Diagnosis and treatment of small-bowel stricture by double balloon endoscopy

Background The source of small-bowel stricture is often difficult to diagnose due to the difficulty of placing an endoscope into the small bowel. It has recently become possible to examine the entire small bowel and perform balloon dilatation for stricture by means of double balloon endoscopy (DBE)....

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Bibliographic Details
Published in:Gastrointestinal endoscopy 2007-09, Vol.66 (3), p.S108-S112
Main Authors: Fukumoto, Akira, MD, Tanaka, Shinji, MD, PhD, Yamamoto, Hironori, MD, PhD, Yao, Tsuneyoshi, MD, PhD, Matsui, Toshiyuki, MD, PhD, Iida, Mitsuo, MD, PhD, Goto, Hidemi, MD, PhD, Sakamoto, Choitsu, MD, PhD, Chiba, Tsutomu, MD, PhD, Sugano, Kentaro, MD, PhD
Format: Article
Language:English
Subjects:
Biological and medical sciences
Catheterization - instrumentation
Crohn Disease - complications
Crohn Disease - diagnosis
Digestive system. Abdomen
Endoscopes, Gastrointestinal
Endoscopy
Endoscopy, Gastrointestinal - methods
Equipment Design
Female
Gastroenterology and Hepatology
Gastroenterology. Liver. Pancreas. Abdomen
Humans
Inflammatory Bowel Diseases - complications
Inflammatory Bowel Diseases - diagnosis
Intestinal Neoplasms - complications
Intestinal Neoplasms - diagnosis
Intestinal Obstruction - diagnosis
Intestinal Obstruction - therapy
Intestine, Small
Investigative techniques, diagnostic techniques (general aspects)
Male
Medical sciences
Middle Aged
Other diseases. Semiology
Retrospective Studies
Stomach. Duodenum. Small intestine. Colon. Rectum. Anus
Treatment Outcome
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Summary:Background The source of small-bowel stricture is often difficult to diagnose due to the difficulty of placing an endoscope into the small bowel. It has recently become possible to examine the entire small bowel and perform balloon dilatation for stricture by means of double balloon endoscopy (DBE). Objective To identify clinical features of small-bowel stricture and determine the validity of balloon dilatation as a treatment option. Design Retrospective multicenter study. Setting Researchers at 7 institutions affiliated with the DBE Working Group. Patients One hundred seventy-nine patients with stricture among a total of 1035 patients who underwent DBE at the 7 institutions. Interventions Surgical treatment or balloon dilatation was performed as clinically indicated. Main Outcome Measurements Ability to detect stricture lesions by DBE, types of lesions, locations of small-bowel strictures, details of strictures, treatments for strictures, and outcomes of balloon dilatation for strictures associated with inflammatory disease. Results The total number of patients with strictures was 179. Lesions were detected within the small bowel in 156 patients. Inflammatory disease was the most common (n = 87) in patients with small-bowel stricture, and the ileum was the most common site of the inflammatory disease. Crohn's disease was the most common of the inflammatory diseases (n = 57). Balloon dilatations were performed in 31 patients with inflammatory disease, and long-term success was achieved in 22 patients. Limitations The number of patients treated by balloon dilatation was small. Conclusion DBE appears to be useful for the detection as well as treatment of small-bowel lesions.
ISSN:0016-5107
1097-6779
DOI:10.1016/j.gie.2007.02.027