A New Method of Enteroscopy–The Double-Balloon Method

The diagnosis and treatment of diseases of the small intestine have been impeded by difficult technical challenges. Traditionally, endoscopic evaluation of this organ has required open laparotomy with the surgically assisted passage of the scope through the intestine. Nonsurgical endoscopic techniqu...

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Main Authors: Hironori Yamamoto, Kentaro Sugano
Format: Article
Language:English
Published: Wiley 2003-01-01
Series:Canadian Journal of Gastroenterology
Online Access:http://dx.doi.org/10.1155/2003/309532
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author Hironori Yamamoto
Kentaro Sugano
author_facet Hironori Yamamoto
Kentaro Sugano
author_sort Hironori Yamamoto
collection DOAJ
description The diagnosis and treatment of diseases of the small intestine have been impeded by difficult technical challenges. Traditionally, endoscopic evaluation of this organ has required open laparotomy with the surgically assisted passage of the scope through the intestine. Nonsurgical endoscopic techniques have been developed, including push enteroscopy, passage of a scope over a guide-string, and a method that depends on peristalsis to advance the instrument, but each of these is subject to severe limitations. A novel procedure has been devised, whereby an endoscope and a soft flexible overtube, each of which has an inflatable balloon attached to its distal end, are employed together. The technique is described in detail in the present article. Double-balloon enteroscopy allows visualization of the entire small intestine, to and fro examination of an area of interest, and the taking of biopsy specimens in a manner that is safer, quicker and less painful than previous techniques. It constitutes an important advance in the diagnosis and management of bleeding and other small intestinal disorders.
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spelling doaj-art-eb38e8d295f54ab1805709ddf0c6d70e2025-08-20T03:21:18ZengWileyCanadian Journal of Gastroenterology0835-79002003-01-0117427327410.1155/2003/309532A New Method of Enteroscopy–The Double-Balloon MethodHironori Yamamoto0Kentaro Sugano1Department of Gastroenterology, Jichi Medical School, JapanDepartment of Gastroenterology, Jichi Medical School, JapanThe diagnosis and treatment of diseases of the small intestine have been impeded by difficult technical challenges. Traditionally, endoscopic evaluation of this organ has required open laparotomy with the surgically assisted passage of the scope through the intestine. Nonsurgical endoscopic techniques have been developed, including push enteroscopy, passage of a scope over a guide-string, and a method that depends on peristalsis to advance the instrument, but each of these is subject to severe limitations. A novel procedure has been devised, whereby an endoscope and a soft flexible overtube, each of which has an inflatable balloon attached to its distal end, are employed together. The technique is described in detail in the present article. Double-balloon enteroscopy allows visualization of the entire small intestine, to and fro examination of an area of interest, and the taking of biopsy specimens in a manner that is safer, quicker and less painful than previous techniques. It constitutes an important advance in the diagnosis and management of bleeding and other small intestinal disorders.http://dx.doi.org/10.1155/2003/309532
spellingShingle Hironori Yamamoto
Kentaro Sugano
A New Method of Enteroscopy–The Double-Balloon Method
Canadian Journal of Gastroenterology
title A New Method of Enteroscopy–The Double-Balloon Method
title_full A New Method of Enteroscopy–The Double-Balloon Method
title_fullStr A New Method of Enteroscopy–The Double-Balloon Method
title_full_unstemmed A New Method of Enteroscopy–The Double-Balloon Method
title_short A New Method of Enteroscopy–The Double-Balloon Method
title_sort new method of enteroscopy the double balloon method
url http://dx.doi.org/10.1155/2003/309532
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