Skip Navigation
Skip to contents

Clin Endosc : Clinical Endoscopy

Search
Advanced Search
OPEN ACCESS
mobile search button mobile menu button

Search

Page Path
HOME > Search
43 "Balloon enteroscopy"
Filter
Filter
Article category
More +
Keywords
More +
Publication year
More +
Authors
More +
Funded articles
Reviews
A practical approach for small bowel bleeding
Sung Eun Kim, Hyun Jin Kim, Myeongseok Koh, Min Cheol Kim, Joon Sung Kim, Ji Hyung Nam, Young Kwan Cho, A Reum Choe, The Research Group for Capsule Endoscopy and Enteroscopy of the Korean Society of Gastrointestinal Endoscopy
Clin Endosc 2023;56(3):283-289.   Published online May 11, 2023
DOI: https://doi.org/10.5946/ce.2022.302
AbstractAbstract PDFPubReaderePub
Gastrointestinal (GI) bleeding is one of the most common conditions among patients visiting emergency departments in Korea. GI bleeding is divided into upper and lower GI bleeding, according to the bleeding site. GI bleeding is also divided into overt and occult GI bleeding based on bleeding characteristics. In addition, obscure GI bleeding refers to recurrent or persistent GI bleeding from a source that cannot be identified after esophagogastroduodenoscopy or colonoscopy. The small intestine is the largest part of the alimentary tract. It extends from the pylorus to the cecum. The small intestine is difficult to access owing to its long length. Moreover, it is not fixed to the abdominal cavity. When hemorrhage occurs in the small intestine, the source cannot be found in many cases because of the characteristics of the small intestine. In practice, small-intestinal bleeding accounts for most of the obscure GI bleeding. Therefore, in this review, we introduce and describe systemic approaches and examination methods, including video capsule endoscopy and balloon enteroscopy, that can be performed in patients with suspected small bowel bleeding in clinical practice.

Citations

Citations to this article as recorded by  
  • Manejo da hemorragia digestiva baixa na emergência: abordagem cirúrgica
    Carla Azevedo Zaibak, Sara Monteiro Barbosa, Nathalia Machado De Lima, Jordane Lula Cruz, Angela Maria Pereira Costa, Maria Eduarda da Silva Borges, Mariana Vasconcellos De Oliveira, Danyelly Rodrigues Machado
    Cuadernos de Educación y Desarrollo.2024;[Epub]     CrossRef
  • Case 19: A 65-Year-Old Man With Melena and Hematochezia
    Hajin Lee, Younghee Choe, Jung Heo, Gwkang Hui Park, Su Young Lee, Young Wook Cho, Hyo Suk Kim
    Journal of Korean Medical Science.2024;[Epub]     CrossRef
  • Aortoduodenal fistula bleeding caused by an aortic stent graft
    Seunghyun Hong, Gwang Ha Kim
    Clinical Endoscopy.2024; 57(3): 407.     CrossRef
  • Diagnostic Yield and Outcomes of Small Bowel Capsule Endoscopy in Patients with Small Bowel Bleeding Receiving Antithrombotics
    Nikos Viazis, Dimitris Christodoulou, Vasilis Papastergiou, Konstantinos Mousourakis, Dimitra Kozompoli, Giannis Stasinos, Konstantina Dimopoulou, Periklis Apostolopoulos, Fotios Fousekis, Christos Liatsos, Nikolaos Kyriakos, Theodoros Argyropoulos, Georg
    Diagnostics.2024; 14(13): 1361.     CrossRef
  • Difficult Small Bowel Bleeding in Surgical View
    Jung Min Bae
    Journal of Acute Care Surgery.2024; 14(2): 41.     CrossRef
  • Jejunal Dieulafoy’s lesion resembling subepithelial mass resulting in profound gastrointestinal hemorrhage
    Thanaboon Chaemsupaphan, Tanawat Geeratragool, Napat Angkathunyakul, Arissa Phothisirisakulwong, Monthira Maneerattanaporn
    Clinical Endoscopy.2024; 57(4): 552.     CrossRef
  • 3,982 View
  • 402 Download
  • 4 Web of Science
  • 6 Crossref
Close layer
Single-balloon enteroscopy-assisted endoscopic retrograde cholangiopancreatography in patients with surgically altered anatomy: a technical review
Yuki Tanisaka, Masafumi Mizuide, Akashi Fujita, Rie Shiomi, Takahiro Shin, Kei Sugimoto, Shomei Ryozawa
Clin Endosc 2023;56(6):716-725.   Published online April 17, 2023
DOI: https://doi.org/10.5946/ce.2023.023
AbstractAbstract PDFSupplementary MaterialPubReaderePub
Endoscopic retrograde cholangiopancreatography (ERCP) in patients with surgically altered anatomy is technically challenging. For example, scope insertion, selective cannulation, and intended procedures, such as stone extraction or stent placement, can be difficult. Single-balloon enteroscopy (SBE)-assisted ERCP has been used to effectively and safely address these technical issues in clinical practice. However, the small working channel limits its therapeutic potential. To address this shortcoming, a short-type SBE (short SBE) with a working length of 152 cm and a channel of 3.2 mm diameter has recently been introduced. Short SBE facilitates the use of larger accessories to complete certain procedures, such as stone extraction or self-expandable metallic stent placement. Despite the development in the SBE endoscope, various steps have to be overcome to successfully perform such procedure. To improve success, the challenging factors of each procedure must be identified. At the same time, endoscopists need to be mindful of adverse events, such as perforation, which can arise due to adhesions specific to the surgically altered anatomy. This review discussed technical tips regarding SBE-assisted ERCP in patients with surgically altered anatomy to increase success and reduce the risk of adverse events associated with ERCP.

Citations

Citations to this article as recorded by  
  • Advanced technical tips and recent insights in ERCP using balloon‐assisted endoscopy
    Masaaki Shimatani, Toshiyuki Mitsuyama, Takeshi Yamashina, Masahiro Takeo, Shunsuke Horitani, Natsuko Saito, Hironao Matsumoto, Masahiro Orino, Masataka Kano, Takafumi Yuba, Takuya Takayama, Tatsuya Nakagawa, Shoji Takayama
    DEN Open.2024;[Epub]     CrossRef
  • Efficacy of texture and color enhancement imaging for short‐type single‐balloon enteroscopy‐assisted biliary cannulation in patients with Roux‐en‐Y gastrectomy: Multicenter study (with video)
    Yuki Tanisaka, Mamoru Takenaka, Masafumi Mizuide, Akashi Fujita, Ryuhei Jinushi, Takahiro Shin, Kei Sugimoto, Ken Kamata, Kosuke Minaga, Shunsuke Omoto, Tomohiro Yamazaki, Shomei Ryozawa
    Digestive Endoscopy.2024; 36(9): 1030.     CrossRef
  • Progress in minimally invasive treatment of biliary pancreatic duct obstruction after digestive tract reconstruction by endoscopic retrograde cholangiopancreatography
    Ru-Yi Wang, Zhen Fan
    World Chinese Journal of Digestology.2024; 32(7): 490.     CrossRef
  • Endoscopic Management of Biliary and Pancreatic Pathologies in Roux-en-Y Gastric Bypass Patients: Development of a Treatment Algorithm Based on 9-Year Experience
    Laurent Monino, Lancelot Marique, Yannick Deswysen, Maximilien Thoma, Pierre H. Deprez, Pierre Goffette, Benoit Navez, Tom G. Moreels
    Obesity Surgery.2024; 34(10): 3717.     CrossRef
  • Use of short single-balloon enteroscopy in patients with surgically altered anatomy: a single-center experience
    Songming Ding, Shanjie Dong, Hengkai Zhu, Yiting Hu, Shusen Zheng, Qiyong Li
    Scientific Reports.2024;[Epub]     CrossRef
  • Development and evaluation of artificial organ models for ERCP training in patients with surgically altered anatomies
    Kai Koch, Benedikt Duckworth-Mothes, Ulrich Schweizer, Karl-Ernst Grund, Tom G. Moreels, Alfred Königsrainer, Dörte Wichmann
    Scientific Reports.2023;[Epub]     CrossRef
  • Simplified single-session EUS-guided transhepatic antegrade stone removal for management of choledocholithiasis in patients with surgically altered anatomy
    Tingting Yu, Suning Hou, Haiming Du, Wei Zhang, Jiao Tian, Yankun Hou, Jun Yao, Senlin Hou, Lichao Zhang
    Gastroenterology Report.2023;[Epub]     CrossRef
  • 3,476 View
  • 360 Download
  • 6 Web of Science
  • 7 Crossref
Close layer
Original Article
Endoscopic and histological characteristics of small bowel tumors diagnosed by double-balloon enteroscopy
Suleyman Dolu, Soner Onem, Zarni Htway, Farid Hajıyev, Ali Bilgen, Hatice Cilem Binicier, Ecem Kalemoglu, Ozgul Sagol, Mesut Akarsu
Clin Endosc 2023;56(1):83-91.   Published online October 27, 2022
DOI: https://doi.org/10.5946/ce.2022.131
AbstractAbstract PDFPubReaderePub
Background
/Aims: Double-balloon enteroscopy (DBE) allows for the diagnoses and treatment of small bowel tumors (SBTs). This study aimed to evaluate the utility of DBE for the diagnosis and treatment of SBTs.
Methods
Patients diagnosed with SBTs who underwent DBE were included in this study. According to their endoscopic appearances, they were categorized as polyps or masses, and according to their histological characteristics, they were categorized as benign or malignant SBTs.
Results
A total of 704 patients were retrospectively analyzed, and 90 (12.8%) were diagnosed with SBTs. According to their endoscopic appearance, 48 (53.3%) had polyps and 42 (46.7%) had masses. Additionally, 53 (58.9%) and 37 (41.1%) patients had malignant and benign SBTs, respectively, depending on their histological characteristics. Patients diagnosed with polyps were younger than those diagnosed with masses (p<0.001). Patients diagnosed with benign SBTs were younger than those diagnosed with malignant SBT (p<0.001). Overall, histological diagnosis was determined using DBE in 73 (81.1%) patients.
Conclusions
DBE is a useful method for diagnosing SBTs. Additionally, the histological type of the lesion can be determined using DBE.
  • 2,337 View
  • 127 Download
  • 2 Web of Science
Close layer
Case Report
Management of Biliopancreatic Limb Bleeding after Roux-en-Y Gastric Bypass: A Case Report
Christophe Riquoir, Luis Antonio Díaz, David Chiliquinga, Roberto Candia, Fernando Pimentel, Alex Arenas
Clin Endosc 2021;54(5):754-758.   Published online May 25, 2021
DOI: https://doi.org/10.5946/ce.2021.060
AbstractAbstract PDFPubReaderePub
The Roux-en-Y gastric bypass is one of the most extensive surgical treatments for obesity. The treatment of upper gastrointestinal bleeding after Roux-en-Y gastric bypass is complex due to the difficulty of accessing the excluded gastric antrum and duodenal bulb. There is no consensus regarding the management of this complication. While various techniques have been described to access the biliopancreatic limb, double-balloon enteroscopy is the most commonly used. If double-balloon enteroscopy is unavailable, a pediatric colonoscope may be used as an alternative; however, its use in such cases has not been described. We report the case of a 50-year-old male patient who underwent gastric bypass 13 years ago and was admitted for a second episode of upper gastrointestinal bleeding. The initial approach using upper endoscopy, colonoscopy, and abdominal computed tomography angiography did not reveal the cause of gastrointestinal hemorrhage; therefore, an endoscopic study of the biliopancreatic limb was performed using a pediatric colonoscope. A Forrest Ib ulcer was found in the duodenal bulb, and endoscopic therapy was administered. The evolution was found to be satisfactory.

Citations

Citations to this article as recorded by  
  • Endoscopic management of postoperative bleeding
    Sung Hyeok Ryou, Ki Bae Bang
    Clinical Endoscopy.2023; 56(6): 706.     CrossRef
  • 3,562 View
  • 86 Download
  • 1 Web of Science
  • 1 Crossref
Close layer
Focused Review Series: Present and Future of Diagnosis and Management of Small Bowel Diseases Exploiting Artificial Intelligence and Advanced Endoscopy
Roles of Capsule Endoscopy and Balloon-Assisted Enteroscopy in the Optimal Management of Small Bowel Bleeding
Hani Abutalib, Tomonori Yano, Satoshi Shinozaki, Alan Kawarai Lefor, Hironori Yamamoto
Clin Endosc 2020;53(4):402-409.   Published online July 30, 2020
DOI: https://doi.org/10.5946/ce.2020.143
AbstractAbstract PDFPubReaderePub
The small bowel had long been considered a dark unapproachable tunnel until the invention of capsule endoscopy and doubleballoon enteroscopy in the 21st century, which revolutionized the diagnosis and management of small bowel diseases, including bleeding. Various imaging modalities such as computed tomographic enterography, angiography, capsule endoscopy, and balloonassisted enteroscopy play vital roles in the diagnosis and management of small bowel bleeding. The choice of modality to use and timing of application differ according to the availability of the modalities, patient’s history, and physician’s experience. Small bowel bleeding is managed using different strategies as exemplified by medical treatment, interventional radiology, endoscopic therapy, or surgical intervention. Balloon-assisted enteroscopy enables endoscopic interventions to control small bowel bleeding, including electrocautery, argon plasma coagulation, clip application, and tattooing as a prelude to surgery. In this article, we clarify the recent approaches to the optimal diagnosis and management of patients with small bowel bleeding.

Citations

Citations to this article as recorded by  
  • Hemangioma capilar del yeyuno como causa de sangrado agudo: reporte de caso y revisión de la literatura
    Martín Alonso Gómez Zuleta, Diego Alexander Cardona Botero, Juan Antonio Trejos Naranjo, Felipe Vera Polanía
    Revista colombiana de Gastroenterología.2024; 39(3): 318.     CrossRef
  • A practical approach for small bowel bleeding
    Sung Eun Kim, Hyun Jin Kim, Myeongseok Koh, Min Cheol Kim, Joon Sung Kim, Ji Hyung Nam, Young Kwan Cho, A Reum Choe
    Clinical Endoscopy.2023; 56(3): 283.     CrossRef
  • Indication, Location of the Lesion, Diagnostic Yield, and Therapeutic Yield of Double-Balloon Enteroscopy: Seventeen Years of Experience
    Sang Pyo Lee, Hyun Joo Jang, Sea Hyub Kae, Jae Gon Lee, Ji Hye Kwon
    Diagnostics.2022; 12(9): 2224.     CrossRef
  • Application of capsule endoscopy in patients with chronic and recurrent abdominal pain
    Wei Yang, Zheng Li, Rui Liu, Xudong Tong, Wei Wang, Dongqiang Xu, Shan Gao
    Medical Engineering & Physics.2022; 110: 103901.     CrossRef
  • 5,371 View
  • 196 Download
  • 3 Web of Science
  • 4 Crossref
Close layer
Case Reports
Metal Stent Placement in the Afferent Loop Obstructed by Peritoneal Metastases—Experience of Five Cases
Yoshihide Kanno, Tetsuya Ohira, Yoshihiro Harada, Yoshiki Koike, Taku Yamagata, Megumi Tanaka, Tomohiro Shimada, Kei Ito
Clin Endosc 2018;51(3):299-303.   Published online April 18, 2018
DOI: https://doi.org/10.5946/ce.2018.005
AbstractAbstract PDFPubReaderePub
Afferent loop syndrome is often difficult to resolve. Among patients with afferent loop syndrome whose data were extracted from databases, 5 patients in whom metal stent placement was attempted were included and evaluated in this study. The procedure was technically successful without any adverse events in all patients. Metal stent(s) was placed with an endoscope in the through-the-scope manner in 4 patients and via a percutaneous route in 1 patient. Obvious clinical efficacy was observed in all patients. Adverse events related to the procedure and stent occlusion during the follow-up period were not observed. Metal stent placement for malignant obstruction of the afferent loop was found to be safe and feasible.

Citations

Citations to this article as recorded by  
  • Early and late effects of endoscopic interventions in patients with malignant afferent loop syndrome: A single‐center experience and literature review
    Kenjiro Yamamoto, Takao Itoi, Yukitoshi Matsunami, Atsushi Sofuni, Takayoshi Tsuchiya, Shuntaro Mukai, Hiroyuki Kojima, Hirohito Minami, Ryosuke Nakatsubo, Ryosuke Tonozuka
    Journal of Hepato-Biliary-Pancreatic Sciences.2024; 31(2): 120.     CrossRef
  • Efficacy of endoscopic ultrasound‐guided gastroenterostomy using self‐expandable metallic stent for afferent loop syndrome: A single‐center retrospective study
    Yuya Hagiwara, Susumu Hijioka, Yoshikuni Nagashio, Yuta Maruki, Akihiro Ohba, Yuki Kawasaki, Kotaro Takeshita, Tetsuro Takasaki, Daiki Agarie, Hidenobu Hara, Shin Yagi, Soma Fukuda, Masaru Kuwada, Daiki Yamashige, Kohei Okamoto, Mark Chatto, Shunsuke Kond
    Journal of Gastroenterology and Hepatology.2024; 39(10): 2136.     CrossRef
  • Efficacy and safety of endoscopic stent placement for afferent loop obstruction using a short double‐balloon endoscopy
    Takashi Ito, Masaaki Shimatani, Masataka Masuda, Koh Nakamaru, Toshiyuki Mitsuyama, Norimasa Fukata, Tsukasa Ikeura, Makoto Takaoka, Kazuichi Okazaki, Makoto Naganuma
    DEN Open.2023;[Epub]     CrossRef
  • Endoscopic Transluminal Stent Placement for Malignant Afferent Loop Obstruction
    Chinatsu Yonekura, Takashi Sasaki, Takafumi Mie, Takeshi Okamoto, Tsuyoshi Takeda, Takaaki Furukawa, Yuto Yamada, Akiyoshi Kasuga, Masato Matsuyama, Masato Ozaka, Naoki Sasahira
    Journal of Clinical Medicine.2022; 11(21): 6357.     CrossRef
  • Clinical management for malignant afferent loop obstruction
    Arata Sakai, Hideyuki Shiomi, Atsuhiro Masuda, Takashi Kobayashi, Yasutaka Yamada, Yuzo Kodama
    World Journal of Gastrointestinal Oncology.2021; 13(7): 509.     CrossRef
  • Clinical management for malignant afferent loop obstruction
    Arata Sakai, Hideyuki Shiomi, Atsuhiro Masuda, Takashi Kobayashi, Yasutaka Yamada, Yuzo Kodama
    World Journal of Gastrointestinal Oncology.2021; 13(7): 684.     CrossRef
  • Endoscopic Ultrasound-Guided Gastroenterostomy for Afferent Loop Syndrome
    Hideyuki Shiomi, Arata Sakai, Ryota Nakano, Shogo Ota, Takashi Kobayashi, Atsuhiro Masuda, Hiroko Iijima
    Clinical Endoscopy.2021; 54(6): 810.     CrossRef
  • Usefulness of endoscopic metal stent placement for malignant afferent loop obstruction
    Akihiko Kida, Hidenori Kido, Toshiki Matsuo, Atsuyoshi Mizukami, Masaaki Yano, Fumitaka Arihara, Koichiro Matsuda, Kohei Ogawa, Mitsuru Matsuda, Akito Sakai
    Surgical Endoscopy.2020; 34(5): 2103.     CrossRef
  • Endoscopic Self-Expandable Metal Stent Placement for Malignant Afferent Loop Obstruction After Pancreaticoduodenectomy: A Case Series and Review
    Arata Sakai, Hideyuki Shiomi, Takao Iemoto, Ryota Nakano, Takuya Ikegawa, Takashi Kobayashi, Atsuhiro Masuda, Yuzo Kodama
    Clinical Endoscopy.2020; 53(4): 491.     CrossRef
  • Endoscopic nasogastric tube insertion for treatment of benign afferent loop obstruction after radical gastrectomy for gastric cancer
    Yuning Cao, Xiangheng Kong, Daogui Yang, Senlin Li
    Medicine.2019; 98(28): e16475.     CrossRef
  • Enteral self-expandable metal stent placement for malignant afferent limb syndrome using single-balloon enteroscope: report of five cases
    Kei Yane, Akio Katanuma, Tsuyoshi Hayashi, Kuniyuki Takahashi, Toshifumi Kin, Kazumasa Nagai, Kazunari Tanaka, Naohiro Komatsu, Masato Endo, Yousuke Kobayashi, Yukiko Takigawa, Ran Utsunomiya
    Endoscopy International Open.2018; 06(11): E1330.     CrossRef
  • 5,859 View
  • 111 Download
  • 10 Web of Science
  • 11 Crossref
Close layer
Laparoscopic Resection of a Jejunal Inflammatory Fibroid Polyp that Caused Occult Gastrointestinal Bleeding, Diagnosed via Capsule Endoscopy and Double-Balloon Enteroscopy: A Case Report
Chizu Kameda, Hideaki Miwa, Ryohei Kawabata, Daiki Marukawa, Masahiro Murakami, Shingo Noura, Junzo Shimizu, Junichi Hasegawa
Clin Endosc 2018;51(4):384-387.   Published online March 20, 2018
DOI: https://doi.org/10.5946/ce.2017.162
AbstractAbstract PDFPubReaderePub
An inflammatory fibroid polyp (IFP) is a mesenchymal tumor of the gastrointestinal tract. IFPs in the small intestine are the most frequently detected with symptoms, such as abdominal pain and tarry stool due to intussusception. Accordingly, few studies have reported jejunal IFP as a cause of occult gastrointestinal bleeding (OGIB) diagnosed via both of capsule endoscopy (CE) and double-balloon enteroscopy (DBE). A 68-year-old woman presented with a progression of anemia and a positive fecal occult blood test result. Esophagogastroduodenoscopy and total colonoscopy findings were unremarkable. CE revealed a tumor with bleeding in the jejunum. DBE also revealed a jejunal polypoid tumor. Bleeding from the tumor seemed to have caused anemia. The patient underwent partial laparoscopic resection of the jejunum, including resection of the tumor. The tumor was histopathologically diagnosed as IFP. To our knowledge, this is the first reported case of laparoscopic resection of jejunal IFP with OGIB diagnosed via CE and DBE preoperatively.

Citations

Citations to this article as recorded by  
  • Minimally invasive colonoscopy treatment of inflammatory fibroid polyps in the terminal ileum
    Yin-Si Tang, Lu Liu, Ying Gao, Qiao-Chu He, Hai-Mei Guo, Zhi-Feng Zhao
    Scientific Reports.2023;[Epub]     CrossRef
  • Where does capsule endoscopy fit in the diagnostic algorithm of small bowel intussusception?
    Stefania Chetcuti Zammit, Aman Yadav, Deirdre McNamara, Alejandro Bojorquez, Cristina Carretero-Ribón, Martin Keuchel, Peter Baltes, Reuma Margalit-Yehuda, Uri Kopylov, Reena Sidhu, Clelia Marmo, Maria Elena Riccioni, Xavier Dray, Romain Leenhardt, Emanue
    Digestive and Liver Disease.2023; 55(12): 1719.     CrossRef
  • Cystic lymphangioma in the peripheral jejunal mesentery in an adult and excision with laparoscopic-assisted surgery: a case report
    Hideki Nagano, Toshihisa Kimura, Atsushi Iida, Tamotsu Togawa, Takanori Goi, Yasunori Sato
    World Journal of Surgical Oncology.2019;[Epub]     CrossRef
  • 6,005 View
  • 93 Download
  • 4 Web of Science
  • 3 Crossref
Close layer
Focused Review Series: Training in Endoscopy
Training in Endoscopy: Enteroscopy
Jinsu Kim
Clin Endosc 2017;50(4):328-333.   Published online July 31, 2017
DOI: https://doi.org/10.5946/ce.2017.089
AbstractAbstract PDFPubReaderePub
The balloon-assisted enteroscope has been regarded as the standard device for direct visualization of deep small bowels and allows for the diagnosis and treatment of small bowel disease. At the beginning, its application was focused on the diagnosis of obscure gastrointestinal bleeding, inflammatory bowel disease, and small bowel tumor. However, the indications are being expanded to various therapeutic procedures, not only confined to bleeding control. With the expansion of the indications, the need to perform enteroscopy effectively and safely is increasing. Recent studies have been focused on the diagnostic yield, therapeutic yield, and long-term outcomes of the device. However, with the increasing number of procedures, procedural guidelines and quality indicators are also needed.

Citations

Citations to this article as recorded by  
  • Performance of pan‐enteroscopy in children with intestinal failure due to short bowel syndrome: A single‐center retrospective study
    Jonathan A. Salazar, Christina Chan, Enju Liu, Fatima Hamroud, Amit S. Grover, Victor L. Fox, Peter D. Ngo, Lissette Jimenez, Christopher P. Duggan, Alexandra N. Carey
    Journal of Pediatric Gastroenterology and Nutrition.2024; 79(4): 915.     CrossRef
  • Research Progress of the Use of Balloon-Assisted Enteroscopy (BAE) in Small Bowel Diseases
    芸玲 李
    Advances in Clinical Medicine.2024; 14(09): 555.     CrossRef
  • The Role of Endoscopy in the Diagnosis and Management of Small Bowel Pathology in Children
    Amornluck Krasaelap, Diana G. Lerner, Salvatore Oliva
    Gastrointestinal Endoscopy Clinics of North America.2023; 33(2): 423.     CrossRef
  • A systematic review of symptomatic hamartomas of the jejunum and ileum
    N Farkas, M Conroy, M Baig
    The Annals of The Royal College of Surgeons of England.2022; 104(1): 18.     CrossRef
  • Clinicopathological Features of Small Bowel Tumors Diagnosed by Video Capsule Endoscopy and Balloon-Assisted Enteroscopy: A Single Center Experience
    Ah Young Yoo, Beom Jae Lee, Won Shik Kim, Seong Min Kim, Seung Han Kim, Moon Kyung Joo, Hyo Jung Kim, Jong-Jae Park
    Clinical Endoscopy.2021; 54(1): 85.     CrossRef
  • Device-assisted enteroscopy training. A rapid review
    Federico Soria Gálvez, Octavio López-Albors, Pilar Esteban Delgado, Enrique Pérez-Cuadrado Robles, Rafael Latorre Reviriego
    Revista Española de Enfermedades Digestivas.2020;[Epub]     CrossRef
  • Balloon-Assisted Enteroscopy for Retrieval of Small Intestinal Foreign Bodies: A KASID Multicenter Study
    Jeongseok Kim, Beom Jae Lee, Nam Seok Ham, Eun Hye Oh, Kee Don Choi, Byong Duk Ye, Jeong-Sik Byeon, Chang Soo Eun, Jin Su Kim, Dong-Hoon Yang
    Gastroenterology Research and Practice.2020; 2020: 1.     CrossRef
  • Enteroscopy in children and adults with inflammatory bowel disease
    Giovanni Di Nardo, Gianluca Esposito, Chiara Ziparo, Federica Micheli, Luigi Masoni, Maria Pia Villa, Pasquale Parisi, Maria Beatrice Manca, Flavia Baccini, Vito Domenico Corleto
    World Journal of Gastroenterology.2020; 26(39): 5944.     CrossRef
  • Enteroscopy in children
    Giovanni Di Nardo, Carlo Calabrese, Roberto Conti Nibali, Arianna De Matteis, Emanuele Casciani, Luigi Martemucci, Giuseppe Pagliaro, Nico Pagano
    United European Gastroenterology Journal.2018; 6(7): 961.     CrossRef
  • Motorized Spiral Enteroscopy for Occult Bleeding
    Laura Mans, Marianna Arvanitakis, Horst Neuhaus, Jacques Devière
    Digestive Diseases.2018; 36(4): 325.     CrossRef
  • Comprehensive review of outcomes of endoscopic treatment of gastrointestinal bleeding
    Tae-Geun Gweon, Jinsu Kim
    International Journal of Gastrointestinal Intervention.2018; 7(3): 123.     CrossRef
  • Balloon-Assisted Enteroscopy and Capsule Endoscopy in Suspected Small Bowel Crohn’s Disease
    Hsu-Heng Yen, Chen-Wang Chang, Jen-Wei Chou, Shu-Chen Wei
    Clinical Endoscopy.2017; 50(5): 417.     CrossRef
  • 6,571 View
  • 226 Download
  • 13 Web of Science
  • 12 Crossref
Close layer
Case Report
A Case of Primary Small Bowel Melanoma Diagnosed by Single-Balloon Enteroscopy
Jun Young Shin, In Suh Park, Byoung Wook Bang, Hyung Kil Kim, Yong Woon Shin, Kye Sook Kwon
Clin Endosc 2017;50(4):395-399.   Published online June 2, 2017
DOI: https://doi.org/10.5946/ce.2016.153
AbstractAbstract PDFPubReaderePub
Although metastasis from cutaneous malignant melanoma to the small intestine is not uncommon, primary small bowel melanoma (SBM) is extremely rare. This case report describes a rare case of primary SBM, diagnosed by single-balloon enteroscopy. A 74-year-old man presented with recurrent melena. Upper endoscopy and colonoscopy were unremarkable. Abdominal computed tomography (CT) revealed an ileal mass with ileo-ileal intussusception. Subsequent single-balloon enteroscopy identified an ileal tumor, which was histologically diagnosed as melanoma. Extensive clinical examination did not reveal any primary cutaneous lesions. To the best of our knowledge, this is the first case of primary SBM in South Korea.

Citations

Citations to this article as recorded by  
  • Primary malignant melanoma of the small bowel: A case report
    James R. Marak, Tushant Kumar, Shivam Dwivedi, Shashwat Verma
    Radiology Case Reports.2024; 19(3): 1215.     CrossRef
  • Small bowel melanoma causing obstruction: A case report and a literature review
    Ammar Mattit, Ibrahim Marrawi, Safouh Kheir, Taha Khamis, Safaa Qatleesh, Muhammad Ali Ousta
    International Journal of Surgery Case Reports.2024; 116: 109388.     CrossRef
  • Small Bowel Intussusception Secondary to Malignant Melanoma 11 Years After Melanoma-In-Situ Excision
    W. Eric Briscoe, W. Todd Cockerham, Kevin N. Harrell
    The American Surgeon™.2023; 89(7): 3275.     CrossRef
  • Primary Small Bowel Melanoma: A Case Report and Review of Literature
    Amanda M. Graças, Willy P. Souza, Ana Carolina A. Canut, Maurice Y. Franciss, Bruno Zilberstein
    Frontiers in Surgery.2022;[Epub]     CrossRef
  • Primary jejunal amelanotic melanoma: case report and review of literature
    Kavya M. Reddy, Tinashe Maduke, Francis Wade, Christine Hachem
    Clinical Journal of Gastroenterology.2021; 14(5): 1376.     CrossRef
  • Effect of Double-Balloon Enteroscopy on Diagnosis and Treatment of Small-Bowel Diseases
    Li Tang, Liu-Ye Huang, Jun Cui, Cheng-Rong Wu
    Chinese Medical Journal.2018; 131(11): 1321.     CrossRef
  • 6,626 View
  • 131 Download
  • 5 Web of Science
  • 6 Crossref
Close layer
Reviews
Diagnostic and Therapeutic Capability of Double-Balloon Enteroscopy in Clinical Practice
Umit Akyuz, Filiz Akyuz
Clin Endosc 2016;49(2):157-160.   Published online March 7, 2016
DOI: https://doi.org/10.5946/ce.2015.036
AbstractAbstract PDFPubReaderePub
Advances in technology have facilitated the common use of small-bowel imaging. Intraoperative enteroscopy was the gold standard method for small-bowel imaging. However, noninvasive capsule endoscopy and invasive balloon enteroscopy are currently the main endoscopic procedures that are routinely used for small-bowel pathologies, and the indications for both techniques are similar. Although obstruction is a contraindication for capsule endoscopy, it is not considered to be problematic for double-balloon enteroscopy. The most important advantage of double-balloon enteroscopy is the applicability of therapeutic interventions during the procedure; however, double-balloon enteroscopy has certain advantages as well as disadvantages.

Citations

Citations to this article as recorded by  
  • Development of an earthworm-based soft robot for colon sampling
    Gongxin Li, Wei Qiu, Mindong Wang, Yazhou Zhu, Fei Liu
    Frontiers in Robotics and AI.2024;[Epub]     CrossRef
  • Role of balloon enteroscopy for obscure gastrointestinal bleeding in those with surgically altered anatomy: A systematic review
    Mahmoud Aryan, Tyler Colvin, Ali M Ahmed, Kondal Rao Kyanam Kabir Baig, Shajan Peter
    World Journal of Gastrointestinal Endoscopy.2022; 14(7): 434.     CrossRef
  • Development of an Earthworm-Based Intestinal Soft Robot Equipped with a Gripper
    Gongxin Li, Wei Qiu, Hao Wen, Mindong Wang, Fei Liu
    Machines.2022; 10(11): 1057.     CrossRef
  • Predictors for Small Bowel Stenosis in Balloon-Assisted Enteroscopy
    Bai-Rong Li, Tao Sun, Jing Li, Meng Li, Shou-Bin Ning, Xiao-Wei Jin, Ming Zhu, Gao-Ping Mao
    Digestive Diseases and Sciences.2020; 65(9): 2630.     CrossRef
  • Enteroscopia de doble balón: indicaciones, abordajes, eficacia diagnóstica y terapéutica y seguridad. Experiencia temprana de un solo centro
    J.J.E. García-Correa, J.J. Ramírez-García, L.F. García-Contreras, C. Fuentes-Orozco, L. Irusteta-Jiménez, L.R. Michel-Espinoza, A.S. Carballo Uribe, J.A. Torres Chávez, A. González-Ojeda
    Revista de Gastroenterología de México.2018; 83(1): 31.     CrossRef
  • Double-balloon enteroscopy: Indications, approaches, diagnostic and therapeutic yield, and safety. Early experience at a single center
    J.J.E. García-Correa, J.J. Ramírez-García, L.F. García-Contreras, C. Fuentes-Orozco, L. Irusteta-Jiménez, L.R. Michel-Espinoza, A.S. Carballo Uribe, J.A. Torres Chávez, A. González-Ojeda
    Revista de Gastroenterología de México (English Edition).2018; 83(1): 31.     CrossRef
  • Double-Balloon Endoscopy in Overt and Occult Small Bowel Bleeding: Results, Complications, and Correlation with Prior Videocapsule Endoscopy in a Tertiary Referral Center
    Carlijn Hermans, Arnold Stronkhorst, Annemarie Tjhie-Wensing, Jan Kamphuis, Bas van Balkom, Rob Dahlmans, Lennard Gilissen
    Clinical Endoscopy.2017; 50(1): 69.     CrossRef
  • Education and Training Guidelines for the Board of the Korean Society of Gastrointestinal Endoscopy
    Hee Seok Moon, Eun Kwang Choi, Ji Hyun Seo, Jeong Seop Moon, Ho June Song, Kyoung Oh Kim, Jong Jin Hyun, Sung Kwan Shin, Beom Jae Lee, Sang Heon Lee
    Clinical Endoscopy.2017; 50(4): 345.     CrossRef
  • 8,959 View
  • 105 Download
  • 9 Web of Science
  • 8 Crossref
Close layer
Diagnosis of Obscure Gastrointestinal Bleeding
Satoshi Tanabe
Clin Endosc 2016;49(6):539-541.   Published online February 11, 2016
DOI: https://doi.org/10.5946/ce.2016.004
AbstractAbstract PDFPubReaderePub
Obscure gastrointestinal bleeding (OGIB) is defined as gastrointestinal bleeding from a source that cannot be identified on upper or lower gastrointestinal endoscopy. OGIB is considered an important indication for capsule endoscopy (CE). CE is particularly useful for the detection of vascular and small ulcerative lesions, conditions frequently associated with OGIB, particularly in Western countries. On the other hand, balloon enteroscopy (BE) can facilitate the diagnosis of lesions presenting with minimal changes of the mucosal surface, such as submucosal tumors, and can be used not only for diagnosis, but also for treatment, including endoscopic hemostasis. In other words, the complementary use of both CE and BE enables OGIB to be more efficiently diagnosed and treated. However, rebleeding can occur even in patients with negative results of CE, and such patients require repeat CE or BE. It is essential to effectively use both CE and BE based on a thorough understanding of the strong points and weak points of these procedures. Further advances and developments in virtual endoscopy incorporating computed tomography and magnetic resonance imaging are expected in the future.

Citations

Citations to this article as recorded by  
  • Sporadic small intestinal hamartomatous polyp: Causative element for obscure gastrointestinal bleeding and iron deficiency anemia: A case report
    Ali Issa
    International Journal of Case Reports and Images.2023; 14(1): 84.     CrossRef
  • The role of video capsule endoscopy in the diagnosis of gastrointestinal diseases: experience of the Department of Diagnostic and Operative Endoscopy
    A. A. Likutov, T. A. Vlasko, V. V. Veselov
    Ambulatornaya khirurgiya = Ambulatory Surgery (Russia).2023; 20(2): 116.     CrossRef
  • Evaluation of Low-Dose Multidetector Computed Tomography Whole Gastroenterography With Oral Administration of Contrast Agents
    Yong Guo, Qing-jun Wang, Li-jing Shi, Ying-ying Hu, Wen-ping Li
    Canadian Association of Radiologists Journal.2021; 72(3): 410.     CrossRef
  • Life‐threatening gastrointestinal bleeding from a giant ileal lipoma
    Amy Donovan, Sandun Abeyasundara, Hajir Nabi
    ANZ Journal of Surgery.2020;[Epub]     CrossRef
  • Review on the Applications of Deep Learning in the Analysis of Gastrointestinal Endoscopy Images
    Wenju Du, Nini Rao, Dingyun Liu, Hongxiu Jiang, Chengsi Luo, Zhengwen Li, Tao Gan, Bing Zeng
    IEEE Access.2019; 7: 142053.     CrossRef
  • Preoperative detection and localization of small bowel hemangioma: Two case reports
    Nobuhisa Takase, Keisuke Fukui, Takafumi Tani, Tohru Nishimura, Tomohiro Tanaka, Naoki Harada, Kimihiko Ueno, Manabu Takamatsu, Akihiko Nishizawa, Akiharu Okamura, Kunihiko Kaneda
    World Journal of Gastroenterology.2017; 23(20): 3752.     CrossRef
  • 9,442 View
  • 286 Download
  • 5 Web of Science
  • 6 Crossref
Close layer
Case Reports
Single Balloon Enteroscopy-Assisted Endoscopic Retrograde Cholangiopancreatography in Patients Who Underwent a Gastrectomy with Roux-en-Y Anastomosis: Six Cases from a Single Center
Jae Seung Soh, Dong-Hoon Yang, Sang Soo Lee, Seohyun Lee, Jungho Bae, Jeong-Sik Byeon, Seung-Jae Myung, Suk-Kyun Yang
Clin Endosc 2015;48(5):452-457.   Published online September 30, 2015
DOI: https://doi.org/10.5946/ce.2015.48.5.452
AbstractAbstract PDFPubReaderePub

Patients with altered anatomy such as a Roux-en-Y anastomosis often present with various pancreaticobiliary problems requiring therapeutic intervention. However, a conventional endoscopic approach to the papilla is very difficult owing to the long afferent limb and acute angle of a Roux-en-Y anastomosis. Balloon-assisted enteroscopy can be used for endoscopic retrograde cholangiopancreatography (ERCP) in patients with altered anatomy. We experienced six cases of Roux-en-Y anastomosis with biliary problems, and attempted ERCP using single balloon enteroscopy (SBE). SBE insertion followed by replacement with a conventional endoscope was attempted in five of six patients. The papilla was successfully approached using SBE in all cases. However, therapeutic intervention was completed in only three cases because of poor maneuverability caused by postoperative adhesion. We conclude that in patients with Roux-en-Y anastomosis, the ampulla can be readily accessed with SBE, but longer dedicated accessories are necessary to improve this therapeutic intervention.

Citations

Citations to this article as recorded by  
  • Single Balloon Enteroscopy-Guided Endoscopic Retrograde Cholangiopancreatography in Surgically Altered Anatomy: Long vs. Short Type
    Chang-Hwan Park
    The Korean Journal of Pancreas and Biliary Tract.2021; 26(3): 181.     CrossRef
  • Direct Insertion of a Short-Type Single-Balloon Enteroscope and Using a Stent Retriever to Treat Difficult Bile Duct Stones in Surgically Altered Anatomy
    Takashi Sasaki, Naoki Sasahira
    Clinical Endoscopy.2021; 54(6): 937.     CrossRef
  • Single-balloon enteroscopy-assisted ERCP in patients with Roux-en-Y anatomy and choledocholithiasis: do technical improvements mean better outcomes?
    Jesús Espinel Díez, María Eugenia Pinedo Ramos
    Revista Española de Enfermedades Digestivas.2020;[Epub]     CrossRef
  • Application of single balloon enteroscopy-assisted therapeutic endoscopic retrograde cholangiopancreatography in patients after bilioenteric Roux-en-Y anastomosis: Experience of multi-disciplinary collaboration
    Wen-Guang Wu, Lu-Cui Qin, Xiao-Ling Song, Ming-Ning Zhao, Wen-Jie Zhang, Jun Gu, Hao Weng, Ying-Bin Liu, Yi Zhang, Chun-Ying Qu, Lei-Ming Xu, Xue-Feng Wang
    World Journal of Gastroenterology.2019; 25(36): 5505.     CrossRef
  • Comparison between Enteroscopy-Based and Laparoscopy-Assisted ERCP for Accessing the Biliary Tree in Patients with Roux-en-Y Gastric Bypass: Systematic Review and Meta-analysis
    Alberto Machado da Ponte-Neto, Wanderley M. Bernardo, Lara M. de A. Coutinho, Iatagan Rocha Josino, Vitor Ottoboni Brunaldi, Diogo T. H. Moura, Paulo Sakai, Rogério Kuga, Eduardo G. H. de Moura
    Obesity Surgery.2018; 28(12): 4064.     CrossRef
  • Impact of a Newly Developed Short Double-Balloon Enteroscope on Stent Placement in Patients with Surgically Altered Anatomies
    Koichiro Tsutsumi, Hironari Kato, Hiroyuki Okada
    Gut and Liver.2017; 11(2): 306.     CrossRef
  • 8,528 View
  • 94 Download
  • 5 Web of Science
  • 6 Crossref
Close layer
Successful Removal of a Screw Nail in the Jejunum Using Double-Balloon Enteroscopy
Dong Ju Kim, Myoung Ki Sim, Sang Wook Lee, Tae Hee Lee
Clin Endosc 2015;48(5):444-446.   Published online September 30, 2015
DOI: https://doi.org/10.5946/ce.2015.48.5.444
AbstractAbstract PDFPubReaderePub

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 intestinal perforation. We describe here a case in which a 1.5-cm, sharp-pointed screw nail in the proximal jejunum was removed successfully by double-balloon enteroscopy from a 19-year-old-male with autism. This case adds to the growing body of evidence demonstrating the value of therapeutic double-balloon enteroscopy in the field of FB ingestion

Citations

Citations to this article as recorded by  
  • Balloon-Assisted Enteroscopy for Retrieval of Small Intestinal Foreign Bodies: A KASID Multicenter Study
    Jeongseok Kim, Beom Jae Lee, Nam Seok Ham, Eun Hye Oh, Kee Don Choi, Byong Duk Ye, Jeong-Sik Byeon, Chang Soo Eun, Jin Su Kim, Dong-Hoon Yang
    Gastroenterology Research and Practice.2020; 2020: 1.     CrossRef
  • Foreign Body Penetration through Jejunal Loops Causing Renal Artery Thrombosis and Renal Infarct
    Najib Nassani, Elie El-Charabaty, Patricia Nasr, Iskandar Barakat, Sherif Andrawes
    ACG Case Reports Journal.2017; 4(1): e12.     CrossRef
  • 7,349 View
  • 75 Download
  • 5 Web of Science
  • 2 Crossref
Close layer
Review
Should Capsule Endoscopy Be the First Test for Every Obscure Gastrointestinal Bleeding?
Chung Hyun Tae, Ki-Nam Shim
Clin Endosc 2014;47(5):409-414.   Published online September 30, 2014
DOI: https://doi.org/10.5946/ce.2014.47.5.409
AbstractAbstract PDFPubReaderePub

Obscure gastrointestinal bleeding (OGIB) refers to gastrointestinal (GI) bleeding of unclear origin that persists or recurs after negative findings on esophagogastroduodenoscopy and colonoscopy. OGIB accounts for approximately 5% of all types of GI bleeding. More than 80% of OGIB cases originate in the small bowel. The ability to detect OGIB in the small bowel has significantly advanced and been revolutionized since the introduction of the capsule endoscopy and double-balloon enteroscopy techniques in 2000 and 2001, respectively. With these new methods for small-bowel evaluation, new guidelines have been proposed for the diagnosis and management of OGIB. However, some issues remain unsolved. The purpose of this article is to review the various modalities used for evaluating OGIB, including capsule endoscopy and double-balloon enteroscopy, and to help guide clinicians in their decisions on which modality will be the most effective.

Citations

Citations to this article as recorded by  
  • Early intervention with double balloon enteroscopy for higher yield for inpatient overt obscure gastrointestinal bleeding: A propensity matched analysis
    Mahmoud Aryan, Krishna V R Venkata, Tyler Colvin, Lauren Daley, Parth Patel, T. Mark Beasley, Benjamin Nunley, Nicholas Baldwin, Ali M Ahmed, Kondal R Kyanam Kabir Baig, Klaus Mönkemüller, Shajan Peter
    JGH Open.2023; 7(7): 509.     CrossRef
  • Clinical features of obscure gastrointestinal bleeding undergoing capsule endoscopy: A retrospective cohort study
    Yuga Komaki, Shuji Kanmura, Kazuki Yutsudo, Kosuke Kuwazuru, Fukiko Komaki, Akihito Tanaka, Hidehito Maeda, Shiho Arima, Shiroh Tanoue, Fumisato Sasaki, Shinichi Hashimoto, Masahisa Horiuchi, Akio Ido, Gopal Krishna Dhali
    PLOS ONE.2022; 17(3): e0265903.     CrossRef
  • Enteroscopia de doble balón: indicaciones, abordajes, eficacia diagnóstica y terapéutica y seguridad. Experiencia temprana de un solo centro
    J.J.E. García-Correa, J.J. Ramírez-García, L.F. García-Contreras, C. Fuentes-Orozco, L. Irusteta-Jiménez, L.R. Michel-Espinoza, A.S. Carballo Uribe, J.A. Torres Chávez, A. González-Ojeda
    Revista de Gastroenterología de México.2018; 83(1): 31.     CrossRef
  • Double-balloon enteroscopy: Indications, approaches, diagnostic and therapeutic yield, and safety. Early experience at a single center
    J.J.E. García-Correa, J.J. Ramírez-García, L.F. García-Contreras, C. Fuentes-Orozco, L. Irusteta-Jiménez, L.R. Michel-Espinoza, A.S. Carballo Uribe, J.A. Torres Chávez, A. González-Ojeda
    Revista de Gastroenterología de México (English Edition).2018; 83(1): 31.     CrossRef
  • Double-Balloon Endoscopy in Overt and Occult Small Bowel Bleeding: Results, Complications, and Correlation with Prior Videocapsule Endoscopy in a Tertiary Referral Center
    Carlijn Hermans, Arnold Stronkhorst, Annemarie Tjhie-Wensing, Jan Kamphuis, Bas van Balkom, Rob Dahlmans, Lennard Gilissen
    Clinical Endoscopy.2017; 50(1): 69.     CrossRef
  • What is the Role of Double-Balloon Endoscopy in Patients Presenting with Obscure Gastrointestinal Bleeding?
    Jung Ho Kim, Kwang An Kwon
    Clinical Endoscopy.2017; 50(1): 8.     CrossRef
  • Colonic lesions in patients undergoing small bowel capsule endoscopy: incidence, diagnostic and therapeutic impact
    José Francisco Juanmartiñena Fernández, Iñaki Fernández-Urién Sainz, Beatriz Zabalza Ollo, Ana Borda Martín, Juan José Vila Costas
    Revista Española de Enfermedades Digestivas.2017;[Epub]     CrossRef
  • Gastroduodenal lesions detected during small bowel capsule endoscopy: incidence, diagnostic and therapeutic impact
    José Francisco Juanmartiñena Fernández, Ignacio Fernández-Urien Sainz, Beatriz Zabalza Ollo, Cristina Saldaña Dueñas, Marta Montañés Guimera, Alfonso Elosua González, Juan José Vila Costas
    Revista Española de Enfermedades Digestivas.2017;[Epub]     CrossRef
  • Systematic review: Safety of balloon assisted enteroscopy in Crohn’s disease
    Ahilan Arulanandan, Parambir S Dulai, Siddharth Singh, William J Sandborn, Denise Kalmaz
    World Journal of Gastroenterology.2016; 22(40): 8999.     CrossRef
  • Different roles of capsule endoscopy and double-balloon enteroscopy in obscure small intestinal diseases
    Zhi-Hong Zhang, Chun-Hua Qiu, Yi Li
    World Journal of Gastroenterology.2015; 21(23): 7297.     CrossRef
  • A jejunal GIST presenting with obscure gastrointestinal bleeding and small bowel obstruction secondary to intussusception
    Peter Sadeghi, Sandro Lanzon-Miller
    BMJ Case Reports.2015; : bcr2014207650.     CrossRef
  • 8,019 View
  • 107 Download
  • 13 Web of Science
  • 11 Crossref
Close layer
Case Report
Small Bowel Stent-in-Stent Placement for Malignant Small Bowel Obstruction Using a Balloon-Assisted Overtube Technique
Daniel Popa, Jayapal Ramesh, Shajan Peter, C. Mel Wilcox, Klaus Mönkemüller
Clin Endosc 2014;47(1):108-111.   Published online January 24, 2014
DOI: https://doi.org/10.5946/ce.2014.47.1.108
AbstractAbstract PDFPubReaderePub

Self-expanding metal stents are a useful therapy to palliate malignant and benign luminal gastrointestinal obstruction. Self-expanding metal stents has been widely reported for colonic, esophageal, and gastric obstruction. However, endoscopic delivery and placement to the small bowel is more challenging and difficult. This case illustrates the usefulness and technical advantages of the balloon-overtube and enteroscopy technique for the palliative treatment of neoplastic stenosis affecting the small intestine.

Citations

Citations to this article as recorded by  
  • The evolving role of device-assisted enteroscopy: The state of the art as of August 2023
    Hironori Yamamoto, Edward J. Despott, Begoña González-Suárez, Marco Pennazio, Klaus Mönkemüller
    Best Practice & Research Clinical Gastroenterology.2023; 64-65: 101858.     CrossRef
  • WITHDRAWN: The evolving role of device-assisted enteroscopy
    Hironori Yamamoto, Begoña González-Suárez, Klaus Mönkemüller
    Best Practice & Research Clinical Gastroenterology.2023; : 101845.     CrossRef
  • The Evolution of Device-Assisted Enteroscopy: From Sonde Enteroscopy to Motorized Spiral Enteroscopy
    Fredy Nehme, Hemant Goyal, Abhilash Perisetti, Benjamin Tharian, Neil Sharma, Tony C. Tham, Rajiv Chhabra
    Frontiers in Medicine.2021;[Epub]     CrossRef
  • Small bowel enteroscopy � A joint clinical guideline by the Spanish and Portuguese small-bowel study groups
    Enrique Pérez-Cuadrado Robles, Rolando Pinho, Begoña González-Suárez, Susana M�o-de-Ferro, Cristina Chagas, Pilar Esteban Delgado, Cristina Carretero, Pedro Figueiredo, Bruno Rosa, Javier García-Lledó, Óscar Nogales, Ana Ponte, Patrícia Andrade, José Fran
    Revista Española de Enfermedades Digestivas.2020;[Epub]     CrossRef
  • Small Bowel Enteroscopy – A Joint Clinical Guideline from the Spanish and Portuguese Small Bowel Study Groups
    Enrique Pérez-Cuadrado-Robles, Rolando Pinho, Begoña Gonzalez, Susana Mão de Ferro, Cristina Chagas, Pilar Esteban Delgado, Cristina Carretero, Pedro Figueiredo, Bruno Rosa, Javier García Lledó, Óscar Nogales, Ana Ponte, Patrícia Andrade, Jose Francisco J
    GE - Portuguese Journal of Gastroenterology.2020; 27(5): 324.     CrossRef
  • Update in enteroscopy: New devices and new indications
    Tom G. Moreels
    Digestive Endoscopy.2018; 30(2): 174.     CrossRef
  • Metal Stent Placement in the Afferent Loop Obstructed by Peritoneal Metastases—Experience of Five Cases
    Yoshihide Kanno, Tetsuya Ohira, Yoshihiro Harada, Yoshiki Koike, Taku Yamagata, Megumi Tanaka, Tomohiro Shimada, Kei Ito
    Clinical Endoscopy.2018; 51(3): 299.     CrossRef
  • How to treat intestinal obstruction due to malignant recurrence after Whipple’s resection for pancreatic head cancer: Description of 2 new endoscopic techniques
    Christina Mouradides, Alaa Taha, Ivan Borbath, Pierre H Deprez, Tom G Moreels
    World Journal of Gastroenterology.2017; 23(33): 6181.     CrossRef
  • Safety and efficacy of self-expandable metallic stents in malignant small bowel obstructions
    Akiyoshi Tsuboi, Toshio Kuwai, Tomoyuki Nishimura, Sumio Iio, Takeshi Mori, Hiroki Imagawa, Toshiki Yamaguchi, Atsushi Yamaguchi, Hirotaka Kouno, Hiroshi Kohno
    World Journal of Gastroenterology.2016; 22(40): 9022.     CrossRef
  • Percutaneous needle decompression in treatment of malignant small bowel obstruction
    Ting-Hui Jiang
    World Journal of Gastroenterology.2015; 21(8): 2467.     CrossRef
  • Enteral metallic stenting by balloon enteroscopy for obstruction of surgically reconstructed intestine
    Kazunari Nakahara
    World Journal of Gastroenterology.2015; 21(24): 7589.     CrossRef
  • Small bowel intervention and application of enteroscopy for altered small bowel anatomy—endoscopic advanced therapy using double balloon enteroscopy
    Masaaki Shimatani, Norimasa Fukata, Ryo Suzuki, Sachi Miyamoto, Kota Kato, Toshiyuki Mitsuyama, Hideaki Miyoshi, Tsukasa Ikeura, Makoto Takaoka, Kazuichi Okazaki
    Gastrointestinal Intervention.2014; 3(2): 69.     CrossRef
  • Palliative enteroscopic stent placement for malignant mid-gut obstruction
    Esha Baichoo, Louis M. Wong Kee Song
    Gastrointestinal Intervention.2014; 3(1): 30.     CrossRef
  • 6,302 View
  • 59 Download
  • 12 Web of Science
  • 13 Crossref
Close layer
Special Issue Article of IDEN 2013
Deep Enteroscopy: Which Technique Will Survive?
Seong Ran Jeon, Jin-Oh Kim
Clin Endosc 2013;46(5):480-485.   Published online September 30, 2013
DOI: https://doi.org/10.5946/ce.2013.46.5.480
AbstractAbstract PDFPubReaderePub

The advent of deep enteroscopy (DE) has dramatically changed diagnostic and therapeutic approaches to small bowel diseases. Unlike capsule endoscopy, which is unable to obtain biopsies or treat a disease, DE techniques have diagnostic and therapeutic capabilities. Double-balloon enteroscopy (DBE) was introduced in 2001, and single-balloon enteroscopy (SBE) and spiral enteroscopy (SE) were subsequently developed for small bowel investigation. In published reports comparing these different enteroscopy techniques, most comparative parameters (depth of insertion, complications, learning curve, diagnostic yield, and therapeutic yield) were comparable among DBE, SBE, and SE. However, the procedure duration appears to be shorter for SE than for DBE and SBE. The rate of complete enteroscopy is clearly superior for DBE, compared with SE and SBE. Because these results do not indicate an increase in diagnostic or therapeutic yield, the clinical impact of complete enteroscopy remains controversial. According to previous studies, the three DE methods seem to be equally effective and safe in the clinical setting. Although larger randomized controlled trials are needed to evaluate the procedural characteristics and clinical impact, the selection of an enteroscopic technique should be based on availability and the endoscopist's experience.

Citations

Citations to this article as recorded by  
  • Use of Device-Assisted Enteroscopy in Small Bowel Disease: An Expert Consensus Statement by the Korean Association for the Study of Intestinal Diseases
    Han Hee Lee, Jin Su Kim, Hyeon Jeong Goong, Shin Hee Lee, Eun Hye Oh, Jihye Park, Min Cheol Kim, Kwangwoo Nam, Young Joo Yang, Tae Jun Kim, Seung-Joo Nam, Hee Seok Moon, Jae Hyun Kim, Duk Hwan Kim, Seong-Eun Kim, Seong Ran Jeon, Seung-Jae Myung
    The Korean Journal of Gastroenterology.2023; 81(1): 1.     CrossRef
  • Three cases of jejunal tumors detected by standard upper gastrointestinal endoscopy: A case series
    Jaesun Lee, Sunmoon Kim, Daesung Kim, Sangeok Lee, Kihyun Ryu
    World Journal of Clinical Cases.2023; 11(4): 962.     CrossRef
  • Use of device-assisted enteroscopy in small bowel disease: an expert consensus statement by the Korean Association for the Study of Intestinal Diseases
    Han Hee Lee, Jin Su Kim, Hyeon Jeong Goong, Shin Hee Lee, Eun Hye Oh, Jihye Park, Min Cheol Kim, Kwangwoo Nam, Young Joo Yang, Tae Jun Kim, Seung-Joo Nam, Hee Seok Moon, Jae Hyun Kim, Duk Hwan Kim, Seong-Eun Kim, Seong Ran Jeon, Seung-Jae Myung
    Intestinal Research.2023; 21(1): 3.     CrossRef
  • Achieving Total Enteroscopy by Consecutive Bidirectional Double-balloon Enteroscopy Procedures
    Liang Zhao, An-ning Yin, Fei Liao, Yi-juan Ding, Hong-gang Yu
    Current Medical Science.2022; 42(1): 144.     CrossRef
  • Enteroscopia de doble balón: experiencia inicial en un hospital universitario
    Arecio Peñaloza Ramírez, Jonathan Barreto Pérez, Fabio Sierra Matamoros, Esteban Coral Argoty, María Alejandra Castro Rodríguez, Pedro Nel Aponte Ordoñez
    Revista colombiana de Gastroenterología.2021; 36(3): 327.     CrossRef
  • Device-assisted enteroscopy training. A rapid review
    Federico Soria Gálvez, Octavio López-Albors, Pilar Esteban Delgado, Enrique Pérez-Cuadrado Robles, Rafael Latorre Reviriego
    Revista Española de Enfermedades Digestivas.2020;[Epub]     CrossRef
  • Complete anterograde small-bowel exploration with the novel motorized spiral enteroscope
    Begoña González-Suárez, Antonio Giordano, Miriam Escapa, Josep Llach
    VideoGIE.2020; 5(11): 517.     CrossRef
  • Small bowel bleeding
    Stefania Chetcuti Zammit, Reena Sidhu
    Current Opinion in Gastroenterology.2018; 34(3): 165.     CrossRef
  • Paradigm shift: should the elderly undergo propofol sedation for DBE? A prospective cohort study
    Hey-Long Ching, Federica Branchi, David S Sanders, David Turnbull, Reena Sidhu
    Frontline Gastroenterology.2018; 9(3): 192.     CrossRef
  • ANALYSIS OF DOUBLE BALLOON ENTEROSCOPY: INDICATIONS, FINDINGS, THERAPEUTIC AND COMPLICATIONS
    Flávio Heuta IVANO, Izabela Rodrigues VILLELA, Lívia Fouani de MIRANDA, Thaísa Sami NAKADOMARI
    ABCD. Arquivos Brasileiros de Cirurgia Digestiva (São Paulo).2017; 30(2): 83.     CrossRef
  • Endoscopy in the Diagnosis and Management of Complications of Inflammatory Bowel Disease
    Benjamin Tharian, Nayana George, Udayakumar Navaneethan
    Inflammatory Bowel Diseases.2016; 22(5): 1184.     CrossRef
  • Comparison of double-balloon and single-balloon enteroscope for therapeutic endoscopic retrograde cholangiography after Roux-en-Y small bowel surgery
    Michael De Koning, Tom G. Moreels
    BMC Gastroenterology.2016;[Epub]     CrossRef
  • Enteroscopy
    Shailendra S. Chauhan, Michael A. Manfredi, Barham K. Abu Dayyeh, Brintha K. Enestvedt, Larissa L. Fujii-Lau, Sri Komanduri, Vani Konda, John T. Maple, Faris M. Murad, Rahul Pannala, Nirav C. Thosani, Subhas Banerjee
    Gastrointestinal Endoscopy.2015; 82(6): 975.     CrossRef
  • Deep enteroscopy with a conventional colonoscope: initial multicenter study by using a through-the-scope balloon catheter system
    Rabia Ali, Daniel Wild, Frederick Shieh, David L. Diehl, Monika Fischer, Wataru Tamura, David T. Rubin, Vivek Kumbhari, Patrick Okolo, Andrew Storm, Zamir Halpern, Helmut Neumann, Harshit S. Khara, Mark B. Pochapin, Seth A. Gross
    Gastrointestinal Endoscopy.2015; 82(5): 855.     CrossRef
  • Small bowel intervention and application of enteroscopy for altered small bowel anatomy—endoscopic advanced therapy using double balloon enteroscopy
    Masaaki Shimatani, Norimasa Fukata, Ryo Suzuki, Sachi Miyamoto, Kota Kato, Toshiyuki Mitsuyama, Hideaki Miyoshi, Tsukasa Ikeura, Makoto Takaoka, Kazuichi Okazaki
    Gastrointestinal Intervention.2014; 3(2): 69.     CrossRef
  • Palliative enteroscopic stent placement for malignant mid-gut obstruction
    Esha Baichoo, Louis M. Wong Kee Song
    Gastrointestinal Intervention.2014; 3(1): 30.     CrossRef
  • 7,151 View
  • 78 Download
  • 16 Crossref
Close layer
Case Reports
Aortoenteric Fistula Diagnosed by Double Balloon Enteroscopy: A Case Report
Hyung Geun Yoon, Bong Min Ko, Jae Woong Tae, Su Jin Hong, Jong Ho Moon, Jin Oh Kim, Joon Seong Lee, Moon Sung Lee
Clin Endosc 2013;46(1):106-109.   Published online January 31, 2013
DOI: https://doi.org/10.5946/ce.2013.46.1.106
AbstractAbstract PDFPubReaderePub

A secondary aortoenteric fistula (AEF) is a direct communication between the gastrointestinal tract and the aorta in a patient who has undergone major surgery on the aorta, often an aorta graft operation. We experienced a patient who had undergone graft interposition for abdominal aortic aneurysm and was admitted due to three episodes of hematemesis and following hamatochezia. Gastroscopy, colonoscopy, and radioactive iodine scan failed to identify the bleeding site in the patient. He was diagnosed with AEF by double balloon enteroscopy and recovered after surgical intervention.

Citations

Citations to this article as recorded by  
  • Aortic Bulge: A Possible Predictive Sign of Impending Aortoenteric Fistula
    Patrick Kennedy, Sandra Monteiro, Gordon Yip, Fernando Gastaldo
    Canadian Association of Radiologists Journal.2019; 70(2): 204.     CrossRef
  • Editor's Choice – Management of Secondary Aorto-enteric and Other Abdominal Arterio-enteric Fistulas: A Review and Pooled Data Analysis
    S.K. Kakkos, C.D. Bicknell, I.A. Tsolakis, D. Bergqvist
    European Journal of Vascular and Endovascular Surgery.2016; 52(6): 770.     CrossRef
  • 6,180 View
  • 66 Download
  • 2 Crossref
Close layer
Two Cases of Ileal Dieulafoy Lesion with Massive Hematochezia Treated by Single Balloon Enteroscopy
Young Chul Choi, Sang Hyun Park, Byoung Wook Bang, Kye Sook Kwon, Hyung Gil Kim, Yong Woon Shin
Clin Endosc 2012;45(4):440-443.   Published online November 30, 2012
DOI: https://doi.org/10.5946/ce.2012.45.4.440
AbstractAbstract PDFPubReaderePub

Ileal Dieulafoy lesion is an unusual vascular abnormality that can cause gastrointestinal bleeding. It can be associated with massive, life-threatening hemorrhage and requires urgent angiographic intervention or surgery. Ileal Dieulafoy lesion is hard to recognize due to inaccessibility and normal-appearing mucosa. With advances in endoscopy, aggressive diagnostic and therapeutic approaches including enteroscopy have recently been performed for small bowel bleeding. We report two cases of massive ileal Dieulafoy lesion bleeding diagnosed and treated successfully by single balloon enteroscopy with a review of the literature.

Citations

Citations to this article as recorded by  
  • A diagnostic dilemma: a case report of concomitant duodenal Dieulafoy lesion and gastric ulcer
    Lauren Wallace, Peter J Gallagher
    Journal of Surgical Case Reports.2024;[Epub]     CrossRef
  • Stitch in time saves nine
    Aisha Rummaan, Irene Lee, Deepa Rattehalli, Prajesh Kumar, Sauid Ishaq
    Frontline Gastroenterology.2023; 14(3): 265.     CrossRef
  • Ileal Dieulafoy Lesion: a rare case report
    Aleena Jain, Manjusha Karegar, Amita Joshi, Amey Rojekar
    Surgical and Experimental Pathology.2018;[Epub]     CrossRef
  • The Role of Emergency Endoscopy in Small Bowel Bleeding: A Review
    Enrique Pérez-Cuadrado-Robles, Enrique Pérez-Cuadrado-Martínez
    GE Portuguese Journal of Gastroenterology.2016; 23(2): 84.     CrossRef
  • An Unusual Cause of Torrential Lower Gastrointestinal Hemorrhage
    Terence C. Chua, Anthony J. Gill, Jaswinder S. Samra
    Gastroenterology.2015; 148(5): e10.     CrossRef
  • 8,341 View
  • 43 Download
  • 5 Crossref
Close layer
A Case of Giant Inflammatory Ileal Polyp Removed by Double-Balloon Enteroscopy
Dae Woong Yoon, Beom Jae Lee, Jae Hyoung Lee, Jong-Jae Park, Jae Seon Kim, Young-Tae Bak, Won Jae Choi, Young Jae Mok
Clin Endosc 2012;45(3):198-201.   Published online August 22, 2012
DOI: https://doi.org/10.5946/ce.2012.45.3.198
AbstractAbstract PDFPubReaderePub

Inflammatory fibroid polyps are rare benign tumors of the GI tract, that commonly present with intestinal obstruction as a result of intussusceptions in the small bowel. A 39-year old man visited our clinic with an asymptomatic polypoid mass in the distal ileum that was identified on abdominal computed tomography for postoperative surveillance after total gastrectomy due to previously diagnosed early gastric cancer. Retrograde double-balloon enteroscopy was performed to diagnose the ileal mass and a complete resection of the polyp was performed using snare for polypectomy without complications. The final histological finding was an ileal inflammatory polyp. Balloon-assisted enteroscopy is a valuable modality to diagnose and treat small bowel lesions in lieu of surgical procedures in selected cases.

Citations

Citations to this article as recorded by  
  • Gel immersion EMR of small-bowel inflammatory fibroid polyp using double-balloon endoscopy
    Yuka Matsubara, Akiyoshi Tsuboi, Issei Hirata, Akihiko Sumioka, Hidenori Tanaka, Ken Yamashita, Yuji Urabe, Shiro Oka
    VideoGIE.2024; 9(2): 92.     CrossRef
  • Inflammatory Fibroid Polyp of Ileum with Intussusception
    Eun Sun Lee
    Korean Journal of Abdominal Radiology.2022; 6(1): 72.     CrossRef
  • Masquerading in the midgut: a rare diagnosis in a patient with recurrent abdominal pain
    Philip J Smith, Trusha Patel, Nicholas Reading, Konstantinos Giaslakiotis, Sami Hoque
    Frontline Gastroenterology.2020; 11(5): 420.     CrossRef
  • Pólipo fibroso inflamatorio (de Vaneck) como origen de hemorragia digestiva de origen oscuro
    Javier Martínez-González, Marta Aicart Ramos, Paloma Bebia Conesa, María Isabel López-Espín, Enrique Pérez-Cuadrado Robles, Enrique Pérez-Cuadrado Martínez
    Gastroenterología y Hepatología.2015; 38(1): 21.     CrossRef
  • Vanek’s tumor of the small bowel in adults
    Bassam Abboud
    World Journal of Gastroenterology.2015; 21(16): 4802.     CrossRef
  • Massive gastrointestinal bleeding caused by a giant gastric inflammatory fibroid polyp: A case report
    Chenghai Zhang, Ming Cui, Jiadi Xing, Yunfei Shi, Xiangqian Su
    International Journal of Surgery Case Reports.2014; 5(9): 571.     CrossRef
  • 6,430 View
  • 43 Download
  • 6 Crossref
Close layer
A Case of Capillary Hemangioma in the Jejunum Detected by Single Balloon Enteroscopy in a Patient with Anemia
Jun-Hyung Cho, M.D., Jae Young Jang, M.D., Chang Hyun Cho, M.D., Jaejun Shim, M.D., Seok Ho Dong, M.D., Hyo Jong Kim, M.D., Byung-Ho Kim, M.D. and Young Woon Chang, M.D.
Korean J Gastrointest Endosc 2011;42(4):263-267.   Published online April 28, 2011
AbstractAbstract PDF
Hemangiomas are uncommon benign vascular tumors that account for up to 10% of all small bowel tumors. The jejunum is the most common location, and gastrointestinal bleeding is a frequent clinical presentation. Histologically, hemangiomas are classified as cavernous, capillary, or mixed types. Capillary hemangiomas are dense collections of capillaries usually with a hyperplastic endothelium. There have been a few cases of small bowel capillary hemangioma revealed by capsule endoscopy and confirmed after surgical resection. But preoperative detection of hemangiomas in the small intestine has not been reported, as far as we know, associated with the use of balloon-assisted enteroscopy. This report describes a 44-year-old male with a small bowel mass considered to be a cause of severe iron deficiency anemia. In this case, we performed capsule endoscopy and single balloon enteroscopy to examine the lesion. The patient then underwent a segmental resection of the jejunum, which confirmed the presence of a capillary hemangioma with surface ulceration. (Korean J Gastrointest Endosc 2011;42: 263-267)
  • 2,241 View
  • 14 Download
Close layer
Jejunal Metastasis of Lung Cancer Diagnosed with Double Balloon Enteroscopy
Sun Gyo Lim, M.D., Sung Jae Shin, M.D., Kyung Hyun Koh, M.D., Sung Jun Choi, M.D., Jeong Woo Choi, M.D., Ki Myung Lee, M.D. and Jin Hong Kim, M.D.
Korean J Gastrointest Endosc 2011;42(1):47-51.   Published online January 30, 2011
AbstractAbstract PDF
Metastasis from lung cancer to the small bowel is rare and this accounts for 0.2% to 0.5% of all the cases of metastasis from lung cancer. In most cases, the patients are asymptomatic and they can show signs of bleeding, intestinal obstruction, perforation and so on. A better diagnostic approach to the small bowel has recently been made possible through capsule endoscopy and double balloon enteroscopy (DBE), and they have a higher diagnostic rate for small bowel bleeding compared with that of the previous diagnostic tests. DBE makes it possible to diagnose precisely due to the high quality endoscopic images and biopsy specimens. In addition, therapeutic DBE with a 2.8 mm channel enables performing more kinds of therapeutic procedures than diagnostic DBE with a 2.2 mm channel. If small bowel metastasis is suspected on 18FDG-PET/CT, then DBE can be considered for making a pathologic diagnosis. We report here on a case of small bowel metastasis from non small cell lung cancer in a 39-year-old woman who complained of hematochezia and we review the relevant literature. (Korean J Gastrointest Endosc 2011;42:47-51)
  • 2,185 View
  • 8 Download
Close layer
A Case of Jejunal Extranodal MALT Lymphoma Diagnosed by Single-balloon Enteroscopy
Son Ook Choi, M.D., Jung Sun Bag, M.D., Sok Won Han, M.D., Chang Whan Kim, M.D., Tae Ho Kim, M.D., Min Kuk Kim, M.D. and Hwang Choi, M.D.
Korean J Gastrointest Endosc 2010;41(4):245-250.   Published online October 30, 2010
AbstractAbstract PDF
Small bowel lesions located in long and multiple complex loop configurations were difficult to diagnose early because of vague clinical manifestations and because of the poor diagnostic yield of conventional examination methods. In this setting, double-balloon enteroscopy (DBE) was an epoch-making diagnostic and therapeutic tool for the management of patients with small bowel disease. Single-balloon enteroscopy (SBE), lacking a balloon at the endoscopic tip, is also a useful method for investigating and managing suspected small bowel lesions. Mucosa associated lymphoid tissue (MALT) lymphoma of the small bowel is relatively uncommon and remains a localized disease for long periods in most patients. Recently, we experienced a case of advanced-stage MALT lymphoma in the jejunum. A 60-year old female, with a history of anemia of unknown etiology and who was suspected of having a small bowel lesion, presented with complaints of vague abdominal pain and dizziness. She had undergone SBE via the oral route. She was diagnosed with MALT lymphoma of the jejunum and treated with medical management. (Korean J Gastrointest Endosc 2010;41:245-250)
  • 2,216 View
  • 12 Download
Close layer
Characteristics of Lesions Misdiagnosed as Obscure Gastrointestinal Bleeding
Hyun Sook Choi, M.D., Jin Oh Kim, M.D., Dong Kyun Kim, M.D., Sung Ran Jeon, M.D., Yoon Ho Jung, M.D.,

Hyun Gun Kim, M.D., Tae Hee Lee, M.D., Won Young Cho, M.D., Wan Jung Kim, M.D., Bong Min Ko, M.D., Moon Sung Lee, M.D., Joo Young Cho,

Korean J Gastrointest Endosc 2010;41(2):79-84.   Published online August 30, 2010
AbstractAbstract PDF
Background
/Aims: Double balloon enteroscopy (DBE) and capsule endoscopy (CE) are useful for evaluation of obscure gastrointestinal bleeding (OGIB). However, many bleeding sources within reach of conventional upper and lower endoscopes can be missed in patients who have undergone DBE and CE for OGIB. The aim of this study was to determine the incidence and characteristics of OGIB lesions within reach of a conventional endoscope in patients undergoing DBE and CE for the indication of OGIB.
Methods
This retrospective study included 134 patients who were evaluated for OGIB between March 2003 and May 2009 at Soonchunhyang University Hospital.
Results
Of the 134 patients, 76 underwent CE, 28 patients underwent DBE, and 30 underwent both CE and DBE. The incidence of OGIB lesions within reach of a conventional upper and lower endoscopy was 9.7% (n=13) and the mean age of patients was 51 years (range: 20 to 69 years). The most commonly missed lesion was duodenal ulcer (n=8). The other missed lesions were gastric ulcer (n=2), terminal ileal ulcer (n=2) and ileocecal valve ulcer (n=1).
Conclusions
The duodenum should be observed closely in initial upper and lower endoscopy by experienced endoscopists. Performing a second EGD and ileocolonoscopy before DBE and CE may increase the diagnostic yield and improve cost-effectiveness in patients with OGIB. (Korean J Gastrointest Endosc 2010;41: 79-84)
  • 2,309 View
  • 23 Download
Close layer
A Case of Meckel's Diverticulum Diagnosed for Recurrent Hematochezia in Old Age
Dong Kyun Kim, M.D., Jin Oh Kim, M.D., Hyun Gun Kim, M.D., Tae Hee Lee, M.D., Yoon Ho Jung, M.D., Joo Young Cho, M.D., Joon Seong Lee, M.D. and So Young Jin, M.D.*
Korean J Gastrointest Endosc 2010;40(5):334-337.   Published online May 30, 2010
AbstractAbstract PDF
The small bowel is the most common site of an unknown origin of gastrointestinal bleeding. Meckel's diverticulum is the most common congenital anomaly of the gastrointestinal tract in children. The complications from Meckel's diverticulum such as bleeding decrease with age, and so Meckel's diverticular bleeding is very rare in old age patients. The diagnosis of Meckel's diverticulum may be very difficult and especially in old age patients. Capsule endoscopy and double balloon enteroscopy have recently become useful diagnostic tools for assessing diverticular bleeding and small bowel lesions as these techniques can examine the entire small intestine. We report here on a case of Meckel's diverticulum that was detected by capsule endoscopy and double balloon enteroscopy and this was confirmed by surgery in a 76-year-old man with recurrent hematochezia. (Korean J Gastrointest Endosc 2010;40:334-337)
  • 2,047 View
  • 11 Download
Close layer
Diagnostic Agreement between Capsule Endoscopy and Double-balloon Enteroscopy of Small Bowel Disease
Hyun Gun Kim, M.D., Jin-Oh Kim, M.D., Tae Hee Lee, M.D., Wan Jung Kim, M.D., Hyun Sook Chol, M.D., Young Kwan Cho, M.D., Won Young Cho, M.D., Bong Min Ko, M.D., Joo Young Cho, M.D., Moon Sung Lee, M.D. and Joon Seong Lee, M.D.
Korean J Gastrointest Endosc 2010;40(4):236-243.   Published online April 30, 2010
AbstractAbstract PDF
Background
/Aims: To evaluate the diagnostic agreement between capsule endoscopy (CE) and double-balloon enteroscopy (DBE) in patients with suspected small bowel disease.
Methods
We retrospectively analyzed and compared the diagnostic yield and the diagnostic agreement between CE and DBE, in patients who initially underwent CE followed by DBE at a single tertiary referral center.Results: Thirty patients (17 males, mean age 45±17) underwent both CE and DBE. Total small bowel examination was possible in 80% (24/30) with CE, and 20% (6/30) with DBE. Diagnostic yield was 56.7% (17/30) with CE, and 73.3% (22/30) with DBE. Overall diagnostic yield was 93.3% (28/30) after both examinations. The overall degree of concordance between CE and DBE for lesion description was a moderate agreement, with a calculated kappa index of 0.48 (95% CI 0.44∼0.52, p＜0.05). Both CE and DBE detected identical lesions relevant to the clinical presentation in 56.6% (17/30) of cases. A total of 36.7% (11/30) of cases changed diagnosis because different lesions were detected by each method.
Conclusions
The overall degree of concordance between CE and DBE showed moderate agreement. Additional DBE examinations can improve the diagnostic yield of small bowel lesions in patients with no relevant findings or failed detection on CE, who are, however, clinically suspicious. (Korean J Gastrointest Endosc 2010;40:236-243)
  • 2,124 View
  • 17 Download
Close layer
A Case of Primary Jejunal Mucinous Adenocarcinoma Diagnosed by Single Balloon Enteroscopy
Youngju Lee, M.D., Jae Young Jang, M.D., Sung Hyung Ha, M.D., Seok Ho Dong, M.D., Hyo Jong Kim, M.D., Byung-Ho Kim, M.D., Young Woon Chang, M.D. and Rin Chang, M.D.
Korean J Gastrointest Endosc 2010;40(3):199-202.   Published online March 30, 2010
AbstractAbstract PDF
The small bowel rarely develops neoplasm, and tumor of the small bowel accounts for only 1∼2% of all gastrointestinal neoplasm. Most cases of jejunal and ileal adenocarconoma are of the well or moderately differentiated type. Mucinous adenocarcinoma is diagnosed when the amount of extracellular mucin in a tumor is over 50% and its incidence in the small bowel is very low. A 49-year-old man presented with postprandial abdominal pain and vomiting for the previous 2 months. The abdominal computed tomography scan showed about a 6.5 cm-sized mass at the proximal jejunum. Single balloon enteroscopy was done preoperatively for making the diagnosis and the biopsy showed mucinous adenocarcinoma of the proximal jejunum. Under the diagnosis of primary jejunal cancer. We report here on our case for which a definite diagnosis was made before surgery by performing single balloon enteroscopy, and we review the relevant medical literature. (Korean J Gastrointest Endosc 2010;40:199-202)
  • 2,463 View
  • 10 Download
Close layer
Follow-up after Double Balloon Enteroscopy in Patients with Suspected Small Bowel Bleeding: Focused on the Rebleeding Rate
Sun-Jin Boo, M.D., Jeong-Sik Byeon, M.D., Kee Don Choi, M.D., Byong Duk Ye, M.D., Dong-Hoon Yang, M.D., Soon Man Yoon, M.D., Kyung-Jo Kim, M.D., Seung-Jae Myung, M.D., Suk-Kyun Yang, M.D. and Jin-Ho Kim, M.D.
Korean J Gastrointest Endosc 2010;40(3):157-163.   Published online March 30, 2010
AbstractAbstract PDF
Background
/Aims: Double balloon enteroscopy (DBE) is an effective modality for making the diagnosis and managing suspected small bowel bleeding. However, there is limited data on the follow-up results after DBE. The aim of this study was to evaluate the long-term clinical outcome after DBE in patients with suspected small bowel bleeding.
Methods
We retrospectively analyzed the rebleeding rate of 60 consecutive patients (M：F=39：21, age: 13∼85 years) who underwent DBE because of suspected small bowel bleeding at Asan Medical Center during a 3 year period.
Results
The median follow-up period was 552 days. Bleeding sources were detected by DBE in 41 patients. The cumulative rebleeding rate at 6, 12 and 24 months was 22%, 27% and 30%, respectively. There was no significant difference in the cumulative rebleeding rate between the patients with bleeding sources detected by the initial DBE and those without bleeding sources detected by the initial DBE. The cumulative rebleeding rate at 6 and 12 months was significantly higher for the patients with vascular or superficial mucosal lesions than for the patients with tumors or other lesions (p=0.013).
Conclusions
The rebleeding risk after DBE is not low for patients with suspected small bowel bleeding. The rebleeding risk is especially high for patients with vascular or superficial mucosal lesions, and this may necessitate careful follow-up. (Korean J Gastrointest Endosc 2010;40:157-163)
  • 2,098 View
  • 13 Download
Close layer
A Case of Anticoagulant Ileus Diagnosed by Double Balloon Enteroscopy
Yong Wook Kim, M.D., Hyun Joo Jang, M.D., Ji Youn Kim, M.D., Seung Hwa Lee, M.D., Seon Wook Park, M.D., Dong Hee Koh, M.D., Min Ho Choi, M.D. and Jin Lee, M.D.
Korean J Gastrointest Endosc 2010;40(1):54-57.   Published online January 30, 2010
AbstractAbstract PDF
Anticoagulant ileus is a rare complication that is caused by an intramural hematoma, and the hematoma is due to excessive anticoagulant therapy. The features of anticoagulant ileus vary from slight abdominal pain to vomiting, severe abdominal pain and abdominal rebound tenderness that are due to intestinal obstruction. Anticoagulant ileus is sometimes accompanied by gastrointestinal bleeding, peritoneal bleeding and panperitonitis due to intestinal perforation. The diagnosis of anticoagulant ileus has been made using such radiographic methods as enhanced abdominal computed tomography and small bowel follow-through. We were able to confirm a case of anticoagulant ileus with bleeding by performing double balloon enteroscopy. We report on this case and we review the relevant literature. (Korean J Gastrointest Endosc 2010;40:54-57)
  • 2,261 View
  • 8 Download
Close layer
Endoscopic Polypectomy of Small Intestinal Peutz-Jeghers Polyps with Double Balloon Enteroscopy
Mi-Young Kim, M.D., Jeong-Sik Byeon, M.D., Kee Don Choi, M.D., Byong Duk Ye, M.D., Dong-Hoon Yang, M.D., Soon Man Yoon, M.D., Kyung-Jo Kim, M.D., Seung-Jae Myung, M.D., Suk-Kyun Yang, M.D. and Jin-Ho Kim, M.D.
Korean J Gastrointest Endosc 2009;39(6):338-345.   Published online December 30, 2009
AbstractAbstract PDF
Background
/Aims: Small intestinal polyps in patients with Peutz-Jeghers (PJ) syndrome cause therapeutic difficulties because of the necessity for repeated laparotomy. We evaluated the short-term outcomes and long-term usefulness of double balloon enteroscopy (DBE) polypectomy for treating small intestinal PJ polyps.
Methods
We retrospectively reviewed 10 patients with PJ syndrome (M：F=7：3, mean age 22.7 years) and whose small intestinal polyps were resected with DBE between January 2005 and July 2008. We analyzed their clinical, endoscopic and pathologic features, the short-term outcomes and the long-term follow-up results.
Results
Among 10 patients, 2 complained hematochezia and 2 presented with intussusceptions. DBE polypectomy was performed by the oral route in 4 patients, by the anal route in 1 and by both routes in 5 without significant complications, except for only one perforation. The polyps were 0.5∼6 cm in size and most of them were pedunculated. The histopathology revealed hamartomatous polyps in most cases. Follow-up small bowel series was performed in 6 of 10 patients, and 3 showed remnant polyps. Two of them underwent repeated DBE polypectomy without significant complications.
Conclusions
We suggest that DBE polypectomy is a useful treatment for PJ small intestinal polyps because of the good short-term outcome and the effectiveness of repeated polypectomy for the remnant or recurrent polyps. (Korean J Gastrointest Endosc 2009;39:338-345)
  • 2,274 View
  • 12 Download
Close layer
A Case of Bleeding from a Jejunal Gastrointestinal Stromal Tumor Diagnosed by Double Balloon Enteroscopy
Jeong Yoon Jang, M.D., Jae Myung Cha, M.D., Joung Il Lee, M.D., Kwang Ro Joo, M.D., Sung Won Jung, M.D., Hyun Phil Shin, M.D. and Yu Jin Suh, M.D.
Korean J Gastrointest Endosc 2009;39(2):106-110.   Published online August 30, 2009
AbstractAbstract PDF
Gastrointestinal bleeding from a small bowel lesion is uncommon, but it is the most common cause of obscure gastrointestinal bleeding and it can go undiagnosed using traditional upper endoscopy and colonoscopy. Recently, capsule endoscopy and double-balloon enteroscopy (DBE) were developed as new techniques for visualization of the entire small intestine and have improved access to the lesion site in patients with obscure gastrointestinal bleeding. In this report, we describe a 49-year male presenting with melena from a gastrointestinal stromal tumor (GIST) of the proximal jejunum that was diagnosed by DBE and resected by laparoscopic surgery. (Korean J Gastrointest Endosc 2009;39:106-110)
  • 2,262 View
  • 4 Download
Close layer
Close layer
TOP