Clinical Gastroenterology Vol.31 No.10(1-9)

Theme Technological Innovation of Digestive Endoscopy -- Toward the Next Generation of Endoscopic Medicine
Title Balloon—assisted Endoscopy
Publish Date 2016/09
Author Hironori Yamamoto Department of Medicine, Division of Gastroenterology, Jichi Medical University
[ Summary ] Double‒balloon endoscopy was developed to solve problems associated with push enteroscopy. The principle of double‒balloon endoscopy is simple, but has dramatically increased the intubation depth into the small intestine. The principle has changed the anatomical disadvantage of the small intestine into an advantage for endoscope insertion, based on its freely mobile nature in the abdominal cavity. Since double‒balloon endoscopy has excellent maneuverability with interventional capability, in addition to being capable of deep intubation, it is widely used. It is also useful for endoscopic retrograde cholangiopancreatography (ERCP) in patients with surgically altered anatomy, and can be used with a colonoscope in cases of difficult intubation and/or treatment. It has revolutionized the management of several gastrointestinal diseases, mainly in the small intestine.
Innovative developments often arise from needs. Recognition and analysis of problems leads to new ideas. In order to succeed, do not give up.
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