European Society of Gastrointestinal Endoscopy (ESGE) Guidelines: flexible enteroscopy for diagnosis and treatment of small-bowel diseases

Pohl, Jürgen; Delvaux, Michel; Ell, Christian; May, Andrea; Mulder, Chris J.J.; Pennazio, Marco; Pérez-Cuadrado, Enrique; Vilmann, Peter

doi:10.1055/s-2008-1077371

Cited by 46 publications

(30 citation statements)

References 62 publications

(54 reference statements)

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“…Intravenous crystaloids are administered during DBE. Conscious sedation is thought to be sufficient for DBE (5,6). It seems to be much better in DBE in comparison with general anaesthesia according to our experience.…”

Section: Introductionmentioning

confidence: 65%

“…Carbon dioxide (CO 2 ), unlike air, is rapidly absorbed from the bowel. Bowel insufflation with CO 2 , instead of air, enhances patients comfort and decreases the need for sedation (5)(6)(7). We have used CO 2 insufflation in DBE procedures regularly since 2007; since we had no complications with hyperinflation, the comfort of the patient rapidly increased and this type of insufflation is helpful for easier and deeper insertion of the scope, because the absorption of CO 2 is 150-times faster than absorption of air in the bowel.…”

Section: Introductionmentioning

confidence: 99%

“…During withdrawal of the endoscope and during therapeutic interventions, spasmolytics might improve visualisation of the small-bowel mucosa by reducing motility of the small bowel (5,6).…”

Section: Introductionmentioning

confidence: 99%

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Risk Factors of Acute Pancreatitis in Oral Double Balloon Enteroscopy

Kopáčová

Bureš

Rejchrt

et al. 2016

Acta Med. (Hradec Kralove, Czech Repub.)

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Summary: Double balloon enteroscopy (DBE) was introduced 15 years ago. The complications of diagnostic DBE are rare, acute pancreatitis is most redoubtable one (incidence about 0.3%). Hyperamylasemia after DBE seems to be a rather common condition respectively. The most probable cause seems to be a mechanical straining of the pancreas. We tried to identify patients in a higher risk of acute pancreatitis after DBE. We investigated several laboratory markers before and after DBE (serum cathepsin B, lactoferrin, E-selectin, SPINK 1, procalcitonin, S100 proteins, alfa-1-antitrypsin, hs-CRP, malondialdehyde, serum and urine amylase and serum lipase). Serum amylase and lipase rose significantly with the maximum 4 hours after DBE. Serum cathepsin and procalcitonin decreased significantly 4 hours after DBE compared to healthy controls and patients values before DBE. Either serum amylase or lipase 4 hours after DBE did not correlate with any markers before DBE. There was a trend for an association between the number of push-and-pull cycles and procalcitonin and urine amylase 4 hours after DBE; between procalcitonin and alfa-1-antitrypsin, cathepsin and hs-CRP; and between E-selectin and malondialdehyde 4 hours after DBE. We found no laboratory markers determinative in advance those patients in a higher risk of acute pancreatitis after DBE.

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Section: Introductionmentioning

confidence: 65%

Section: Introductionmentioning

confidence: 99%

See 1 more Smart Citation

Risk Factors of Acute Pancreatitis in Oral Double Balloon Enteroscopy

Kopáčová

Bureš

Rejchrt

et al. 2016

Acta Med. (Hradec Kralove, Czech Repub.)

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“…For anterograde approach deep monitored sedation with propofol or general anesthesia with intubation is recommended [1] . Because of length of the procedure, large volumes of air are usually insufflated that can lead to failure of the procedure.…”

Section: Technical Aspectsmentioning

confidence: 99%

Single balloon enteroscopy: Technical aspects and clinical applications

Manno¹

2012

WJGE

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The small bowel has long been considered a black box for endoscopists because of its long length and the presence of multiple complex loop. Most of the small bowel is inaccessible by traditional endoscopic means. In addition, radiographic studies have significant limitations with regard to diagnostic yield, and surgery is an invasive alternative. This limitation was overcome through the development of balloon enteroscopy that becomes established throughout the world for diagnostic and therapeutic examinations of the small bowel. The single-balloon enteroscope (SBE) system (Olympus, Tokyo, Japan) was introduced into the commercial market in 2007. Several study demonstrated its efficacy and safety. Early reports on the use of singleballoon enteroscopy have suggested a high diagnostic yield and similar therapeutic potential to that of the double-balloon endoscope. SBE is viable technique for in the management of small bowel disease. Technically, it is easy to perform, may be efficient, and in the literature data available, seems to provide high diagnostic and therapeutic yield.

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“…Available systems include double balloon (DBE), single balloon (SBE) and spiral-enteroscopy (SE). With the help of dedicated devices -an overtube with either a balloon attached at the distal tip or a spiral along the overtube-deep small bowel exploration is now possible (1).…”

Section: Introductionmentioning

confidence: 99%

Biliary self-expandable metallic stent using single balloon enteroscopy assisted ERCP: overcoming limitations of current accessories

Pinho¹,

Proença²,

Alberto³

et al. 2013

Rev. esp. enferm. dig.

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Device assisted enteroscopy (DAE) techniques have been recently developed for the diagnosis and treatment of small bowel diseases. These techniques can also be used to perform endoscopic retrograde cholangiopancreatography (ERCP) in patients with surgically altered anatomies. The main difficulties with DAE-ERCP are related to type of surgery, to the different dimensions and lack of frontal view of the enteroscope and to the resulting limitations with the use of standard accessories, resulting in the need of dedicated accessory devices. Although most ERCP techniques have been successfully performed with DAE-ERCP, biliary self-expandable metallic stents (SEMS) have not yet been used, as dedicated biliary SEMS for the enteroscope are lacking. The authors present a case report showing a new method to place standard biliary trough-thescope SEMS with DAE-ERCP, using a different technique of stent deployment.

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European Society of Gastrointestinal Endoscopy (ESGE) Guidelines: flexible enteroscopy for diagnosis and treatment of small-bowel diseases

Cited by 46 publications

References 62 publications

Risk Factors of Acute Pancreatitis in Oral Double Balloon Enteroscopy

Risk Factors of Acute Pancreatitis in Oral Double Balloon Enteroscopy

Single balloon enteroscopy: Technical aspects and clinical applications

Biliary self-expandable metallic stent using single balloon enteroscopy assisted ERCP: overcoming limitations of current accessories

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