
615:
580:
542:
499:
450:
415:
388:(12): 985–91.
372:
328:
285:
284:
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279:
270:abdominal pain
249:
246:
245:
244:
241:
210:
207:
204:terminal ileum
179:
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70:push-and-pull
61:
60:
53:
50:
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42:
36:
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29:
21:
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13:
10:
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3:
2:
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904:
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885:"Enteroscopy"
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766:
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748:
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731:
726:
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711:(2): 363–76.
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611:
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591:
584:
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572:
568:
564:
561:(1): 179–94.
560:
556:
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534:
530:
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522:
518:
514:
510:
503:
500:
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470:(1): 12, 28.
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309:(2): 216–20.
308:
304:
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267:
263:
258:
256:
248:Disadvantages
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138:and into the
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33:
27:
22:
17:
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888:
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852:
848:
838:
801:
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787:
750:
746:
708:
704:
698:
676:(1): 140–7.
673:
669:
662:
629:
625:
618:
596:(6): 992–6.
593:
589:
583:
558:
554:
512:
508:
502:
467:
463:
453:
428:
424:
418:
385:
381:
375:
351:(4): 273–4.
348:
344:
306:
302:
266:insufflation
261:
259:
251:
189:
160:with normal
149:
133:
129:
98:
69:
65:
64:
238:small bowel
162:colonoscopy
146:Indications
125:small bowel
123:) into the
121:gastroscopy
105:enteroscope
81:small bowel
72:enteroscopy
32:small bowel
921:Categories
855:(5): 542.
281:References
234:strictures
230:dilatation
178:Advantages
109:anesthesia
77:endoscopic
937:Endoscopy
849:Endoscopy
382:Endoscopy
214:biopsying
194:imaging,
95:Technique
871:16586243
830:16586559
779:25789095
725:16644464
690:15672077
654:12752480
646:15549455
610:18279869
575:16473807
537:20780715
529:16456577
494:16507584
445:14628813
410:36779881
402:14648408
367:12704472
323:11174299
275:bloating
75:, is an
821:4124365
770:4360443
485:1856651
236:of the
101:balloon
46:D058582
869:
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321:
226:stents
222:polyps
218:mucosa
192:barium
650:S2CID
533:S2CID
406:S2CID
140:ileum
136:colon
117:mouth
54:[
867:PMID
826:PMID
775:PMID
721:PMID
686:PMID
642:PMID
606:PMID
571:PMID
525:PMID
490:PMID
441:PMID
398:PMID
363:PMID
319:PMID
40:MeSH
857:doi
816:PMC
806:doi
765:PMC
755:doi
713:doi
678:doi
634:doi
598:doi
563:doi
517:doi
480:PMC
472:doi
464:Gut
433:doi
429:125
390:doi
353:doi
311:doi
232:of
228:or
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58:]
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