Double-balloon enteroscopy (push-and-pull enteroscopy) of the small bowel: feasibility and diagnostic and therapeutic yield in patients with suspected small bowel disease

May, Andrea; Nachbar, Lars; Ell, Christian

doi:10.1016/s0016-5107(05)01586-5

Cited by 354 publications

(218 citation statements)

References 16 publications

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“…In the case of DBE, incomplete upper DBE examinations warrant performing the retrograde procedure another day; it is not uncommon that the antegrade procedure takes 90 minutes while the retrograde procedure is an additional 70 minutes. 15,21,22 The willingness of endoscopists to provide DBE will likely depend on reimbursement;…”

Section: Discussionmentioning

confidence: 99%

Management of Obscure Occult Gastrointestinal Bleeding: A Cost-Minimization Analysis

Somsouk

Gralnek

Inadomi

2008

Clinical Gastroenterology and Hepatology

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Section: Discussionmentioning

confidence: 99%

Management of Obscure Occult Gastrointestinal Bleeding: A Cost-Minimization Analysis

Somsouk

Gralnek

Inadomi

2008

Clinical Gastroenterology and Hepatology

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“…Crohn's disease DAE is indicated in established Crohn's disease when direct visualization of the small intestine beyond the reach of ileocolonoscopy is necessary, in order to exclude an alternative diagnosis (including tuberculosis, lymphoma, or carcinoma) [11,59,63,74], or undertake a therapeutic procedure including dilation of smallbowel strictures, or removal of foreign bodies such as a capsule or bezoar [60, 75 -80]. In the rare instances where Crohn's disease is complicated by major haemorrhage, DAE may identify and treat the bleeding source beyond the reach of standard endoscopes.…”

Section: Dae In Patients Withmentioning

confidence: 99%

“…A meta-analysis of 11 of these studies reported that BAE (almost all were DBE) had a similar sensitivity to SBCE in the diagnosis of small-intestinal inflammatory lesions [86]. Stud- ies assessing the performance of SBE are only just emerging [11,59,60,62,63,74] so no formal comparison with the other techniques is possible.…”

Section: How Does Dae Compare With Other Imaging Modalities In Patienmentioning

confidence: 99%

Role of small-bowel endoscopy in the management of patients with inflammatory bowel disease: an international OMED–ECCO consensus

Bourreille¹,

Ignjatovic²,

Aabakken³

et al. 2009

Endoscopy

303

185

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“…Deep enteroscopy, utilizing double balloon enteroscopy (DBE), enables diagnostic and therapeutic endoscopy of the small bowel. Limitations of DBE include its invasive nature, limited availability and the need for anesthesia [4] . Although total enteroscopy can be accomplished, it typically requires antegrade and retrograde approaches.…”

Section: Introductionmentioning

confidence: 99%

Accuracy of community based video capsule endoscopy in patients undergoing follow up double balloon enteroscopy

Tenembaum

Sison²,

Rubin³

2013

WJGE

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AIM:To determine the test characteristics of community based video capsule endoscopy (VCE) in patients undergoing sequential VCE and double balloon enteroscopy (DBE). METHODS:Eighty-nine patients (34 females, 55 males, mean age 66) who underwent both VCE and DBE from 2008-2010 were retrospectively reviewed. Lesions detected at VCE were categorized. Capsule directed DBE followed and included 44 antegrade, 11 retrograde and 34 combined antegrade and retrograde procedures. Lesions detected were compared utilizing the McNemar's test. RESULTS:Angioectasia detection with VCE was 25% and with DBE 35% (P < 0.03) with a calculated sensitivity and specificity of 58% and 93% respectively. Polyps were detected by VCE in 22% and in DBE 20%, (P = 0.6), with a sensitivity and specificity for VCE of 61% and 87%. Small bowel diverticula were only seen in 1% of VCE but in 12% of DBE patients (P < 0.002) with a calculated sensitivity and specificity of VCE of 9% and 100%.CONCLUSION: VCE would be moderately sensitive and specific overall with considerable variation by lesion. Furthermore, VCE cannot be relied upon to diagnose small bowel diverticula.© 2013 Baishideng. All rights reserved.Key words: Video capsule endoscopy; Double balloon enteroscopy; Angioectasia; Diverticulosis; Obscure gastrointestinal bleeding Core tip: Advances in endoscopic technology have revolutionized the evaluation of small intestinal disorders. Non-invasive imaging utilizing video capsule endoscopy (VCE) offers the potential to safely visualize the entire small bowel with a high diagnostic yield. It is limited by a lack of therapeutic ability, imprecise localization, failure to reach the colon in all cases and inconsistent visualization of the entire small bowel. Deep enteroscopy, utilizing double balloon enteroscopy (DBE), enables diagnostic and therapeutic endoscopy of the small bowel. Although total enteroscopy can be accomplished, it typically requires antegrade and retrograde approaches. In most clinical situations, VCE is performed initially. By using DBE as the criterion (gold) standard, the sensitivity and specificity of community based VCE can be assessed for individual lesions, offering a more informative comparison than diagnostic yield.

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Double-balloon enteroscopy (push-and-pull enteroscopy) of the small bowel: feasibility and diagnostic and therapeutic yield in patients with suspected small bowel disease

Cited by 354 publications

References 16 publications

Management of Obscure Occult Gastrointestinal Bleeding: A Cost-Minimization Analysis

Management of Obscure Occult Gastrointestinal Bleeding: A Cost-Minimization Analysis

Role of small-bowel endoscopy in the management of patients with inflammatory bowel disease: an international OMED–ECCO consensus

Accuracy of community based video capsule endoscopy in patients undergoing follow up double balloon enteroscopy

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