Skip to main content

Single-Balloon Enteroscopy

  • Chapter
  • First Online:
Ileoscopy

Abstract

Balloon enteroscopy has become established throughout the world for diagnostic and therapeutic examinations of the small bowel, and it is now used in clinical routine work. The procedure allows histologic sampling and endoscopic therapy, which are its main advantages compared with other imaging examinations (e.g., capsule endoscopy and CT scan). Relevant pathologic findings can be detected in a high percentage of patients (70–80%), with direct therapeutic implications. Endoscopic therapy can be performed in more than 50% of patients. The complication rates with diagnostic and therapeutic balloon-assisted enteroscopy are acceptably low. The recently introduced single-balloon enteroscopy has emerged as a viable alternative to double-balloon enteroscopy in the management of small bowel disease. Technically, it is easier to perform, may be more efficient, and, according to the limited literature available, seems to provide similar diagnostic and therapeutic yield as achieved with double-balloon enteroscopy.

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

Access this chapter

eBook
USD 16.99
Price excludes VAT (USA)
  • Available as EPUB and PDF
  • Read on any device
  • Instant download
  • Own it forever
Softcover Book
USD 139.00
Price excludes VAT (USA)
  • Compact, lightweight edition
  • Dispatched in 3 to 5 business days
  • Free shipping worldwide - see info
Hardcover Book
USD 109.99
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

Institutional subscriptions

References

  1. Pohl J, Delvaux M, Ell C et al (2008) European Society of Gastrointestinal Endoscopy (ESGE) Guidelines: flexible enteroscopy for diagnosis and treatment of small-bowel diseases. Endoscopy 40:609–618

    Article  PubMed  CAS  Google Scholar 

  2. Hirai F, Matsui T, Yao K et al (2007) Efficacy of carbon dioxide insufflation in endoscopic balloon dilation therapy using double balloon endoscopy. Gastrointest Endosc 66:26–29

    Article  Google Scholar 

  3. Domagk D, Bretthauer M, Lenz P et al (2007) Carbon dioxide insufflation improves intubation depth in double-balloon enteroscopy: a randomized, controlled, double-blind trial. Endoscopy 39:1064–1067

    Article  PubMed  CAS  Google Scholar 

  4. Gay G, Delvaux M, Fassler I (2006) Outcome of capsule endoscopy in determining indication and route for push and pull enteroscopy. Endoscopy 38:49–58

    Article  PubMed  CAS  Google Scholar 

  5. Mehdizadeh S, Ross A, Gerson L et al (2006) What is the learning curve associated with double-balloon enteroscopy? Technical details and early experience in 6 U.S. tertiary care centers. Gastrointest Endosc 64:740–750

    Article  PubMed  Google Scholar 

  6. Tsujikawa T, Saitoh Y, Andoh A et al (2008) Novel single-balloon enteroscopy for diagnosis and treatment of the small intestine: preliminary experiences. Endoscopy 40:11–15

    Article  PubMed  CAS  Google Scholar 

  7. Hartmann D, Eickhoff A, Tamm R et al (2007) Balloon-assisted enteroscopy using a single-balloon technique. Endoscopy 39(Suppl 1):E276

    Article  PubMed  Google Scholar 

  8. Manno M, Mussetto A, Conigliaro R (2008) Preliminary results of alternative simultaneous technique for single-balloon enteroscopy. Endoscopy 40:538

    Article  PubMed  CAS  Google Scholar 

  9. May A, Nachbar L, Schneider M et al (2005) 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 37:66–70

    Article  PubMed  CAS  Google Scholar 

  10. Mehdizadeh S, Han NJ, Cheng DW et al (2007) Success rate of retrograde double-balloon enteroscopy. Gastrointest Endosc 65:633–639

    Article  PubMed  Google Scholar 

  11. Gerson LB, Flodin JT, Miyabayashi K (2008) Balloon-assisted enteroscopy: technology and troubleshooting. Gastrointest Endosc 68:1158–1167

    Article  PubMed  Google Scholar 

  12. Ross AS, Waxman I, Semrad C et al (2005) Balloon-assisted intubation of the ileocecal valve to facilitate retrograde double-balloon enteroscopy. Gastrointest Endosc 62:987–988

    Article  PubMed  Google Scholar 

  13. May A (2009) Balloon Enteroscopy: single and double-balloon enteroscopy. Gastrointest Endoscopy Clin N Am 19:349–356

    Article  Google Scholar 

  14. Aktas H, de Ridder L, Haringsma J et al (2010) Complications of single-balloon enteroscopy: a prospective evaluation of 166 procedures. Endoscopy 42:365–368

    Article  PubMed  CAS  Google Scholar 

  15. Kawamura T, Yasuda K, Tanaka K et al (2008) Clinical evaluation of a newly developed single-balloon enteroscope. Gastrointest Endosc 68:1112–1116

    Article  PubMed  Google Scholar 

  16. Ramchandani M, Reddy DN, Gupta R et al (2009) Diagnostic yield and therapeutic impact of single-balloon enteroscopy: series of 106 cases. J Gastroenterol Hepatol 24:1631–1638

    Article  PubMed  Google Scholar 

  17. Mensink PB, Haringsma J, Kucharzik T et al (2007) Complications of double balloon enteroscopy: a multicenter survey. Endoscopy 39:613–615

    Article  PubMed  CAS  Google Scholar 

  18. Manno M, Barbera C, Dabizzi E et al (2010) Safety of single-balloon enteroscopy: our experience of 72 procedures. Endoscopy 42:773

    Article  PubMed  CAS  Google Scholar 

  19. Groenen MJ, Moreels TG, Orlent H et al (2006) Acute pancreatitis after double-balloon enteroscopy: an old pathogenetic theory revisited as a result of using a new endoscopic tool. Endoscopy 38:82–85

    Article  PubMed  CAS  Google Scholar 

  20. Heine GD, Hadithi M, Groenen MJ et al (2006) Double-balloon enteroscopy: indications, diagnostic yield, and complications in a series of 275 patients with suspected small-bowel disease. Endoscopy 38:42–48

    Article  PubMed  CAS  Google Scholar 

Download references

Author information

Authors and Affiliations

Authors

Corresponding author

Correspondence to Mauro Manno .

Editor information

Editors and Affiliations

Rights and permissions

Reprints and permissions

Copyright information

© 2012 Springer-Verlag Italy

About this chapter

Cite this chapter

Manno, M., Manta, R., Conigliaro, R. (2012). Single-Balloon Enteroscopy. In: Trecca, A. (eds) Ileoscopy. Springer, Milano. https://doi.org/10.1007/978-88-470-2345-1_13

Download citation

  • DOI: https://doi.org/10.1007/978-88-470-2345-1_13

  • Published:

  • Publisher Name: Springer, Milano

  • Print ISBN: 978-88-470-2344-4

  • Online ISBN: 978-88-470-2345-1

  • eBook Packages: MedicineMedicine (R0)

Publish with us

Policies and ethics