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, ca...

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Main Authors: Masaki Endo, Yukito Abiko, Syuhei Oana, Norihiko Kudara, Takashi Kosaka, Toshimi Chiba, Yasuhiro Takikawa, Kazuyuki Suzuki, Tamotsu Sugai
Format: Article
Language:English
Published: Wiley 2011-01-01
Series:Gastroenterology Research and Practice
Online Access:http://dx.doi.org/10.1155/2011/429462
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author Masaki Endo
Yukito Abiko
Syuhei Oana
Norihiko Kudara
Takashi Kosaka
Toshimi Chiba
Yasuhiro Takikawa
Kazuyuki Suzuki
Tamotsu Sugai
author_facet Masaki Endo
Yukito Abiko
Syuhei Oana
Norihiko Kudara
Takashi Kosaka
Toshimi Chiba
Yasuhiro Takikawa
Kazuyuki Suzuki
Tamotsu Sugai
author_sort Masaki Endo
collection DOAJ
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.
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institution Kabale University
issn 1687-6121
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series Gastroenterology Research and Practice
spelling doaj-art-044d904479b140c3b005ff4aacfe29ac2025-02-03T01:27:11ZengWileyGastroenterology Research and Practice1687-61211687-630X2011-01-01201110.1155/2011/429462429462Usefulness of Double-Balloon Endoscopy in the Postoperative Gastrointestinal TractMasaki Endo0Yukito Abiko1Syuhei Oana2Norihiko Kudara3Takashi Kosaka4Toshimi Chiba5Yasuhiro Takikawa6Kazuyuki Suzuki7Tamotsu Sugai8Department of Gastroenterology and Hepatology, School of Medicine, Iwate Medical University, 19-1 Uchimaru, Morioka 020-8505, JapanDepartment of Gastroenterology and Hepatology, School of Medicine, Iwate Medical University, 19-1 Uchimaru, Morioka 020-8505, JapanDepartment of Gastroenterology and Hepatology, School of Medicine, Iwate Medical University, 19-1 Uchimaru, Morioka 020-8505, JapanDepartment of Gastroenterology and Hepatology, School of Medicine, Iwate Medical University, 19-1 Uchimaru, Morioka 020-8505, JapanDepartment of Gastroenterology and Hepatology, School of Medicine, Iwate Medical University, 19-1 Uchimaru, Morioka 020-8505, JapanDepartment of Gastroenterology and Hepatology, School of Medicine, Iwate Medical University, 19-1 Uchimaru, Morioka 020-8505, JapanDepartment of Gastroenterology and Hepatology, School of Medicine, Iwate Medical University, 19-1 Uchimaru, Morioka 020-8505, JapanDepartment of Gastroenterology and Hepatology, School of Medicine, Iwate Medical University, 19-1 Uchimaru, Morioka 020-8505, JapanDepartment of Diagnostic Pathology, School of Medicine, Iwate Medical University, 19-1 Uchimaru, Morioka 020-8505, JapanBackground. 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.http://dx.doi.org/10.1155/2011/429462
spellingShingle Masaki Endo
Yukito Abiko
Syuhei Oana
Norihiko Kudara
Takashi Kosaka
Toshimi Chiba
Yasuhiro Takikawa
Kazuyuki Suzuki
Tamotsu Sugai
Usefulness of Double-Balloon Endoscopy in the Postoperative Gastrointestinal Tract
Gastroenterology Research and Practice
title 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_short Usefulness of Double-Balloon Endoscopy in the Postoperative Gastrointestinal Tract
title_sort usefulness of double balloon endoscopy in the postoperative gastrointestinal tract
url http://dx.doi.org/10.1155/2011/429462
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