Saygili F, Saygili SM, Oztas E. Examining the whole bowel, double balloon enteroscopy: Indications, diagnostic yield and complications. World J Gastrointest Endosc 2015; 7(3): 247-252 [PMID: 25789095 DOI: 10.4253/wjge.v7.i3.247]
Corresponding Author of This Article
Erkin Oztas, MD, Associate Professor, Department of Gastroenterology, Turkiye Yuksek Ihtisas Education and Research Hospital, Hacettepe Mh., 06040 Ankara, Turkıye. erkinous@yahoo.com
Research Domain of This Article
Gastroenterology & Hepatology
Article-Type of This Article
Minireviews
Open-Access Policy of This Article
This article is an open-access article which was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution Non Commercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: http://creativecommons.org/licenses/by-nc/4.0/
World J Gastrointest Endosc. Mar 16, 2015; 7(3): 247-252 Published online Mar 16, 2015. doi: 10.4253/wjge.v7.i3.247
Examining the whole bowel, double balloon enteroscopy: Indications, diagnostic yield and complications
Fatih Saygili, Saba Mukaddes Saygili, Erkin Oztas
Fatih Saygili, Erkin Oztas, Department of Gastroenterology, Turkiye Yuksek Ihtisas Education and Research Hospital, 06040 Ankara, Turkıye
Saba Mukaddes Saygili, Department of Intensive Care, Ankara University, 06040 Ankara, Turkıye
Author contributions: Saygili F and Saygili SM did the bibliography search and wrote the simple draft of the review; Oztas E wrote the main points and edited the last end detailed version with improved English language.
Conflict-of-interest: None of the authors have any conflict of interest.
Open-Access: This article is an open-access article which was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution Non Commercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: http://creativecommons.org/licenses/by-nc/4.0/
Correspondence to: Erkin Oztas, MD, Associate Professor, Department of Gastroenterology, Turkiye Yuksek Ihtisas Education and Research Hospital, Hacettepe Mh., 06040 Ankara, Turkıye. erkinous@yahoo.com
Telephone: +90-505-5025495 Fax: +90-312-3124120
Received: August 29, 2014 Peer-review started: August 29, 2014 First decision: November 1, 2014 Revised: November 15, 2014 Accepted: December 16, 2014 Article in press: December 17, 2014 Published online: March 16, 2015
Abstract
Double balloon enteroscopy (DBE) is an advanced type of endoscopic procedure which brings the advantage of reaching the whole small bowel using anterograde or the retrograde route. This procedure is both diagnostic and interventional for a variety of small intestinal diseases, such as vascular lesions, tumors, polyps and involvement of inflammatory bowel diseases. Main indication is the diagnosis and treatment of mid-gastrointestinal bleeding according to the recent published data all over the world. The complication rates seem to be higher than conventional procedures but growing experience is lowering them and improving the procedure to be safe and well tolerated. This review is about the technique, indications, diagnostic importance and complications of DBE according to the literature growing since 2001.
Core tip: Double balloon enteroscopy (DBE) is a novel technique of great interest as the clinician gains the opportunity of examining the whole small bowel without any surgical intervention. Diagnostic and therapeutic ability of the procedure influences the importance and common use of DBE for patients with documented or suspected small bowel disease. This review summarizes the indications, diagnostic yield and complications of the procedure according to the worldwide knowledge since 2001.
