Skip to main content
SpringerLink
Log in
Book cover

Diagnostic and Therapeutic Procedures in Gastroenterology pp 253–264Cite as

Device-Assisted Enteroscopy

  • Chapter
  • First Online:

  • 1786 Accesses

Part of the book series: Clinical Gastroenterology ((CG))

Abstract

Since the first published experience of capsule endoscopy in 2000, there have been exciting changes in the diagnostic and therapeutic rolls for endoscopy in small bowel disease. The first description of adouble-balloon enteroscope (DBE) was published by Yamamoto in 2001 and was subsequently developed by Fujinon Corporation. This technique offered reproducible deep bowel intubation with clinically useful success rates and has since allowed adaptation of a variety of therapeutic modalities to the previously out-of-reach small bowel.

This is a preview of subscription content, log in via an institution.

Chapter
USD   29.95
Price excludes VAT (USA)
  • Available as PDF
  • Read on any device
  • Instant download
  • Own it forever
eBook
USD   109.00
Price excludes VAT (USA)
  • Available as EPUB and PDF
  • Read on any device
  • Instant download
  • Own it forever
Softcover Book
USD   139.99
Price excludes VAT (USA)
  • Compact, lightweight edition
  • Dispatched in 3 to 5 business days
  • Free shipping worldwide - see info
Hardcover Book
USD   219.99
Price excludes VAT (USA)
  • Durable hardcover edition
  • Dispatched in 3 to 5 business days
  • Free shipping worldwide - see info

Tax calculation will be finalised at checkout

Purchases are for personal use only

Learn about institutional subscriptions

References

  1. Akerman P, et al. Spiral enteroscopy with the new DSB overtube: a novel technique for deep peroral small-bowel intubation. Endoscopy. 2008;40(12):974–8.

    Article  CAS  PubMed  Google Scholar 

  2. Akerman P, et al. Spiral enteroscopy- a novel method of enteroscopy by using the Endo-Ease Discovery SB overtube and a pediatric colonoscope. Gastrointest Endosc. 2009;69(2):327–32.

    Article  PubMed  Google Scholar 

  3. Akerman PA, Cantero D. Severe complications of spiral Enteroscopy in the first 1750 patients. Gastrointest Endosc. 2009;69(5):AB127.

    Google Scholar 

  4. Aktas H, et al. Single-balloon enteroscopy-assisted direct percutaneous endoscopic jejunostomy. Endoscopy. 2012;44(2):210–2.

    Article  CAS  PubMed  Google Scholar 

  5. Cangemi D, et al. Small bowel tumours discovered during double-balloon enteroscopy: analysis of a large prospectively collected single-center database. J Clin Gastroenterol. 2013;47(9):769–72.

    Article  PubMed  Google Scholar 

  6. Despott EJ, et al. Enteral access by double-balloon enteroscopy: an alternative method of direct percutaneous endoscopic jejunostomy placement. Dig Dis Sci. 2011;56(2):494–8.

    Article  CAS  PubMed  Google Scholar 

  7. Despott EJ, et al. Effective dilation of small-bowel strictures by double-balloon enteroscopy in patients with symptomatic Crohn’s disease (with video). Gastrointest Endosc. 2009;70(5):1030–6.

    Article  PubMed  Google Scholar 

  8. Domagk D, et al. Single- vs. double-balloon enteroscopy in small-bowel diagnostics: a randomized multicenter trial. Endoscopy. 2011;43(6):472–6.

    Article  CAS  PubMed  Google Scholar 

  9. Dulic-Lakovic E, et al. Bleeding Dieulafoy lesions of the small bowel: a systematic study on the epidemiology and efficacy of enteroscopic treatment. Gastrointest Endosc. 2011;74(3):573–80.

    Article  PubMed  Google Scholar 

  10. Dutta A, et al. Learning curve, diagnostic yield and safety of single balloon enteroscopy. Trop Gastroenterol. 2012;33(3):179–84.

    Article  PubMed  Google Scholar 

  11. Efthymiou M, et al. SINGLE-01: a randomized, controlled trial comparing the efficacy and depth of insertion of single- and double-balloon enteroscopy by using a novel method to determine insertion depth. Gastrointest Endosc. 2012;76(5):972–80.

    Article  PubMed  Google Scholar 

  12. Elena RM, et al. Current status of device-assisted enteroscopy: technical matters, indication, limits and complications. World J Gastrointest Endosc. 2012;4(10):453–61.

    Article  PubMed  Google Scholar 

  13. Ell C, May A. Mid-gastrointestinal bleeding: capsule endoscopy and push-and-pull enteroscopy give rise to a new medical term. Endoscopy. 2006;38(1):73–5.

    Article  CAS  PubMed  Google Scholar 

  14. Ell C, et al. Push-and-pull enteroscopy in the small bowel using the double-balloon technique: results of a prospective European multicenter study. Endoscopy. 2005;37(7):613–6.

    Article  CAS  PubMed  Google Scholar 

  15. Frantz DJ, et al. Single-balloon enteroscopy: results from an initial experience at a U.S. tertiary-care center. Gastrointest Endosc. 2010;72(2):422–6.

    Article  PubMed  PubMed Central  Google Scholar 

  16. Fry LC, et al. Small bowel polyps and tumours: endoscopic detection and treatment by double-balloon enteroscopy. Aliment Pharmacol Ther. 2009;29(1):135–42.

    Article  CAS  PubMed  Google Scholar 

  17. Gay G, Delvaux M. Double-balloon colonoscopy after failed conventional colonoscopy: a pilot series with a new instrument. Endoscopy. 2007;39(9):788–92.

    Article  CAS  PubMed  Google Scholar 

  18. Gay G, et al. Outcome of capsule endoscopy in determining indication and route for push-and-pull enteroscopy. Endoscopy. 2006;38(1):49–58.

    Article  CAS  PubMed  Google Scholar 

  19. Gerson L, et al. Long-term outcomes after double-balloon enteroscopy for obscure gastrointestinal bleeding. Clin Gastroenterol Hepatol. 2009;7(6):664–9.

    Article  PubMed  Google Scholar 

  20. Gerson LB, et al. ACG clinical guideline: diagnosis and management of small bowel bleeding. Am J Gastroenterol. 2015;110(9):1265–87. quiz 1288

    Article  CAS  PubMed  Google Scholar 

  21. Gross SA, Stark ME. Initial experience with double-balloon enteroscopy at a U.S. center. Gastrointest Endosc. 2008;67(6):890–7.

    Article  PubMed  Google Scholar 

  22. Hayashi Y, et al. Non-steroidal anti-inflammatory drug-induced small bowel injuries identified by double-balloon endoscopy. World J Gastroenterol. 2005;11(31):4861–4.

    Article  PubMed  PubMed Central  Google Scholar 

  23. Hayashi Y, et al. Nonsteroidal anti-inflammatory drug-induced small-bowel lesions identified by double-balloon endoscopy: endoscopic features of the lesions and endoscopic treatments for diaphragm disease. J Gastroenterol. 2009;44(Suppl 19):57–63.

    Article  PubMed  Google Scholar 

  24. Heine G, et al. Double-balloon enteroscopy: indications, diagnostic yield, and complications in a series of 275 patients with suspected small-bowel disease. Endoscopy. 2006;38(1):42–8.

    Article  CAS  PubMed  Google Scholar 

  25. Hirai F, et al. Carbon dioxide insufflation compared with air insufflation in double-balloon enteroscopy: a prospective, randomized, double-blind trial. Gastrointest Endosc. 2011;73(4):743–9.

    Article  PubMed  Google Scholar 

  26. Iddan G, et al. Wireless capsule endoscopy – the discomfort of internal gastrointestinal examination may soon be a thing of the past. Nature. 2000;405:417.

    Article  CAS  PubMed  Google Scholar 

  27. Iwai T, et al. Short-type and conventional single-balloon enteroscopes for endoscopic retrograde cholangiopancreatography in patients with surgically altered anatomy: single-center experience. Dig Endosc. 2014;26(Suppl 2):156–63.

    Article  PubMed  Google Scholar 

  28. Jeon SR, Kim JO. Deep enteroscopy: which technique will survive? Clin Endosc. 2013;46(5):480–5.

    Article  PubMed  PubMed Central  Google Scholar 

  29. Kaffes A. Advances in modern enteroscopy therapeutics. Best Pract Res Clin Gastroenterol. 2012;26:235–46.

    Article  PubMed  Google Scholar 

  30. Kaffes AJ, et al. Double-balloon enteroscopy in the diagnosis and the management of small-bowel diseases: an initial experience in 40 patients. Gastrointest Endosc. 2006;63(1):81–6.

    Article  PubMed  Google Scholar 

  31. Kav T, et al. The power suction maneuver in single-balloon enteroscopy. Endoscopy. 2008;40(11):961–2.

    Article  CAS  PubMed  Google Scholar 

  32. Kawamura T, et al. Clinical evaluation of a newly developed single-balloon enteroscope. Gastrointest Endosc. 2008;68(6):1112–6.

    Article  PubMed  Google Scholar 

  33. Khashab M, Helper DJ, Johnson CS, Chiorean MV, et al. Predictors of depth of maximal insertion at double-balloon enteroscopy. Dig Dis Sci. 2010;55(5):1391–5.

    Article  PubMed  Google Scholar 

  34. Khashab MA, Lennon AM, Dunbar KB, et al. A comparative evaluation of single-balloon enteroscopy and spiral enteroscopy for patients with mid-gut disorders. Gastrointest Endosc. 2010;72(4):766–72.

    Article  PubMed  Google Scholar 

  35. Lara L, et al. Initial experience with retrograde overtube-assisted enteroscopy using a spiral tip overtube. Proc (Bayl Univ Med Cent). 2010;23(2):130–3.

    Article  Google Scholar 

  36. Lee BI, et al. Clinical characteristics of small bowel tumors diagnosed by double-balloon endoscopy: KASID multi-center study. Dig Dis Sci. 2011;56(10):2920–7.

    Article  PubMed  Google Scholar 

  37. Lenz P, Domagk D. Double- vs. single-balloon vs. spiral enteroscopy. Best Pract Res Clin Gastroenterol. 2012;26(3):303–13.

    Article  PubMed  Google Scholar 

  38. Li X, et al. Predictive role of capsule endoscopy on the insertion route of double-balloon enteroscopy. Endoscopy. 2009;41(9):762–6.

    Article  CAS  PubMed  Google Scholar 

  39. Lo SK. Technical matters in double balloon enteroscopy. Gastrointest Endosc. 2007;66(3 Suppl):S15–8.

    Article  PubMed  Google Scholar 

  40. Manner H, et al. Impact of fluoroscopy on oral double-balloon enteroscopy: results of a randomized trial in 156 patients. Endoscopy. 2010;42(10):820–6.

    Article  CAS  PubMed  Google Scholar 

  41. May A. Modern imaging techniques: which – when – why? Dig Dis Sci. 2013;31:63–8.

    Article  Google Scholar 

  42. May A, et al. Prospective multicenter trial comparing push-and-pull enteroscopy with the single- and double-balloon techniques in patients with small-bowel disorders. Am J Gastroenterol. 2010;105(3):575–81.

    Article  PubMed  Google Scholar 

  43. May A, Friesing-Sosnik T, Manner H, Pohl J, Ell C, et al. Long-term outcome after argon plasma coagulation of small-bowel lesions using double-balloon enteroscopy in patients with mid-gastrointestinal bleeding. Endoscopy. 2011;43(9):759–65.

    Article  CAS  PubMed  Google Scholar 

  44. May A, Manner H, Aschmoneit I, Ell C, et al. Prospective, cross-over, single-center trial comparing oral double-balloon enteroscopy and oral spiral enteroscopy in patients with suspected small-bowel vascular malformations. Endoscopy. 2011;43(6):477–83.

    Article  CAS  PubMed  Google Scholar 

  45. May A, Nachbar L, Ell C, et al. Double-balloon enteroscopy (push-and-pull enteroscopy) of the small bowel- feasibility and diagnostic and therapeutic yield in patients with suspected small bowel disease. Gastrointest Endosc. 2005;62(1):62–70.

    Article  PubMed  Google Scholar 

  46. May A, et al. Endoscopic interventions in the small bowel using double balloon enteroscopy: feasibility and limitations. Am J Gastroenterol. 2007;102(3):527–35.

    Article  PubMed  Google Scholar 

  47. May A, et al. Prospective comparison of push enteroscopy and push-and-pull enteroscopy in patients with suspected small-bowel bleeding. Am J Gastroenterol. 2006;101(9):2016–24.

    Article  PubMed  Google Scholar 

  48. May A, Nachbar L, Schneider M, Neumann M, Ell C, et al. Push-and-pull enteroscopy using the double-balloon technique: method of assessing depth of insertion and training of the enteroscopy technique using the Erlangen endo-trainer. Endoscopy. 2005;37(1):66–70.

    Article  CAS  PubMed  Google Scholar 

  49. May A, et al. Double-balloon enteroscopy: preliminary experience in patients with obscure gastrointestinal bleeding or chronic abdominal pain. Endoscopy. 2003;35(12):985–91.

    Article  CAS  PubMed  Google Scholar 

  50. Mehdizadeh S, et al. What is the learning curve associated with double-balloon enteroscopy? Technical details and early experience in 6 U.S. tertiary care centers. Gastrointest Endosc. 2006;64(5):740–50.

    Article  PubMed  Google Scholar 

  51. Mensink P, et al. Complications of double balloon enteroscopy: a multicenter survey. Endoscopy. 2007;39(7):613–5.

    Article  CAS  PubMed  Google Scholar 

  52. Messer I, et al. Prospective, randomized, single-center trial comparing double-balloon enteroscopy and spiral enteroscopy in patients with suspected small-bowel disorders. Gastrointest Endosc. 2013;77(2):241–9.

    Article  PubMed  Google Scholar 

  53. Moeschler O, Mueller K. Deep enteroscopy – indications, diagnostic yield and complications. World J Gastroenterol. 2015;21(5):1385–93.

    Article  PubMed  PubMed Central  Google Scholar 

  54. Mönkemüller K, et al. Diagnostic and therapeutic impact of double-balloon enteroscopy. Endoscopy. 2006;38(1):67–72.

    Article  PubMed  Google Scholar 

  55. Moreels T, Pelckmans P. Double-balloon endoscope for failed conventional colonoscopy. Clin Gastroenterol Hepatol. 2008;6(2):259.

    Article  PubMed  Google Scholar 

  56. Morgan D, et al. Spiral enteroscopy: prospective U.S. multicenter study in patients with small-bowel disorders. Gastrointest Endosc. 2010;72(5):992–8.

    Article  PubMed  PubMed Central  Google Scholar 

  57. Möschler O, et al. Complications in and performance of double-balloon enteroscopy (DBE): results from a large prospective DBE database in Germany. Endoscopy. 2011;43(6):484–9.

    Article  PubMed  Google Scholar 

  58. Ohmiya N, et al. Small-bowel obstruction: diagnostic comparison between double-balloon endoscopy and fluoroscopic enteroclysis, and the outcome of enteroscopic treatment. Gastrointest Endosc. 2009;69(1):84–93.

    Article  PubMed  Google Scholar 

  59. Parikh D, et al. Efficacy of single balloon enteroscopy- a 2 year Veterans Affairs medical center experience with a systematic review of the literature. J Interv Gastroenterol. 2013;3(4):116–21.

    Google Scholar 

  60. Pasha S, Leighton JA. Enteroscopy in the diagnosis and management of Crohn disease. Gastrointest Endosc Clin N Am. 2009;19(3):427–44.

    Article  PubMed  Google Scholar 

  61. Pata C, et al. Post-procedure elevated amylase and lipase levels after double-balloon enteroscopy: relations with the double-balloon technique. Dig Dis Sci. 2010;55(7):1982–8.

    Article  CAS  PubMed  Google Scholar 

  62. Rahmi G, et al. Multicenter comparison of double-balloon enteroscopy and spiral enteroscopy. J Gastroenterol Hepatol. 2013;28(6):992–8.

    Article  PubMed  Google Scholar 

  63. Ramchandani M, et al. Diagnostic yield and therapeutic impact of single-balloon enteroscopy: series of 106 cases. J Gastroenterol Hepatol. 2009;24(10):1631–8.

    Article  PubMed  Google Scholar 

  64. Sakai P, et al. Is it feasible to reach the bypassed stomach after Roux-en-Y gastric bypass for morbid obesity? The use of the double-balloon enteroscope. Endoscopy. 2005;37(6):566–9.

    Article  CAS  PubMed  Google Scholar 

  65. Samaha E, et al. Long-term outcome of patients treated with double balloon enteroscopy for small bowel vascular lesions. Am J Gastroenterol. 2012;107(2):240–6.

    Article  CAS  PubMed  Google Scholar 

  66. Saygili F, et al. Examining the whole bowel, DBE- indications, diagnostic yield and complications. World J Gastrointest Endosc. 2015;7(3):247–52.

    Article  PubMed  PubMed Central  Google Scholar 

  67. Shah R, et al. Shah GIE A multicenter, U.S. experience of single-balloon, double-balloon, and rotational overtube-assisted enteroscopy ERCP in patients with surgically altered pancreaticobiliary anatomy (with video). Gastrointest Endosc. 2013;77(4):593–600.

    Article  PubMed  Google Scholar 

  68. Shimatani M, et al. Effective “short” double-balloon enteroscope for diagnostic and therapeutic ERCP in patients with altered gastrointestinal anatomy: a large case series. Endoscopy. 2009;41(10):849–54.

    Article  CAS  PubMed  Google Scholar 

  69. Takano N, et al. Single-balloon versus double-balloon endoscopy for achieving total enteroscopy: a randomized, controlled trial. Gastrointest Endosc. 2011;73(4):734–9.

    Article  PubMed  Google Scholar 

  70. Tee HP, et al. Learning curve for double-balloon enteroscopy: findings from an analysis of 282 procedures. World J Gastrointest Endosc. 2012;4(8):368–72.

    Article  PubMed  PubMed Central  Google Scholar 

  71. Tominaga K, et al. Small intestinal perforation of endoscopically unrecognized lesions during peroral single-balloon enteroscopy. Endoscopy. 2008;40(suppl2):213–4.

    Article  Google Scholar 

  72. Tsujikawa T, et al. Novel single-balloon enteroscopy for diagnosis and treatment of the small intestine: preliminary experience. Endoscopy. 2008;40(1):11–5.

    Article  CAS  PubMed  Google Scholar 

  73. Upchurch BR, et al. The clinical utility of single-balloon enteroscopy: a single-center experience of 172 procedures. Gastrointest Endosc. 2010;71(7):1218–23.

    Article  PubMed  Google Scholar 

  74. Wang WL, et al. Meta-analysis: the use of carbon dioxide insufflation vs. room air insufflation for gastrointestinal endoscopy. Aliment Pharmacol Ther. 2012;35(10):1145–54.

    Article  CAS  PubMed  Google Scholar 

  75. Xin L, et al. Indications, detectability, positive findings, total enteroscopy, and complications of diagnostic double-balloon endoscopy: a systematic review of data over the first decade of use. Gastrointest Endosc. 2011;74(3):563–70.

    Article  PubMed  Google Scholar 

  76. Yamada A, et al. Utility of single and double balloon endoscopy in patients with difficult colonoscopy: a randomized controlled trial. World J Gastroenterol. 2013;19(29):4732–6.

    Article  PubMed  PubMed Central  Google Scholar 

  77. Yamamoto H, et al. Clinical outcomes of double-balloon enteroscopy for the diagnosis and treatment of small-intestinal diseases. Clin Gastroenterol Hepatol. 2004;2(11):1010–6.

    Article  PubMed  Google Scholar 

  78. Yamamoto H, et al. Total enteroscopy with nonsurgical steerable double-balloon method. Gastrointest Endosc. 2001;53(2):216–20.

    Article  CAS  PubMed  Google Scholar 

  79. Yamamoto H, et al. New system of double-balloon enteroscopy for diagnosis and treatment of small intestinal disorders. Gastroenterology. 2003;125:1556.

    Article  PubMed  Google Scholar 

  80. Yamauchi H, et al. Innovations and techniques for balloon-enteroscope- assisted endoscopic retrograde cholangiopancreatography in patients with altered gastrointestinal anatomy. World J Gastroenterol. 2015;21(21):6460–9.

    Article  PubMed  PubMed Central  Google Scholar 

  81. Yamauchi H, et al. Short-type single balloon enteroscope for endoscopic retrograde cholangiopancreatography with altered gastrointestinal anatomy. World J Gastroenterol. 2013;19(11):1728–35.

    Article  PubMed  PubMed Central  Google Scholar 

Download references

Author information

Authors and Affiliations

  1. Royal Prince Alfred Hospital, AW Morrow Gastroenterology and Liver Unit, Level 9, Main Building, RPAH, Missenden Rd, Camperdown, Sydney, State New South Wale, 2050, Australia

    Arthur Kaffes & Mathew J. Keegan

Authors
  1. Arthur Kaffes
    View author publications

    You can also search for this author in PubMed Google Scholar

  2. Mathew J. Keegan
    View author publications

    You can also search for this author in PubMed Google Scholar

Corresponding author

Correspondence to Mathew J. Keegan .

Editor information

Editors and Affiliations

  1. Advanced Endoscopy, Digestive Health Center, Section of Gastroenterology & Hepatology, Medical College of Georgia, Augusta University, Augusta, Georgia, USA

    Subbaramiah Sridhar

  2. Division of Gastroenterology-Hepatology, University of Connecticut Health Center, Farmington, Connecticut, USA

    George Y. Wu

Rights and permissions

Reprints and permissions

Copyright information

© 2018 Springer International Publishing AG

About this chapter

Check for updates. Verify currency and authenticity via CrossMark

Cite this chapter

Kaffes, A., Keegan, M.J. (2018). Device-Assisted Enteroscopy. In: Sridhar, S., Wu, G. (eds) Diagnostic and Therapeutic Procedures in Gastroenterology. Clinical Gastroenterology. Humana Press, Cham. https://doi.org/10.1007/978-3-319-62993-3_19

Download citation

  • DOI: https://doi.org/10.1007/978-3-319-62993-3_19

  • Published:

  • Publisher Name: Humana Press, Cham

  • Print ISBN: 978-3-319-62991-9

  • Online ISBN: 978-3-319-62993-3

  • eBook Packages: MedicineMedicine (R0)

Publish with us

Policies and ethics

Search

Navigation