Diagnostic and Therapeutic Utility of Double-Balloon Endoscopy in Small-Bowel Bleeding

被引:5
作者
Pennazio, Marco [1 ]
机构
[1] S Giovanni AS Hosp, Dept Gastroenterol & Clin Nutr, Div Gastroenterol 2, Via Cavour 31, I-10123 Turin, Italy
关键词
double-balloon endoscopy; capsule endoscopy; obscure gastrointestinal bleeding; small bowel; gastrointestinal bleeding; endoscopy;
D O I
10.1016/j.tgie.2007.12.007
中图分类号
R57 [消化系及腹部疾病];
学科分类号
摘要
The primary and most thoroughly validated indication to double-balloon endoscopy is obscure gastrointestinal bleeding, for which this procedure has high diagnostic and therapeutic efficacy and appears to be safe. In this clinical setting, double-balloon endoscopy is a better diagnostic tool than push enteroscopy; it complements capsule endoscopy and may make intraoperative enteroscopy unnecessary. Whether the more precise diagnoses and the more effective treatments possible with this exciting technology will ultimately result in enduring positive patient outcomes and cost savings remains to be determined through carefully designed studies. (C) 2008 Elsevier Inc. All rights reserved.
引用
收藏
页码:77 / 82
页数:6
相关论文
共 47 条
[1]   First case of paralytic intestinal ileus after double balloon enteroscopy [J].
Attar, A ;
Maissiat, E ;
Sebbagh, V ;
Cellier, C ;
Wind, P ;
Bénamouzig, R .
GUT, 2005, 54 (12) :1823-1824
[2]   Diagnostic and therapeutic impact of double-balloon enteroscopy (DBE) in a series of 100 patients with suspected small bowel diseases [J].
Cazzato, I. A. ;
Cammarota, G. ;
Nista, E. C. ;
Cesaro, P. ;
Sparano, L. ;
Bonomo, V. ;
Gasbarini, G. B. ;
Gasbarrini, A. .
DIGESTIVE AND LIVER DISEASE, 2007, 39 (05) :483-487
[3]   Clinically significant small-bowel pathology identified by double-balloon enteroscopy but missed by capsule endoscopy [J].
Chong, Andre K. H. ;
Chin, Bernard W. K. ;
Meredith, Christopher G. .
GASTROINTESTINAL ENDOSCOPY, 2006, 64 (03) :445-449
[4]   Is double balloon enteroscopy the best initial imaging method for obscure gastrointestinal bleeding? [J].
Das, Ananya ;
Leighton, Jonathan A. .
NATURE CLINICAL PRACTICE GASTROENTEROLOGY & HEPATOLOGY, 2007, 4 (03) :120-121
[5]   The European experience with double-balloon enteroscopy: indications, methodology, safety, and clinical impact [J].
Di Caro, S ;
May, A ;
Heine, DGN ;
Fini, L ;
Landi, B ;
Petruzziello, L ;
Cellier, C ;
Mulder, CJ ;
Costamagna, G ;
Ell, C ;
Gasbarrini, A .
GASTROINTESTINAL ENDOSCOPY, 2005, 62 (04) :545-550
[6]   Mid-gastrointestinal bleeding: capsule endoscopy and push-and-pull enteroscopy give rise to a new medical term [J].
Ell, C ;
May, A .
ENDOSCOPY, 2006, 38 (01) :73-75
[7]   Push-and-pull enteroscopy in the small bowel using the double-balloon technique: Results of a prospective European Multicenter study [J].
Ell, C ;
May, A ;
Nachbar, L ;
Cellier, C ;
Landi, B ;
di Caro, S ;
Gasbarrini, A .
ENDOSCOPY, 2005, 37 (07) :613-616
[8]   Outcome of capsule endoscopy in determining indication and route for push-and-pull enteroscopy [J].
Gay, G ;
Delvaux, M ;
Fassler, I .
ENDOSCOPY, 2006, 38 (01) :49-58
[9]   Double-balloon enteroscopy: the new gold standard for small-bowel imaging? [J].
Gerson, LB .
GASTROINTESTINAL ENDOSCOPY, 2005, 62 (01) :71-75
[10]   A prospective study comparing video capsule endoscopy with double-balloon enteroscopy in patients with obscure gastrointestinal bleeding [J].
Hadithi, M ;
Heine, GDN ;
Jacobs, MAJM ;
von Bodegraven, AA ;
Mulder, CJJ .
AMERICAN JOURNAL OF GASTROENTEROLOGY, 2006, 101 (01) :52-57