Novel single-balloon enteroscopy for diagnosis and treatment of the small intestine: preliminary experiences

Tsujikawa, Tomoyuki; Saitoh, Yusuke; Andoh, Akira; Imaeda, Hirotsugu; Hata, Keisuke; Minematsu, H.; Senoh, Kohei; Hayafuji, Kiyoyuki; Ogawa, Atsushi; Nakahara, Toshinori; Sasaki, Makoto; Fujiyama, Yoichi

doi:10.1055/s-2007-966976

Cited by 306 publications

(243 citation statements)

References 12 publications

(14 reference statements)

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“…The tipp of a single-balloon enteroscope, which does not have a distal end balloon [11], is fixed by tipp angulation. An overtube with an integrated channel for a balloon catheter has also been developed.…”

Section: Single-balloon Enteroscopymentioning

confidence: 99%

“…In a study of single-balloon endoscopy (SBE) in 41 individuals, of whom 17 had suspected Crohn's disease [11], 16/41 had Crohn's disease as their final diagnosis, although the results were not reported by indication. The advantages of balloon-assisted endoscopy (BAE) compared with SBCE include the evaluation of atypical lesions, the ability to obtain biopsies for histopathology, and the potential for therapeutic intervention (e. g. dilation) [48,49].…”

Section: Sbce Compared With Computed Tomographic Enterography (Cte)/cmentioning

confidence: 99%

“…The advantages of balloon-assisted endoscopy (BAE) compared with SBCE include the evaluation of atypical lesions, the ability to obtain biopsies for histopathology, and the potential for therapeutic intervention (e. g. dilation) [48,49]. Overall, BAE is safe in the assessment of suspected Crohn's disease, with few reports of complications [11,47,49,50] (see Section 7). [51].…”

Section: Sbce Compared With Computed Tomographic Enterography (Cte)/cmentioning

confidence: 99%

“…DAE may be preferable to SBCE if there is a clinical suspicion of obstruction, because it may allow therapeutic intervention and be safer, simply by avoiding capsule retention [46]. Disadvantages associated with DAE are the invasiveness of the examination, the need for sedation, limited availability of the procedure (specialized centres), difficulty in examining the entire small bowel, and the time and expense required for the procedure [11,47,50]. [43].…”

Section: Specific Considerations or Investigationsmentioning

confidence: 99%

See 3 more Smart Citations

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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Section: Single-balloon Enteroscopymentioning

confidence: 99%

Section: Sbce Compared With Computed Tomographic Enterography (Cte)/cmentioning

confidence: 99%

Section: Sbce Compared With Computed Tomographic Enterography (Cte)/cmentioning

confidence: 99%

Section: Specific Considerations or Investigationsmentioning

confidence: 99%

See 2 more Smart Citations

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

View full text Add to dashboard Cite

show abstract

“…More recently, a balloon-assisted technique, which was originally introduced to investigate the small bowel, has been applied in patients with previous failed or incomplete colonoscopy. For a balloon-assisted colonoscopy, two types of balloon enteroscopes are available; the double-balloon enteroscope developed by Yamamoto et al [16], and the single-balloon enteroscope developed by Tsujikawa et al [17]. The reported success rates of single-(SBC) or doubleballoon-assisted colonoscopy (DBC) in patients with previous incomplete conventional colonoscopy range from 88 to 100 % [18][19][20][21][22][23].…”

mentioning

confidence: 99%

Single- Versus Double-Balloon-Assisted Colonoscopy After Previous Incomplete Standard Colonoscopy

Lim

Myung

2012

Dig Dis Sci

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Colonoscopy is the principle screening tool used for the detection of colorectal cancer and removal of colorectal adenomatous polyps [1,2]. Recently, a large clinical study showed that colonoscopic removal of adenomatous polyps reduced mortality from colorectal cancer by 53 % [3]. While complete colonic evaluation is essential for screening colonoscopy, the rate of incomplete colonoscopy using a conventional standard colonoscope has been reported to be 5-10 % [4][5][6]. A study conducted in Ontario found that 43,483 (13.1 %) of 331,608 screening colonoscopies failed to evaluate the entire colon [7]. In this population-based cohort study, the factors associated with incomplete colonoscopy were increased patient age, female sex, a history of prior abdominal or pelvic surgery, and having the procedure done in a private office. Other predictors of incomplete colonoscopy include decreased functional status of the patient [8] and anatomic factors such as colonic elongation, tortuosity, and severe diverticulosis [9].Malignant and pre-malignant lesions may go undetected in patients that are not completely evaluated by screening colonoscopy. In a population-based cohort study, 4.3 % of advanced colonic neoplasms were missed by incomplete colonoscopy [10]. Since 33-50 % of advanced neoplasms are found only in the proximal colon [11][12][13], additional efforts should be made to adequately visualize the remaining colon after an incomplete colonoscopy. An alternative diagnostic modality such as computed tomographic colonography has been utilized in these cases, however, its usefulness is limited by low sensitivity for small polyps, radiation exposure, and the inability to perform histologic biopsy and therapeutic procedures including polypectomy [14,15]. As a result, endoscopic approaches are still favored after incomplete standard colonoscopy. Additional endoscopic techniques using gastroscope, variable stiffness colonoscope, pediatric or cap-pitted colonoscope have been tried, but failed to achieve an adequate cecal intubation rate. More recently, a balloon-assisted technique, which was originally introduced to investigate the small bowel, has been applied in patients with previous failed or incomplete colonoscopy. For a balloon-assisted colonoscopy, two types of balloon enteroscopes are available; the double-balloon enteroscope developed by Yamamoto et al. [16], and the single-balloon enteroscope developed by Tsujikawa et al. [17]. The reported success rates of single-(SBC) or doubleballoon-assisted colonoscopy (DBC) in patients with previous incomplete conventional colonoscopy range from 88 to 100 % [18][19][20][21][22][23].In the current issue of Digestive Diseases and Sciences, Dzeletovic et al. [24] compared the performance outcomes of SBC and DBC in patients with previous incomplete conventional colonoscopy. In this study, the authors retrospectively reviewed 26 cases of SBC and 27 cases of DBC in patients whom underwent failed conventional colonoscopy. The current study showed that cecal intubation was successful i...

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Small Bowel Tumours

Spinn

Guha

2012

Textbook of Clinical Gastroenterology and Hepatology

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Novel single-balloon enteroscopy for diagnosis and treatment of the small intestine: preliminary experiences

Abstract: SBE is not only easy to perform, due to the single balloon, but it can also safely examine the deep small intestine. Therefore, SBE may be a useful diagnostic and therapeutic tool in addition to DBE for investigating suspected small bowel disease.

Cited by 306 publications

References 12 publications

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

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

Single- Versus Double-Balloon-Assisted Colonoscopy After Previous Incomplete Standard Colonoscopy

Small Bowel Tumours

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