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Balloon-Assisted Enteroscopy: Techniques, Diagnostic and Therapeutic Yield and Application in Small Bowel Crohn’s Disease

  • Gary R. MayEmail author
Chapter
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Abstract

Access to the small bowel has traditionally been limited to the proximal jejunum and terminal ileum. Several techniques including balloon-assisted enteroscopy and spiral enteroscopy now allow for deep enteroscopy and the potential for total enteroscopy in some patients. The balloon-assisted techniques result in a pleating of the intestine over the scope and overtube using a push-pull technique with the balloon(s) providing an anchoring mechanism. These techniques have a potential diagnostic and therapeutic role in the evaluation and management of patients with known or suspected Crohn’s disease of the small intestine, especially where standard endoscopic and imaging techniques are not conclusive or cannot reach the diseased segment.

Keywords

Double-balloon enteroscopy Single balloon enteroscopy Small bowel Crohn’s disease 

Supplementary material

Video 8.1

Balloon dilatation of a Crohn’s stricture (MP4 105132 kb)

Video 8.2

Treatment of bleeding anastomotic ulcer in a Crohn’s patient (MP4 128406 kb)

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Copyright information

© Springer International Publishing Switzerland 2015

Authors and Affiliations

  1. 1.Department of GastroenterologyUniversity of Toronto, St. Michael’s HospitalTorontoCanada

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