Abstract
The method of double-balloon endoscopy (DBE) introduced by Yamamoto [1] permits noninvasive endoscopic evaluation of the small bowel while also providing therapeutic access [2–6]). Figure 13.1a shows the specifically designed video endoscopes, Fujinon EN-450P5 (regular type) and Fujinon EN-450 T5 (therapeutic type) from Fujifilm Corporation, Tokyo, Japan. The endoscope, with an attachable balloon at the tip, is used together with a soft overtube (length 145 cm) with another balloon at the distal end. To make insertion procedures safe and effective, soft latex balloons are used for both the endoscope and the overtube, and a specifically designed pump has been developed to inflate and deflate the balloons with one touch while accurately monitoring the balloon pressure (Fig. 13.1b).
The work was first published in 2006 by Springer Medizin Verlag Heidelberg with the following title: Atlas of Video Capsule Endoscopy.
Access this chapter
Tax calculation will be finalised at checkout
Purchases are for personal use only
References
Yamamoto H, Sekine Y, Sato Y, et al. Total enteroscopy with a nonsurgical steerable double-balloon method. Gastrointest Endosc. 2001;53:216–20.
May A, Nachbar L, Wardak A, et al. Double-balloon enteroscopy: preliminary experience in patients with obscure gastrointestinal bleeding or chronic abdominal pain. Endoscopy. 2003;35:985–91.
May A, Nachbar L, Ell C. Double-balloon enteroscopy (push-and-pull enteroscopy) of the small bowel: feasibility and diagnostic and therapeutic yield in patients with suspected small bowel disease. Gastrointest Endosc. 2005;62:62–70.
Yamamoto H, Sugano K. A new method of enteroscopy – the double-balloon method. Can J Gastroenterol. 2003;17:273–4.
Ell C, May A, Nachbar L, et al. Push-and-pull enteroscopy in the small bowel using the double-balloon technique: results of a prospective European multicenter study. Endoscopy. 2005;37:613–6.
Di Caro S, May A, Heine DG, et al. The European experience with double balloon enteroscopy: indications, methodology, safety and clinical impact. Gastrointest Endosc. 2005;62:545–50.
Miyata T, Yamamoto H, Kita H, et al. A case of inflammatory fibroid polyp causing small bowel intussusception in which retrograde double-balloon enteroscopy was useful for the preoperative diagnosis. Endoscopy. 2004;36:344–7.
Yamamoto H, Kita H, Sunada K, et al. Clinical outcomes of double-balloon endoscopy for the diagnosis and treatment of small-intestinal diseases. Clin Gastroenterol Hepatol. 2004;2:1010–6.
May A, Nachbar L, Schneider M, et al. Push-and-pull enteroscopy using the double-balloon technique: method of assessing depth of insertion and training of the enteroscopy technique using the Erlangen Endo-Trainer. Endoscopy. 2005;37:66–70.
Yamamoto H. Double balloon endoscopy. Clin Gastroenterol Hepatol. 2005;3 Suppl 1:S27–9.
Yamamoto H, Yano T, Kita H, et al. New system of double-balloon enteroscopy for diagnosis and treatment of small intestinal disorders. Gastroenterology. 2003;125:1556; author reply 1556–7.
Kuno A, Yamamoto H, Kita H, et al. Application of double-balloon enteroscopy through Roux-en-Y anastomosis for the endoscopic mucosal resection of an early carcinoma in the duodenal afferent limb. Gastrointest Endosc. 2004;60:1032–4.
Sunada K, Yamamoto H, Kita H, et al. Case report: successful treatment with balloon dilatation in combination with double-balloon enteroscopy of a stricture in the small bowel of a patient with Crohn’s disease. Dig Endosc. 2004;16:237–40.
Yano T, Yamamoto H, Sunada K, et al. Endoscopic classification of vascular lesions of the small intestine (with videos). Gastrointest Endosc. 2008;67:169–72.
Nishimura M, Yamamoto H, Kita H, et al. Gastrointestinal stromal tumor in the jejunum: diagnosis and control of bleeding with electrocoagulation by using double-balloon enteroscopy. J Gastroenterol. 2004;39:1001–4.
Kita H, Yamamoto H, Nakamura T, et al. Bleeding polyp in the mid small intestine identified by capsule endoscopy and treated by double-balloon endoscopy. Gastrointest Endosc. 2005;61:628–9.
Ohmiya N, Taguchi A, Shirai K, et al. Endoscopic resection of Peutz-Jeghers polyps throughout the small intestine at double-balloon enteroscopy without laparotomy. Gastrointest Endosc. 2005;61:140–7.
May A, Färber M, Aschmoneit I, et al. Prospective multicenter trial comparing push-and-pull enteroscopy with single- and double- balloon techniques in patients with small-bowel disorders. Am J Gastroenterol. 2010;105:575–81.
Takano N, Yamada A, Watabe H, et al. Single-balloon versus double-balloon endoscopy for achieving total enteroscopy: a randomized, controlled trial. Gastrointest Endosc. 2011;73:734–9.
Domagk D, Mensink P, Aktas H, et al. Single- vs double-balloon enteroscopy in small-bowel diagnostics: a randomized multicenter trial. Endoscopy. 2011;43:472–6.
May A. Small bowel endoscopy. Endoscopy. 2012;44:375–7.
May A, Manner H, Aschmoneit I, et al. Prospective, cross-over, single-center trial comparing oral double-balloon enteroscopy and oral spiral enteroscopy in patients with suspected small-bowel vascular malformations. Endoscopy. 2011;43:477–83.
Messer I, May A, Manner H, et al. Prospective, randomized single-center trial comparing double-balloon enteroscopy and spiral enteroscopy in patients with suspected small-bowel disorders. Gastrointest Endosc. 2013;77:241–9.
Despott EJ, Hughes S, Marden P, et al. First cases of spiral enteroscopy in the UK: let’s “torque” about it! [Letter to the Editor]. Endoscopy. 2010;42:517.
Lara LF, Singh S, Sreenarasimhaiah J. Initial experience with retrograde overtube-assisted enteroscopy using a spiral tip overtube. Proc (Bayl Univ Med Cent). 2010;23:130–3.
Yamamoto H. Is double-balloon enteroscopy superior to spiral enteroscopy? Gastrointest Endosc. 2013;77:250–1.
Author information
Authors and Affiliations
Corresponding author
Editor information
Editors and Affiliations
Rights and permissions
Copyright information
© 2014 Springer-Verlag Berlin Heidelberg
About this chapter
Cite this chapter
Yamamoto, H., Ell, C., Kita, H., May, A. (2014). Double-Balloon Endoscopy. In: Keuchel, M., Hagenmüller, F., Tajiri, H. (eds) Video Capsule Endoscopy. Springer, Berlin, Heidelberg. https://doi.org/10.1007/978-3-662-44062-9_13
Download citation
DOI: https://doi.org/10.1007/978-3-662-44062-9_13
Published:
Publisher Name: Springer, Berlin, Heidelberg
Print ISBN: 978-3-662-44061-2
Online ISBN: 978-3-662-44062-9
eBook Packages: MedicineMedicine (R0)