Single balloon enteroscopy in children for evaluation of small bowel diseases in children: A large, tertiary center study

Over the past decade, the advent of capsule endoscopy and balloon-assisted enteroscopy has revolutionized the approach to small intestinal diseases. The small bowel is no longer out of reach, and has fallen within the diagnostic and therapeutic realm of the gastrointestinal endoscopist. Double-balloon enteroscopy was the first type of balloon-assisted endoscopy and is the method for which there are the most data. Single-balloon enteroscopy has since been introduced as an alternative balloon-assisted method, followed more recently by the development of spiral overtube-assisted enteroscopy. The purpose of the present article is to review these methods of small bowel enteroscopy and to discuss the latest developments. While the investigation of small bowel diseases cannot be addressed without considering the central role of capsule endoscopy, a detailed assessment is beyond the scope of the present article, and capsule endoscopy will only be discussed as it pertains to enteroscopy.

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The Evolution of Device-Assisted Enteroscopy: From Sonde Enteroscopy to Motorized Spiral Enteroscopy

Frontiers in Medicine ◽

10.3389/fmed.2021.792668 ◽

2021 ◽

Vol 8 ◽

Author(s):

Fredy Nehme ◽

Hemant Goyal ◽

Abhilash Perisetti ◽

Benjamin Tharian ◽

Neil Sharma ◽

...

Keyword(s):

Small Bowel ◽

Diagnostic Yield ◽

Double Balloon Enteroscopy ◽

New Developments ◽

Balloon Enteroscopy ◽

Entire Small Bowel ◽

Bowel Diseases ◽

Spiral Enteroscopy ◽

Single Balloon ◽

Single Balloon Enteroscopy

The introduction of capsule endoscopy in 2001 opened the last “black box” of the gastrointestinal tract enabling complete visualization of the small bowel. Since then, numerous new developments in the field of deep enteroscopy have emerged expanding the diagnostic and therapeutic armamentarium against small bowel diseases. The ability to achieve total enteroscopy and visualize the entire small bowel remains the holy grail in enteroscopy. Our journey in the small bowel started historically with sonde type enteroscopy and ropeway enteroscopy. Currently, double-balloon enteroscopy, single-balloon enteroscopy, and spiral enteroscopy are available in clinical practice. Recently, a novel motorized enteroscope has been described with the potential to shorten procedure time and allow for total enteroscopy in one session. In this review, we will present an overview of the currently available techniques, indications, diagnostic yield, and complications of device-assisted enteroscopy.

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Single Balloon Enteroscopy for Endoscopic Retrograde Cholangiography in a Patient with Hepaticojejunostomy after Liver Transplant

Gastroenterology Research and Practice ◽

10.1155/2010/701696 ◽

2010 ◽

Vol 2010 ◽

pp. 1-3 ◽

Cited By ~ 3

Author(s):

Marta Di Pisa ◽

Roberto Miraglia ◽

Riccardo Volpes ◽

Salvatore Gruttadauria ◽

Mario Traina

Keyword(s):

Small Bowel ◽

Liver Transplant ◽

Transplant Patient ◽

Biliary Tree ◽

Endoscopic Retrograde ◽

Balloon Enteroscopy ◽

Post Transplant ◽

Biliary Anastomosis ◽

Single Balloon ◽

Single Balloon Enteroscopy

We report a case of a post-transplant patient with hepaticojejunostomy in whom we used a single balloon enteroscopy to access the biliary tree. This procedure seems to be safe and feasible for approaching the biliary anastomosis by means of the overtube and fixation of the small bowel by the balloon.

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