| Theme | Update of Endoscopy for Small Intestine | |
|---|---|---|
| Title | Endoscopic Treatment Using Double Balloon Endoscopy | |
| Publish Date | 2007/03 | |
| Author | Masato Komori | Department of Medicine, Kansai Rosai Hospital |
| Author | Satoshi Hiyama | Department of Medicine, Kansai Rosai Hospital |
| Author | Shingo Tsuji | Department of Gastroenterology and Hepatology, Osaka University Graduate School of Medicine |
| Author | Shinji Kubota | Department of Medicine, Kano Hospital |
| Author | Norio Hayashi | Department of Gastroenterology and Hepatology, Osaka University Graduate School of Medicine |
| Author | Toshifumi Ito | Department of Medicine, Kansai Rosai Hospital |
| [ Summary ] | The small intestine is quite long, and located far from both the mouth and the anus. To this time it has been difficult to observe the entire small intestine endoscopically. Recently, a new endoscopic insertion method, called “double balloon endoscopy” (DBE), has been developed. DBE allows access to the entire small intestine and various endoscopic treatments. The small intestine is a potential site of obscure gastrointestinal bleeding (OGIB), when both esophagogastroduodenoscopy and colonoscopy fail to find the source of bleeding. Using DBE, we were able to identify the source of bleeding in the small intestine including vascular ectasia, ulceration, or tumors and stop the hemorrhaging with coagulation or clipping. Furthermore, we could perform various endoscopic treatments using DBE. Polypectomy or endoscopic mucosal resection (EMR) is possible for intestinal polyps. Balloon dilatation is also possible for benign intestinal strictures caused by Crohn's disease, intestinal Beçhet's disease, ulceration associated with nonsteroidal anti-inflammatory drugs (NSAIDs) and other causes. |
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