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double balloon enteroscopy

Wen-Guo Chen, Guo-Dong Shan, Hong Zhang, Ming Yang, Lin L, Min Yue, Guang-Wu Chen, Qing Gu, Hua-Tuo Zhu, Guo-Qiang Xu, Li-Hua Chen
The aim of the study was to evaluate the diagnostic and therapeutic value of double-balloon entoroscopy (DBE) in small bowel diseases (SBDs) in China.A retrospective review of 674 consecutive patients who underwent DBE between January 2007 and November 2015 was conducted. Patients were divided into 3 groups by age, young group (<45 years), middle-aged group (45-65 years), and elderly group (>65 years). Data were collected with regard to demographics, clinical, endoscopic findings, complications, diagnostic yield, and management...
October 2016: Medicine (Baltimore)
Mario A Masrur, Despoina Daskalaki, Andrea Vannucchi, Siddharth N Vannemreddy, Luis F Gonzalez-Ciccarelli, Ross Rbrown, C Pier
BACKGROUND: Bleeding lesions of the small bowel are often difficult to identify due to the obscure symptomatology. Localizing these lesions requires specific techniques. The Double-balloon enteroscopy (DBE) could be used to precisely localize and mark lesions, so that a minimally invasive surgical treatment could be performed. METHODS: Twenty robot-assisted small bowel procedures are presented using a combination of DBE for localization and robotic resection. RESULTS: There were 10 jejunal resections and 10 ileal resections...
October 2016: Minerva Chirurgica
Keiko Saito, Tomoo Nakagawa, Hirotaka Koseki, Takashi Taida, Takehiro Sakurai, Sayuri Yoshihama, Masaya Saito, Daisuke Maruoka, Tomoaki Matsumura, Hirotsugu Watabe, Makoto Arai, Tatsuro Katsuno, Osamu Yokosuka
Here we report three cases in which the cellophane wall of the PillCam(®) patency capsule (tag-less PC), lacking a radio frequency identification tag, was retained. Case 1 A 33-year-old man with Crohn's disease (CD) who was administered the tag-less PC, subsequently underwent resection for perforated colon. We recovered the cellophane wall that could perforate the intestine and cause peritonitis. Case 2 A 34-year-old man with a recurring intestinal obstruction of unknown cause was administered the tag-less PC test...
September 17, 2016: Clinical Journal of Gastroenterology
Marcela Kopáčová, Jan Bureš, Stanislav Rejchrt, Jaroslava Vávrová, Jolana Bártová, Tomáš Soukup, Jan Tomš, Ilja Tachecí
Double balloon enteroscopy (DBE) was introduced 15 years ago. The complications of diagnostic DBE are rare, acute pancreatitis is most redoubtable one (incidence about 0.3%). Hyperamylasemia after DBE seems to be a rather common condition respectively. The most probable cause seems to be a mechanical straining of the pancreas. We tried to identify patients in a higher risk of acute pancreatitis after DBE. We investigated several laboratory markers before and after DBE (serum cathepsin B, lactoferrin, E-selectin, SPINK 1, procalcitonin, S100 proteins, alfa-1-antitrypsin, hs-CRP, malondialdehyde, serum and urine amylase and serum lipase)...
September 1, 2016: Acta Medica (Hradec Králové)
Asuka Nagura, Masanao Nakamura, Osamu Watanabe, Takeshi Yamamura, Kohei Funasaka, Eizaburo Ohno, Ryoji Miyahara, Hiroki Kawashima, Shuji Koyama, Tomoki Hinami, Hidemi Goto, Yoshiki Hirooka
UNLABELLED: Double-balloon endoscopy (DBE) is useful for the diagnosis and treatment of small bowel diseases. Although fluoroscopy is used to confirm the position of endoscope at DBE, the endoscopist does not have the knowledge with regard to the radiation exposure dose. In this study, we evaluated the absorbed dose during DBE in patients with suspected or established small bowel diseases. This was a retrospective study in which the estimated fluoroscopic radiation absorbed doses loaded on the small bowel and skin were determined according to the data of the referential X-ray experiment with a human body phantom...
August 2016: Nagoya Journal of Medical Science
Michael De Koning, Tom G Moreels
BACKGROUND: Roux-en-Y reconstructive surgery excludes the biliopancreatic system from conventional endoscopic access. Balloon-assisted enteroscopy allows therapeutic endoscopic retrograde cholangiopancreatography (ERCP) in these patients, avoiding rescue surgery. The objective of the current study is to compare success and complication rate of double-balloon (DBE) and single-balloon enteroscope (SBE) to perform ERCP in Roux-en-Y patients. METHODS: Seventy three Roux-en-Y patients with suspected biliary tract pathology underwent balloon-assisted enteroscopy in a tertiary-care center...
2016: BMC Gastroenterology
Alberto Murino, Masanao Nakamura, Osamu Watanabe, Takeshi Yamamura, Asuka Nagura, Toru Yoshimura, Arihiro Nakano, Hidemi Goto, Yoshiki Hirooka
BACKGROUND: Characterization of small bowel submucosal tumours is challenging, requiring additional investigations. Endoscopic Ultrasonography performed during Double Balloon Enteroscopy, appeared a promising technique although it has not been fully evaluated. The aim was to determine the effectiveness of this technique for characterization and management of sub mucosal tumours in a large cohort of patients. METHODS: Patients with suspected small bowel tumours, who underwent Endoscopic Ultrasonography performed during Double Balloon Enteroscopy in our Institution between 2005 and 2013, were reviewed...
October 2016: Digestive and Liver Disease
Daisuke Kaya, Masahide Yoshikawa, Toshiya Nakatani, Fumimasa Tomo-Oka, Yuki Fujimoto, Koji Ishida, Yukihisa Fujinaga, Yosuke Aihara, Shinsaku Nagamatsu, Eijo Matsuo, Masaharu Tokoro, Yukiteru Ouji, Eiryo Kikuchi
Ancylostoma (A.) ceylanicum, one of the most common species of hookworms infecting dogs and cats, also causes patent infections in humans and is now considered to be the second most common hookworm species infecting populations in southeast Asia. A Japanese patient who returned from a visit to Thailand and Lao People's Democratic Republic (PDR) was presented with intermittent watery diarrhea with eosinophilia. Hookworm eggs were found in feces samples, and adult worms were confirmed to be present in the jejunum with capsule endoscopy and double balloon enteroscopy...
December 2016: Parasitology International
Joanna K Law
PURPOSE OF REVIEW: Endoscopic technology has evolved such that device-assisted enteroscopes (DAEs) are readily available and utilized to diagnose and treat patients with small bowel disease. In this review, we briefly discuss the DAE platforms and the expanding role for small bowel enteroscopy. RECENT FINDINGS: The indications for small bowel endoscopy are rapidly increasing with new diagnostic and therapeutic maneuvers that are allowing patients to obtain treatments that would have otherwise required more invasive or higher risk procedures...
July 13, 2016: Current Opinion in Gastroenterology
Nestor Velasco, Toufeeq Imtiaz, Amir Ali Shah, Anastasios Koulaouzidis
We present a case of severe and recurrent small-bowel bleeding, due to multiple intestinal angiodysplasias, in a female patient with chronic renal failure due to suspected sarcoidosis. Over the years, she required numerous admissions and >200 units of blood for symptomatic anaemia. However, following a small-bowel capsule endoscopy that revealed several small-bowel angiectasis, she was treated successfully with octreotide and corticosteroids. Her transfusion requirements and hospital admissions were reduced drastically...
2016: BMJ Case Reports
Juan Paredes Méndez, Luis Lazo Molina, Bruno Molina Martos
OBJECTIVE: Evaluate the diagnostic and therapeutic utility, safeness, efficacy and complications of double-balloon enteroscopy (DBE). MATERIAL AND METHODS: This prospective, descriptive study of DBE took place between July 2010 and June 2015 at the service of Gastroenterology of Hospital Nacional Guillermo Almenara Irigoyen- Lima Peru. 129 DBE were performed in 121 patients with the Fujinon EN-450T5 double balloon enteroscope, with conscious sedation and with previous bowel preparation...
April 2016: Revista de Gastroenterología del Perú: órgano Oficial de la Sociedad de Gastroenterología del Perú
Mario Masrur, Despoina Daskalaki, Andrea Vannucchi, Siddharth N Vannemreddy, Luis F Gonzalez-Ciccarelli, Ross Brown, Pier C Giulianotti
BACKGROUND: Bleeding Lesions of the small bowel are often difficult to identify due to the obscure symptomatology. Localizing these lesions requires specific techniques. The Double- balloon enteroscopy (DBE) could be used to precisely localize and mark lesions, so that a minimally invasive surgical treatment could be performed. PATIENTS & METHODS: 20 robot-assisted small bowel procedures are presented using a combination of DBE for localization and robotic resection...
July 12, 2016: Minerva Chirurgica
Anne Goverde, Susanne E Korsse, Anja Wagner, Monique E van Leerdam, Nanda C Krak, Jaap Stoker, Henk R van Buuren, Robert M W Hofstra, Marco J Bruno, Pieter Dewint, Evelien Dekker, Manon C W Spaander
BACKGROUND AND STUDY AIMS: Small-bowel surveillance with polypectomy of polyps ≥15 mm prevents complications in patients with Peutz-Jeghers syndrome (PJS). We aimed to compare magnetic resonance enteroclysis (MRE) and double balloon enteroscopy (DBE) for diagnostic yield of these polyps and for patient preference. MATERIALS AND METHODS: PJS patients prospectively underwent MRE followed by proximal DBE within 20 weeks. Endoscopists were blinded to the MRE results...
July 11, 2016: Journal of Clinical Gastroenterology
Selçuk Dişibeyaz, Nuretdin Suna, Ufuk Barış Kuzu, Fatih Saygılı, Erkin Öztaş, Bülent Ödemiş, İbrahim Koral Önal, Zeki Mesut Yalın Kılıç, Meral Akdoğan, Ertuğrul Kayaçetin
BACKGROUND: Double Balloon Enteroscopy (DBE) provides the opportunity not only to investigate but also apply endoscopic therapeutic interventions for small intestinal disturbances. The aim of this study is to assess the indications, diagnosis, therapeutic interventions, complications and safety in clinical practise of DBE procedures that have been performed in our clinic. MATERIAL-METHODS: The data of patients who had undergone DBE procedure in our clinic between October 2007 and December 2014 were retrospectively investigated...
September 2016: European Journal of Internal Medicine
Jiro Shimazaki, Takanobu Tabuchi, Kiyotaka Nishida, Akira Takemura, Hideki Kajiyama, Gyo Motohashi, Shuji Suzuki
In this report, a case of hemorrhagic shock caused by a gastrointestinal stromal tumor (GIST) of the ileum, which was successfully treated by emergency surgery, is presented. A 67-year-old male patient presented to the Ibaraki Medical Center, Tokyo Medical University (Ami, Japan) in July 18, 2014, with dizziness and blood in the stool. Upper endoscopy and colonoscopy failed to reveal the source of the hemorrhage, although abdominal contrast-enhanced computed tomography revealed extravasation of the contrast medium into the small intestine...
July 2016: Molecular and Clinical Oncology
Gerardo Blanco-Velasco, Juan Manuel Blancas-Valencia, Oscar Víctor Hernández-Mondragón, Aracely Muñoz-Bautista, María Lourdes Altamirano-Castañeda, Héctor Chavez-Piña
No abstract text is available yet for this article.
2016: Endoscopy
Brian T Moy, Jonathan Wilmot, Enrique Ballesteros, Faripour Forouhar, Haleh Vaziri
PURPOSE: Primary gastrointestinal follicular lymphoma (GI-FL) is considered a rare disease with fewer than 400 cases reported in the literature. It accounts for roughly 1-3 % of GI non-Hodgkins lymphomas (NHL). It originates in the GI tract and typically affects small bowel. The disease has an indolent course, and a prolonged survival can be expected in most cases. Due to its rarity, an optimal diagnostic work up and treatment plan has not been well established. METHODS: Endoscopic evaluation of the entire gastrointestinal (GI) tract using esophagogastroduodenoscopy (EGD), wireless capsule endoscopy, double-balloon enteroscopy, colonoscopy, and whole body examination with fluorodeoxyglucose-positron emission tomography (FDG-PET) has been suggested to more accurately stage the disease and guide the treatment plan...
September 2016: Journal of Gastrointestinal Cancer
(no author information available yet)
No abstract text is available yet for this article.
June 2016: Endoscopy
Andrianimaro Florelia Martinetti, Rasoanaivo Mamy Andriantsoa, Rajaonera Tovohery Andriambelo, Rakotoarison Ratsaraharimanana Cathérine Nicole, Raveloson Nasolotsiry Enintsoa
Peutz-Jeghers syndrome (SPJ) is characterized by intestinal hamartomatous polyps in association with mucocutaneous lentiginosis. Patients are exposed to mechanical and bleeding complications. It is a cancer predisposition syndrome. Our study highlights the diagnostic criteria for Peutz-Jeghers syndrome (SPJ), the complications and the therapeutic progresses in patient care. We report the case of a 32-year-old male presenting with a massive melaena. It was hospitalized in the surgical intensive care unit with hypovolemic shock difficult to control...
2016: Pan African Medical Journal
Carlo Maria Girelli, Roberta Pometta, Corinna Facciotto, Roberto Mella, Giordano Bernasconi
Splenic rupture is a rare complication of diagnostic and therapeutic gastrointestinal endoscopy procedures. Herein, we report for the first time a case of splenic rupture following therapeutic retrograde double-balloon enteroscopy, which occurred in an 85-year-old man who was treated for recurrent mid-intestinal bleeding that resulted from ileal angioectasia. This patient promptly underwent an operation and eventually recovered.
May 10, 2016: World Journal of Gastrointestinal Endoscopy
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