Diagnosis and Treatment of Small Intestinal Disease Using Double-balloon Endoscopy Yoshikazu Hayashi 1 1Department of Internal Medicine, Division of Gastroenterology, Jichi Medical school Keyword: ダブルバルーン内視鏡 , 小腸内視鏡 , 小腸潰瘍 , 小腸腫瘍 , 小腸 , angiodys-Plasia pp.1475-1482
Published Date 2005/10/25
DOI https://doi.org/10.11477/mf.1403100164
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Double-balloon endoscopy, which was put on the market in November,2003in Japan, permits the exploration of the small intestine successfully enabling total enteroscopy, and also enabling most of the endoscopic treatments which are available with conventional endoscopy. Between September,2000and April,2005,354enteroscopies were performed on217patients in Jichi Medical School, Japan. Endoscopic observation of the entire small intestine was possible in50(77%)of65trials. Of note, endoscopic observation of the entire small intestine was possible in34(92%)of37patients who had had no history of laparotomy. One of the distinct features of double-balloon endoscopy is endoscopic treatments following observation. We have succeeded in various kinds of endoscopic treatments including hemostasis, clipping, polypectomy, endoscopic mucosal resection, dilatation, and stent placement.

 Double-balloon endoscopy is expected to play an important role for the diagnosis and treatment of small intestinal disorders.

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