Feasibility of double-balloon enteroscopy-assisted chromoendoscopy of the small bowel in patients with familial adenomatous polyposis

Mönkemüller, Klaus; Fry, Lucía C.; Ebert, Matthias P.; Bellutti, Michael; Venerito, Marino; Knippig, C.; Rickes, Steffen; Muschke, P.; Röcken, Christoph; Malfertheiner, P.

doi:10.1055/s-2006-945116

Cited by 71 publications

(44 citation statements)

References 29 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…It carries the advantage of ability to perform endoscopic interventions such as biopsy, polypectomy and marking the lesion [69][70][71] . A fewer studies Shenoy S. Small bowel carcinoma, genetics, signaling, surveillance utilizing BAE techniques have confirmed the presence of small bowel polyps in patients with FAP [10,71,72] .…”

Section: Endoscopymentioning

confidence: 99%

Genetic risks and familial associations of small bowel carcinoma

Shenoy

2016

WJGO

View full text Add to dashboard Cite

Section: Endoscopymentioning

confidence: 99%

Genetic risks and familial associations of small bowel carcinoma

Shenoy

2016

WJGO

View full text Add to dashboard Cite

“…APC during BAE is also an applicable treatment of small and flat adenomas and can be used if these adenomas are endoscopically difficult to remove because of challenging position [10] .…”

Section: Argon Plasma Coagulationmentioning

confidence: 99%

Therapeutic Balloon-Assisted Enteroscopy

Aktaş

Mensink²

2008

Dig Dis

View full text Add to dashboard Cite

Since the introduction of the first balloon-based enteroscopic technique in 2001, therapeutic balloon-assisted enteroscopy (BAE) using either the single or double balloon enteroscopy technique (respectively SBE and DBE) has evolved rapidly. Argon plasma coagulation (APC), polypectomy, dilation therapy of strictures, and therapy of the pancreatico-biliary system in patients with surgical altered proximal intestinal anatomy: all have been successfully introduced to treat pathological findings in all segments of the small bowel. The clinical impact of treatment of vascular malformations, strictures caused by chronic inflammation (especially Crohn’s disease) and polypectomy therapy (especially in the Peutz-Jeghers syndrome) seems evident. The decrease of, often repeated, surgical therapy after successful therapeutic BAE in the latter 2 patient groups appears to be a big step forward in treatment. The development of newer enteroscopes, specialized equipment and improved sedation of patients adds positively to the clinical management of undergoing therapeutic BAE. The overall complication rate of therapeutic BAE seems acceptable, but is higher compared to therapeutic colonoscopy which needs further attention in future.

show abstract

“…mucosal biopsy, argon plasma coagulation, snare polypectomy, injection therapy, tattooing, foreign body extraction and balloon dilatation. DBE plays an important role in the diagnosis and treatment of obscure gastrointestinal bleeding [3][4][5][6] , Crohn's disease [7][8][9][10] , celiac disease [11,12] , polyposis syndromes [13] and small bowel tumors. In the series published to date, complications solely related to the diagnostic procedure are rare [14][15][16][17][18] .…”

mentioning

confidence: 99%

Double balloon endoscopy associated pancreatitis: A description of six cases

Jarbandhan

Weyenberg²,

Veer

et al. 2008

WJG

View full text Add to dashboard Cite

INTRODUCTIONSince its introduction in 2001 by Yamamoto [1] , double balloon endoscopy (DBE) has revolutionized both diagnostic and therapeutic small bowel endoscopy [2] . This technique allows (intervention) endoscopy of the complete small bowel (often in two sessions) with the possibility of carrying out interventions; e.g. mucosal biopsy, argon plasma coagulation, snare polypectomy, injection therapy, tattooing, foreign body extraction and balloon dilatation. DBE plays an important role in the diagnosis and treatment of obscure gastrointestinal bleeding [3][4][5][6] , Crohn's disease [7][8][9][10] , celiac disease [11,12] , polyposis syndromes [13] and small bowel tumors. In the series published to date, complications solely related to the diagnostic procedure are rare [14][15][16][17][18] . A recent retrospective multicenter survey indicates a complication rate of 0.8% in diagnostic procedures [16] . In that study, pancreatitis occurred in six of 2362 (0.3%) procedures and contributed to 46% of all complications after diagnostic DBE. Another recent study showed that an asymptomatic rise of serum amylase and lipase levels after antegrade DBE is frequently encountered [19] . Nevertheless, only a few patients develop the clinical picture of post-DBE pancreatitis. The reason for this remains unknown.This article presents an analysis of all DBE-related cases of pancreatitis identified prospectively from a recorded DBE-complication database of 603 procedures in a single center. RESULTS: This is the largest single-center study reporting on post-DBE pancreatitis prospectively. Six patients (1.0%) developed post-DBE pancreatitis, all after antegrade DBE. There was no association with gender, duration of the procedure or type of endoscope. The mean age was 51.9 years (range 25-78). Four patients had severe pancreatitis. Of these, two had inflammatory signs in the body-tail region, one had pancreatitis in the tail region, and the total pancreas was involved in one. MATERIALS AND METHODS From CONCLUSION:The incidence of post-DBE pancreatitis in our series is higher than previously reported. We found no relation with DBE-endoscope type. The inflammatory changes occurred in the body-tail region of the pancreas, suggesting that post-DBE pancreatitis is caused by repetitive mechanical strain on the pancreas.

show abstract

Feasibility of double-balloon enteroscopy-assisted chromoendoscopy of the small bowel in patients with familial adenomatous polyposis

Abstract: DBE was found to be a helpful method for the evaluation of small-bowel polyps in patients with FAP. DBE-assisted chromoendoscopy was of further assistance for the detection of jejunal polyps.

Cited by 71 publications

References 29 publications

Genetic risks and familial associations of small bowel carcinoma

Genetic risks and familial associations of small bowel carcinoma

Therapeutic Balloon-Assisted Enteroscopy

Double balloon endoscopy associated pancreatitis: A description of six cases

Contact Info

Product

Resources

About