Usefulness of Double-Balloon Endoscopy in the Postoperative Gastrointestinal Tract

Background. The small intestine has been considered to be a highly difficult organ to visualize in imaging examinations due to its anatomical location compared with the stomach and the colon. In recent years, many imaging modalities have become available, such as CT enterography, MR enterography, c...

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Main Authors: Endo, Masaki, Abiko, Yukito, Oana, Syuhei, Kudara, Norihiko, Kosaka, Takashi, Chiba, Toshimi, Takikawa, Yasuhiro, Suzuki, Kazuyuki, Sugai, Tamotsu
Format: Online
Language:English
Published: Hindawi Publishing Corporation 2011
Online Access:https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3238371/
id pubmed-3238371
recordtype oai_dc
spelling pubmed-32383712011-12-22 Usefulness of Double-Balloon Endoscopy in the Postoperative Gastrointestinal Tract Endo, Masaki Abiko, Yukito Oana, Syuhei Kudara, Norihiko Kosaka, Takashi Chiba, Toshimi Takikawa, Yasuhiro Suzuki, Kazuyuki Sugai, Tamotsu Clinical Study Background. The small intestine has been considered to be a highly difficult organ to visualize in imaging examinations due to its anatomical location compared with the stomach and the colon. In recent years, many imaging modalities have become available, such as CT enterography, MR enterography, capsule endoscopy (CE), and double-balloon endoscopy (DBE). Patients and Methods. DBE was performed in the postoperative intestines of 91 patients (128 DBE examinations) at Iwate Medical University between 2004 and 2010. There were 61 male and 30 female patients, and their mean age was 69.7 years (range: 30–80 years). Results. A total of 124 DBE examinations were performed with endoscope insertion into the reconstructed intestines. The endoscope reached the blind end in 115 of 124 examinations, (92.7%). There were 17 patients with obscure gastrointestinal bleeding in whom 30 DBE examinations were performed. The bleeding site was identified in 12 patients (70.6%). Nine patients underwent endoscopic treatment. Hemostasis was achieved in all patients. Conclusion. DBE is very useful modality for the assessment and application of endotherapy to areas of the small bowel which have been altered by surgery. Hindawi Publishing Corporation 2011 2011-12-11 /pmc/articles/PMC3238371/ /pubmed/22194738 http://dx.doi.org/10.1155/2011/429462 Text en Copyright © 2011 Masaki Endo et al. https://creativecommons.org/licenses/by/3.0/ This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited.
repository_type Open Access Journal
institution_category Foreign Institution
institution US National Center for Biotechnology Information
building NCBI PubMed
collection Online Access
language English
format Online
author Endo, Masaki
Abiko, Yukito
Oana, Syuhei
Kudara, Norihiko
Kosaka, Takashi
Chiba, Toshimi
Takikawa, Yasuhiro
Suzuki, Kazuyuki
Sugai, Tamotsu
spellingShingle Endo, Masaki
Abiko, Yukito
Oana, Syuhei
Kudara, Norihiko
Kosaka, Takashi
Chiba, Toshimi
Takikawa, Yasuhiro
Suzuki, Kazuyuki
Sugai, Tamotsu
Usefulness of Double-Balloon Endoscopy in the Postoperative Gastrointestinal Tract
author_facet Endo, Masaki
Abiko, Yukito
Oana, Syuhei
Kudara, Norihiko
Kosaka, Takashi
Chiba, Toshimi
Takikawa, Yasuhiro
Suzuki, Kazuyuki
Sugai, Tamotsu
author_sort Endo, Masaki
title Usefulness of Double-Balloon Endoscopy in the Postoperative Gastrointestinal Tract
title_short Usefulness of Double-Balloon Endoscopy in the Postoperative Gastrointestinal Tract
title_full Usefulness of Double-Balloon Endoscopy in the Postoperative Gastrointestinal Tract
title_fullStr Usefulness of Double-Balloon Endoscopy in the Postoperative Gastrointestinal Tract
title_full_unstemmed Usefulness of Double-Balloon Endoscopy in the Postoperative Gastrointestinal Tract
title_sort usefulness of double-balloon endoscopy in the postoperative gastrointestinal tract
description Background. The small intestine has been considered to be a highly difficult organ to visualize in imaging examinations due to its anatomical location compared with the stomach and the colon. In recent years, many imaging modalities have become available, such as CT enterography, MR enterography, capsule endoscopy (CE), and double-balloon endoscopy (DBE). Patients and Methods. DBE was performed in the postoperative intestines of 91 patients (128 DBE examinations) at Iwate Medical University between 2004 and 2010. There were 61 male and 30 female patients, and their mean age was 69.7 years (range: 30–80 years). Results. A total of 124 DBE examinations were performed with endoscope insertion into the reconstructed intestines. The endoscope reached the blind end in 115 of 124 examinations, (92.7%). There were 17 patients with obscure gastrointestinal bleeding in whom 30 DBE examinations were performed. The bleeding site was identified in 12 patients (70.6%). Nine patients underwent endoscopic treatment. Hemostasis was achieved in all patients. Conclusion. DBE is very useful modality for the assessment and application of endotherapy to areas of the small bowel which have been altered by surgery.
publisher Hindawi Publishing Corporation
publishDate 2011
url https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3238371/
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