| Theme | Endoscopic balloon dilation for small bowel stricture in Crohn's disease | |
|---|---|---|
| Title | Tips of endoscopic balloon dilation by doubleballoon endoscopy | |
| Publish Date | 2020/08 | |
| Author | Masanao Nakamura | Department of Gastroentrology and Hepatology, Nagoya University Graduate School of Medicine |
| Author | Takeshi Yamamura | Department of Gastroentrology and Hepatology, Nagoya University Graduate School of Medicine |
| Author | Keiko Maeda | Department of Endoscopy, Nagoya University Hospital |
| Author | Tsunaki Sawada | Department of Endoscopy, Nagoya University Hospital |
| Author | Yasuyuki Mizutani | Department of Gastroentrology and Hepatology, Nagoya University Graduate School of Medicine |
| Author | Eri Ishikawa | Department of Gastroentrology and Hepatology, Nagoya University Graduate School of Medicine |
| Author | Kazuhiro Furukawa | Department of Gastroentrology and Hepatology, Nagoya University Graduate School of Medicine |
| Author | Naomi Kakushima | Department of Gastroentrology and Hepatology, Nagoya University Graduate School of Medicine |
| Author | Mitsuhiro Fujishiro | Department of Gastroentrology and Hepatology, Nagoya University Graduate School of Medicine |
| [ Summary ] | When scheduling balloon dilation for small bowel stenosis in CD, an endoscopist usually selects the therapeutic double balloon endoscope (DBE), EN-580T. The forceps channel of this endoscope has a diameter of 3.2 mm and it is felt well in passing through balloon catheters. With the two balloons and the overtube present on the tip of the endoscope, it is possible to perform deep insertion and to advance it in the gut complicated by abdominal adhesions. Since the gastrografin enterography for the evaluation of the stenotic site is performed after the balloon at the tip of the scope is inflated, there is no concern with this endoscope that the gastrografin will backflow to the scope side and the contrast agent can be injected into the intestinal tract beyond several stenoses. | |