Double balloon enteroscopy in Crohn's disease: Where are we now and where should we go?

Visualization of the entire small‐bowel mucosa had not been possible until the development of the capsule endoscope (Pillcam, Given Imaging, Yoqneam, Israel). However, this device did not allow any endoscopic intervention. More recently, a double balloon endoscope has been developed that allows intu...

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Bibliographic Details
Published inInflammatory bowel diseases Vol. 17; no. 1; pp. 485 - 490
Main Authors Murphy, Seamus J., Kornbluth, Asher
Format Journal Article
LanguageEnglish
Published Hoboken Wiley Subscription Services, Inc., A Wiley Company 01.01.2011
Subjects
Balloons
capsule endoscopy
Computed tomography
Crohn Disease - diagnosis
Crohn's disease
diagnosis
dilation
Double-Balloon Enteroscopy
Endoscopes
Humans
Inflammatory bowel diseases
Intestine
Intubation
Mucosa
Reviews
stricture
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Summary:Visualization of the entire small‐bowel mucosa had not been possible until the development of the capsule endoscope (Pillcam, Given Imaging, Yoqneam, Israel). However, this device did not allow any endoscopic intervention. More recently, a double balloon endoscope has been developed that allows intubation of the entire small bowel. This endoscope contains a working channel that allows for all the interventions possible with standard colonoscopes. In this review we describe the instrument, techniques for its use, and its practical applications and capabilities. We review the experience to date for its use in various clinical indications for small‐bowel inflammatory disease, its diagnostic and therapeutic yield and risks, and its role and potential in the diagnosis and treatment of inflammatory bowel disease. (Inflamm Bowel Dis 2011;)
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ISSN:1078-0998
1536-4844
1536-4844
DOI:10.1002/ibd.21373