With the advent of device-assisted enteroscopy (DAE) in early 2000s, endoscopic access to entire small bowel is possible nowadays (1). And yet, there still room for improvement. Total remains a time-consuming procedure, often combining antegrade (oral) and retrograde (anal) approach with only reasonable chance obtain complete endoscopy (2). Therefore, aim go faster, deeper perform more advanced...

BACKGROUND The development of wireless capsule endoscopy allows painless imaging of the small intestine. Its clinical use is not yet defined. The aim of this study was to compare the clinical efficacy and technical performance of capsule endoscopy and push enteroscopy in a series of 50 patients with colonoscopy and gastroscopy negative gastrointestinal bleeding. METHODS A wireless capsule end...

BACKGROUND Meckel's diverticulum is a congenital anomaly of the gastrointestinal tract. About 98% of affected patients are asymptomatic. Small intestinal examination has become easier since the development of double-balloon enteroscopy. The present case series describes 10 patients with Meckel's diverticulum in whom double-balloon enteroscopy was useful for diagnosis. CASE PRESENTATION Ten pa...

Alternative endoscopic approaches have been developed to overcome these limitations. Deep small bowel enteroscopy permits visualization and interventional therapy throughout the small bowel by using insertion techniques that pleat the small bowel onto an overtube. The techniques used for deep small bowel enteroscopy limit stretching of the small bowel (as occurs with push enteroscopy), permit b...

BACKGROUND Push-type enteroscopy, a recent method for investigating the small intestine, is currently undergoing assessment. Its diagnostic yield varies in the studies reported to date. AIM To assess the diagnostic value of push-type enteroscopy according to indication. PATIENTS AND METHODS From January 1994 to September 1995, 152 consecutive patients (mean age 34 years) underwent push-type...

BACKGROUND Small-bowel capsule endoscopy is a tool used to visualize the small bowel to identify the location of bleeds in obscure gastrointestinal bleeding (OGIB). Capsule endoscopy is currently funded in Ontario in cases where there has been a failure to identify a source of bleeding via conventional diagnostic procedures. In Ontario, capsule endoscopy is a diagnostic option for patients whos...

Until recently, large parts of the small bowel were not accessible with nonsurgical endoscopic techniques. In this scenario, the advent of video capsule endoscopy and balloon−assisted ente− roscopy represented a major breakthrough. Although capsule endoscopy is a safe method that may provide imaging of the entire small bowel, major drawbacks are that biopsy sampling and endoscopic treatment can...

While there is not yet sufficient data to tell if any of the recently introduced modalities will be contenders with double-balloon enteroscopy, the next three to four years will no doubt bring many comparative studies that look at safety, distance, patient acceptance and effectiveness at delivering diagnoses and therapy. It is entirely possible that one of these technologies will emerge as the ...

Background: The development of wireless capsule endoscopy allows painless imaging of the small intestine. Its clinical use is not yet defined. The aim of this study was to compare the clinical efficacy and technical performance of capsule endoscopy and push enteroscopy in a series of 50 patients with colonoscopy and gastroscopy negative gastrointestinal bleeding. Methods: A wireless capsule end...