uation of melena and hematochezia. The initial esophagogastroduodenoscopy, a colonoscopy, and a computed tomo− graphic scan all failed to identify the source of the bleeding. Double−balloon enteroscopy was performed using the oral approach (EN−450T5/20; Fujinon Co. Ltd., Saitama, Japan). A blood clot adher− ing to a jejunal diverticulum was found 20 cm distal to the ligament of Treitz and linea...

BACKGROUND/AIMS Providers may be hesitant to perform double-balloon enteroscopy (DBE) in the elderly because the increased number of co-morbidities in this population poses a greater risk of complications resulting from sedation. There are limited data on the use of DBE in the elderly. Here, we assessed the safety and efficacy of DBE in the elderly compared to those in younger patients. METHO...

AIM To determine the frequency of bleeding source detection in patients with obscure gastrointestinal bleeding (OGIB) who underwent double balloon enteroscopy (DBE) after pre-procedure imaging [multiphase computed tomography enterography (MPCTE), video capsule endoscopy (VCE), or both] and assess the impact of imaging on DBE diagnostic yield. METHODS Retrospective cohort study using a prospec...

retrograde approach is considered technically more challenging, with published failure rates for ileal intubation as high as 30% [1]. The technique for ileal intubation described by Yamamoto et al. involves visualizing the ileocecal valve (ICV) while the overtube balloon is inflated in the ascending colon, followed by pull-back of the balloon to reduce the ileocolic angle (thus exposing the ICV...

Peritoneal lipomatosis is a rare disease in childhood with only two cases previously described in children. We report a further case of a 12-year-old boy diagnosed with peritoneal lipomatosis. His main symptoms were abdominal pain, alternating bowel habit, abdominal distension, and melaena. His diagnostic work up included an abdominal MRI, wireless capsule endoscopy and single-balloon enterosco...

It is difficult to insert a flexible endoscope deep into the small intestine. A new method, double-balloon enteroscopy, has been developed to improve access to the small intestine, and the aim of this study was to evaluate its usefulness for examination of the small intestine of dogs. The method uses two balloons, one attached to the tip of the endoscope and another attached to the tip of an ov...

We report a rare case of bile duct stone formation around an ingested fish bone as a nidus after pancreatoduodenectomy. A 78-year-old woman was admitted to our department for fever and epigastric pain. Abdominal computed tomography revealed an elongated bile duct stone containing a linearly shaped foreign body of bone density. Enteroscopic lithotomy was performed using single balloon enteroscop...

Primary Intestinal Lymphangiectasia (PIL) is a rare idiopathic congenital disorder characterized by impaired lymphatic drainage and protein-losing enteropathy [1,2]. PIL normally presents in childhood but can unusually present in adults [2]. We report a case of PIL diagnosed at antegrade double-balloon enteroscopy in a middle-aged man with isolated intermittent ankle edema and hypoalbuminemia.

The vast majority of foreign bodies (FBs) that enter the stomach pass through the gastrointestinal tract spontaneously. When the FB enters the small bowel-beyond the reach of conventional endoscopy-daily radiographs are needed to ensure its safe passage. However, endoscopic intervention is an appropriate management strategy for a sharp-pointed FB, because sharp FBs have a higher risk of intesti...