The advent of deep enteroscopy (DE) has dramatically changed diagnostic and therapeutic approaches to small bowel diseases. Unlike capsule endoscopy, which is unable to obtain biopsies or treat a disease, DE techniques have diagnostic and therapeutic capabilities. Double-balloon enteroscopy (DBE) was introduced in 2001, and single-balloon enteroscopy (SBE) and spiral enteroscopy (SE) were subse...

Inflammatory bowel diseases are idiopathic inflammatory diseases of two main types, Crohn's disease and ulcerative colitis. Crohn's disease can affect the entire gastrointestinal tract, and the distal ileum is involved in up to 70% of patients. Moreover, Crohn's disease in one-quarter to one-third of patients involves isolation of the small bowel. Due to the nonspecific symptoms and anatomical ...

INTRODUCTION AND AIMS Peutz-Jeghers syndrome is an autosomal dominant inherited pathology characterized by gastrointestinal hamartomatous polyps, predominantly in the small bowel, and pigmented mucocutaneous lesions. Guidelines suggest polypectomy with a balloon-assisted enteroscope when polyps are larger than 10mm. Complications in adults can be as high as 6.8%, but there is little information...

double-balloon enteroscopy (DBE), as described by Yamamoto et al. [1–3], relies on the principles of minimal small-bowel stretching and loop reduction. This is achieved by simultaneous traction provided by the enteroscope and overtube balloons, combined with a “pullback” maneuver that allows loop resolution and straightening of the free and untethered small bowel [1]. In our experience and that...

Obscure gastrointestinal bleeding poses a diagnostic challenge to the physician. When examination of the colon and the upper gastrointestinal tract reveals no de− finite bleeding source, the small bowel becomes the focus of investigation. The small bowel is difficult to investigate en− doscopically because of its extraordinary length, but the recent advent of double− balloon enteroscopy has mad...

BACKGROUND AND AIM Double-balloon enteroscopy (DBE) and single-balloon enteroscopy (SBE) are new techniques capable of providing deep enteroscopy. Results of individual studies comparing these techniques have not been able to identify a superior strategy. Our aim was to systematically pool all available studies to compare the efficacy and safety of DBE with SBE for evaluation of the small bowel...

we report the case of a 54-year-old iranian man who presented with melena from three months prior to admission. esophagogastroduodenoscopy and colonoscopy were normal. double balloon enteroscopy showed a pedunculated tumor located in the jejunum. he underwent laparotomy and resection of a 9.5 cm tumor from the distal jejunum. histopathologic evaluation confirmed the diagnosis of an inflammatory...

INTRODUCTION Endoscopic diagnosis and treatment of small bowel conditions is a challenging area for gastroenterologists. Until recently, it was not possible to access most of the small bowel using endoscopic techniques without concomitant surgery. Capsule endoscopy and balloon-assisted enteroscopy thus represent decisive breakthroughs in this field. Capsule endoscopy allows endoscopic visualiza...