Evaluation of double-balloonenteroscopy in the management of type 1 small bowel vascular lesions (angioectasia): a retrospective cohort study. Small-bowel angioectasia is commonly diagnosed and managed using double-balloonenteroscopy; however, rebleeding rates can vary significantly. This study aimed to identify and evaluate the clinical predictors of rebleeding in patients with small-bowel . To further investigate the clinical outcomes, the angioectasia group that required endoscopic treatment was divided into two subgroups based on the number of double-balloonenteroscopy (DBE) procedures performed. Univariate and multivariate binary logistic regression analyses were used to establish which predictor variables were significantly related to the recurrence. A total of 67 patients (mean age 68.1
Clinical value of using doubleballoonenteroscopy combined with endoscopic ultrasound to evaluate Crohn's disease of the small bowel: a retrospective study. Diagnosing and assessing Crohn's disease, which involves only the small bowel, is challenging. This study investigated the clinical value of combining doubleballoonenteroscopy with endoscopic ultrasound to evaluate this disease . This single-center retrospective study included patients with Crohn's disease of the small intestine between October 2022 and October 2023. Relevant clinical data were collected. Doubleballoonenteroscopy and ultrasound endoscopy of the small intestine were performed. Among the 50 patients, 10, 34, and 6 had mild, moderate, and severe active phase Crohn's disease, respectively. Ten patients scored between
A newly developed deep learning-based system for automatic detection and classification of small bowel lesions during double-balloonenteroscopy examination. Double-balloonenteroscopy (DBE) is a standard method for diagnosing and treating small bowel disease. However, DBE may yield false-negative results due to oversight or inexperience. We aim to develop a computer-aided diagnostic (CAD
A randomized controlled trial of a through-the-scope stiffening wire to increase the depth of insertion during double-balloonenteroscopy. We investigated whether use of a stiffening wire increased insertion depth during double-balloonenteroscopy (DBE). A total of 54 patients were randomized to the stiffening wire or the control group after reaching the maximum insertion depth using
Effectiveness of Capsule Endoscopy and Double-BalloonEnteroscopy in Suspected Complicated Celiac Disease. Complicated celiac disease (CCD) is a rare but severe condition with a poor prognosis. Guidelines recommend use of capsule endoscopy (CE) to explore the small bowel (SB), followed by a double-balloonenteroscopy (DBE) in selected cases with suspected CCD. Our study aimed to evaluate
Diagnostic efficacy of double-balloonenteroscopy in patients with suspected isolated small bowel Crohn's disease. Owing to the development of double-balloonenteroscopy (DBE) and video capsule endoscopy (VCE) in recent years, direct visualization of the entire small intestinal mucosa has become possible. Because of the nonspecific symptoms and the anatomic location of the small bowel, diagnosis
Single incision laparoscopic assisted doubleballoonenteroscopy: a novel technique to manage small bowel pathology. Doubleballoonenteroscopy (DBE) has revolutionised the diagnosis and treatment of small bowel (SB) conditions. However, deep SB insertion can be challenging in patients with a history of abdominal surgery and a two-step procedure is required when findings are not amenable
Outcomes and safety of double-balloonenteroscopy in small bowel diseases: a single-center experience of 1531 procedures. Double-balloonenteroscopy (DBE) has become a routine procedure in clinical practice for evaluation of small bowel diseases (SBDs). This study aimed to evaluate the diagnostic and therapeutic value of DBE in patients with suspected SBDs according to the patients' age
Double-balloonenteroscopy-facilitated cyanoacrylate-injection endotherapy of small-bowel varices: an international experience from 2 European tertiary centers (with videos). Small-bowel varices (SBVs) are an uncommon consequence of portal hypertension. Radiologic intervention is usually considered for first-line management. When radiologic intervention is not possible, management options become very limited. The aim of this study was to evaluate the usefulness of double-balloonenteroscopy (DBE)-facilitated cyanoacrylate-injection endotherapy of SBVs. This was a retrospective review of DBE-facilitated cyanoacrylate-injection endotherapy of SBVs (December 2015 to October 2016). Ten DBEs were performed in 6 patients (4 women; median age, 68.5 years). No radiologic or surgical options were
False-negative double-balloonenteroscopy in overt small bowel bleeding: long-term follow-up after negative results. Double-balloonenteroscopy (DBE) performed to investigate overt small bowel bleeding can miss the source of bleeding. We investigated the clinical outcomes of patients with negative DBE results for suspected overt small bowel bleeding, which is defined in the current guidelines
Endoscopic balloon dilatation for benign hepaticojejunostomy anastomotic stricture using short double-balloonenteroscopy in patients with a prior Whipple's procedure: a retrospective study. Endoscopic retrograde cholangiography using a short double-balloon endoscope (DB-ERC) is a promising minimally-invasive method for accessing hepaticojejunostomy (HJ) anastomosis in patients with surgically
Doubleballoonenteroscopy-assisted endoscopic retrograde cholangiopancreatography in Roux-en-Y gastric bypass anatomy: expert vs. novice experience Double-balloonenteroscopy-assisted endoscopic retrograde cholangiopancreatography (DBE-ERCP) in post-Roux-en-Y gastric bypass (RYGB) patients is a technically challenging procedure. We aimed to determine the success rate of DBE-ERCP performed
Transformation of jejunoileal follicular lymphoma into diffuse large B-cell lymphoma detected using double-balloonenteroscopy Jejunoileal follicular lymphomas (FLs) are rare and have been reported to undergo histological transformation (HT). We report a case of jejunoileal FL transformation into diffuse large B-cell lymphoma (DLBCL). An 82-year-old woman presented with a 5.5 cm ulcerated jejunal mass, identified through double-balloonenteroscopy. The histopathology report revealed diffuse atypical lymphoid cells, which confirmed the presence of DLBCL. Neoplastic follicles confirmed the presence of FL. Genetic analysis revealed a match between the FL and DLBCL. Following a segmentectomy and chemotherapy, the patient is in remission. Based on this case, we should consider the possibility
Predictors for outcomes and readmission rates following doubleballoonenteroscopy: a tertiary care experience The objectives of this study are to examine clinical characteristics of patients undergoing anterograde and retrograde doubleballoonenteroscopy (DBE) and to assess factors predicting positive diagnostic yield, therapeutic yield, and readmission. We conducted a retrospective cohort
Effect of Double-BalloonEnteroscopy on Diagnosis and Treatment of Small-Bowel Diseases The diagnosis and treatment of small-bowel diseases is clinically difficult. The purpose of this study was to evaluate the diagnostic and therapeutic value of double-balloonenteroscopy in small-bowel diseases. The history and outcomes of 2806 patients who underwent double-balloonenteroscopy from July 2004 was not detected through one direction, examination through the other direction was performed as necessary. Eighty-four patients with small-bowel polyps, 26 with intestinal obstruction caused by enterolith, and 18 with bleeding from Dieulafoy's lesions in the small intestine were treated endoscopically. A total of 2806 patients underwent double-balloonenteroscopy, and no serious complications occurred
Jejunal Serrated Adenoma Diagnosed and Treated by Double-BalloonEnteroscopy Serrated polyps are most commonly located in the colorectum and have been well recognized as an important precursor lesion for colorectal cancer. Serrated adenoma in the small intestine has been reported more rarely but may represent a distinct morphological and biological subtype with malignant potential. Here, we present the case of a 65-year-old female who underwent double-balloonenteroscopy due to obscure gastrointestinal bleeding. A polyp sized 3.5 × 2.0 cm with a long pedicle in the jejunum, located 50 cm distal to the Treitz ligament, was detected. Endoscopic mucosal resection was done. The pathological results revealed a traditional serrated adenoma sized 3.5 × 2.2 cm.
A Small Jejunal Angioleiomyoma Detected by Double-BalloonEnteroscopy: A Case Report BACKGROUND Angioleiomyoma in the small intestine is a rare cause of gastrointestinal bleeding. Only 7 cases of angioleiomyoma in the small intestine were reported in the English literature, with 4 of them causing gastrointestinal bleeding. The diagnosis of angioleiomyomas in the small intestine before surgery is difficult. CASE REPORT We report the case of a 42-year-old man with recurrent melena who underwent repeated esophagogastroduodenoscopy and colonoscopy, without positive finding. During a double-balloonenteroscopy, an elevated lesion with a diameter of 6 mm was found in the jejunum. The lesion was resected laparoscopically assisted with double-balloon enteroscpy. A microscopic examination showed fibric
Efficacy of endoscopic treatment using double-balloonenteroscopy for postoperative bile leakage in patients with hepaticojejunostomy Endoscopic treatment for post-operative bile is technically challenging in patients with altered gastrointestinal anatomy. This study evaluated the effectiveness of using a short-type double-balloon enteroscope to treat postoperative bile leakage after