scholarly journals Clinical approach to obscure GI bleeding - Diagnostic testing and management

2013 ◽  
Vol 04 (03) ◽  
pp. 061-070 ◽  
Author(s):  
Prashanth Prabakaran ◽  
Nalini Guda ◽  
Jacob Thomas ◽  
Charles Heise ◽  
Deepak Gopal
Keyword(s):  
Small Bowel ◽  
Diagnostic Testing ◽  
Radiographic Evaluation ◽  
Clinical Approach ◽  
Gi Bleeding ◽  
Diagnostic Dilemma ◽  
Double Balloon Enteroscopy ◽  
Balloon Enteroscopy ◽  
Entire Small Bowel ◽  
Single Balloon

AbstractObscure gastrointestinal bleeding (OGIB) can present as a diagnostic dilemma and management can be challenging. The search for causes of OGIB is usually centered on visualizing the small bowel, and in the past decade, the technology to visualize the entire small bowel has significantly advanced. Moreover, small bowel endoscopic imaging has replaced, in many instances, prior radiographic evaluation for obscure GI bleeding. These new modalities, such as small bowel capsule endoscopy (CE), balloon-assisted deep enteroscopy [double balloon enteroscopy (DBE) and single balloon enteroscopy (SBE)], and overtube-assisted deep enteroscopy (spiral enteroscopy), are paving the way toward more accurately identifying and treating patients with OGIB. We will review the diagnostic modalities available in evaluating a patient with OGIB and also propose the management based on clinical and endoscopic findings.

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

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.

Mo1606 Outcomes for Patients With Transfusion-Dependent Obscure GI Bleeding Undergoing Double Balloon Enteroscopy and Therapy for Small Bowel Angioectasias

2015 ◽  
Vol 81 (5) ◽  
pp. AB481
Author(s):  
Kunal Dalal ◽  
Nicholas a. Rogers ◽  
Michael V. Chiorean ◽  
Debra J. Helper ◽  
Monika Fischer
Keyword(s):  
Small Bowel ◽  
Gi Bleeding ◽  
Double Balloon Enteroscopy ◽  
Balloon Enteroscopy ◽  
Double Balloon

scholarly journals The Diagnostic Value of Double-Balloon Enteroscopy in Children with Small Bowel Disease: Report of 31 Cases

2009 ◽  
Vol 23 (9) ◽  
pp. 635-638 ◽  
Author(s):  
Wei Liu ◽  
Chundi Xu ◽  
Jie Zhong
Keyword(s):  
Small Bowel ◽  
Bowel Disease ◽  
Diagnostic Yield ◽  
Diagnostic Value ◽  
Small Bowel Disease ◽  
Double Balloon Enteroscopy ◽  
Balloon Enteroscopy ◽  
Entire Small Bowel ◽  
Double Balloon ◽  
Diagnostic Modalities

BACKGROUND AND OBJECTIVE: Before the introduction of double-balloon enteroscopy (DBE), it was impossible to visualize the entire small bowel. Its diagnostic yield has been assessed in adults, but not yet in children. The present retrospective study evaluated the diagnostic usefulness and safety of DBE in children with suspected small bowel disease.METHODS: Between June 2003 and June 2007, 31 patients (19 boys and 12 girls, age range three to 14 years) with suspected small bowel disease underwent DBE after receiving negative evaluations using other diagnostic modalities.RESULTS: There were no severe complications. In two patients, the entire small bowel was viewed using oral and anal approaches, and for the remaining 29 patients, only one approach was used. The sites of disease in were identified in 25 of 31 cases (80.65%). The bleeding source was found in 21 of 27 patients with obscure gastrointestinal bleeding (diagnostic rate of 77.78%). Different diseases were identified in four children with chronic diarrhea.CONCLUSION: DBE is a safe and effective method to diagnose patients with suspected small bowel disorders.

scholarly journals Double balloon enteroscopy: Bangladesh experience

2014 ◽  
Vol 39 (3) ◽  
pp. 116-119 ◽  
Author(s):  
NC Nath ◽  
SC Dhar ◽  
AFMH Uddin ◽  
BC Shil ◽  
RK Banik ◽  
...  
Keyword(s):  
Abdominal Pain ◽  
Small Bowel ◽  
Small Bowel Obstruction ◽  
Bowel Obstruction ◽  
Chronic Diarrhea ◽  
Chronic Abdominal Pain ◽  
Gi Bleeding ◽  
Double Balloon Enteroscopy ◽  
Balloon Enteroscopy ◽  
Double Balloon

Double balloon enteroscopy (DBE) is a newly developed endoscopic modality for diagnosis and treatment of small bowel disorders. The aim of this study was to evaluate the diagnostic and therapeutic impact of DBE in patient with suspected small bowel disease. This was a prospective study. Sixty one double balloon enteroscopy procedures (30 antegrade 31 retrograde) were done in thirty six patients(20M/16F, mean age 40±12.5 range 16-65 years ) at gastroenterology department, Sir Salimullah Medical College, Dhaka between October 2011 and September 2012. Indications for DBE included chronic abdominal pain 14(38.9%), obscure GI bleeding 11(30.56%), Small bowel obstruction 05(13.89%), and chronic diarrhea 06(16.67%). The morphologic findings were ulcerations 13(36.11%), growth 03(8.33%), vascular ectasia 03(8.33%) and polyp 01(2.78%). Therapeutic interventions were performed in one patient only. No serious complications were observed. Diagnostic yields in case of chronic abdominal pain, chronic diarrhea, obscure GI bleeding and small bowel obstruction were 50%, 66%, 63% and 40% respectively. The findings were adenocarcinoma 04(11%), lymphoma 03(8.4%), tuberculosis 03(8.4%), non specific findings 05(13.9%), IPSID 01(2.8%), crohn’s disease 01(2.8%), vascular ectasia 03(8.33%) and normal 16(44.44%). DBE is well tolerated, feasible and useful technique for the diagnosis as well as treatment of small intestinal disorders. DOI: http://dx.doi.org/10.3329/bmrcb.v39i3.20311 Bangladesh Med Res Counc Bull 2013; 39: 116-119

scholarly journals Small Bowel Enteroscopy

2012 ◽  
Vol 26 (5) ◽  
pp. 269-275 ◽  
Author(s):  
Christopher W Teshima ◽  
Gary May
Keyword(s):  
Small Bowel ◽  
Present Article ◽  
Capsule Endoscopy ◽  
Double Balloon Enteroscopy ◽  
Balloon Enteroscopy ◽  
Bowel Diseases ◽  
Detailed Assessment ◽  
Single Balloon ◽  
Single Balloon Enteroscopy

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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