Double-balloon endoscopy in the diagnosis and management of GI tract diseases: Methodology, indications, safety, and clinical impact

Figure 1 Two types of double-balloon videoenteroscopes (EN-450P5 and EN-450T5).

Figure 2 The successful endoscopic removal of polyps from the mid small bowel in a patient with Peutz-Jeghers syndrome. A: Endoscopic view of multiple pedunculated small intestinal polyps; B: Endoscopic view of the region after endoscopic polypectomy using clipping.

Figure 3 Successful endoscopic lithotripsy for a huge enterolithiasis. A: Radiographic view of the ileum showing a huge enterolith (arrow); B: Endoscopic view of a huge enterolith; C: Endoscopic view of the lesion during lithotripsy; D: Radiographic view of the region after endoscopic lithotripsy showing no enterolith (arrow).

Figure 4 Primary advanced jejunal cancer. A: Endoscopic image; B: Selective radiographic image using DBE revealing a stenotic lesion (arrow) suggestive of jejunal cancer; C: EUS image using ultrasound catheter probe showing a hypoechoic tumor (T), which extended into the serosal layer (T3).

Figure 5 Endoscopic hemostasis using hypertonic-saline solution epinephrine injection. A: Endoscopic image of bleeding angiodysplasia; B: Endoscopic image of the region after hemostasis.