Clinical Gastroenterology and Hepatology
Volume 7, Issue 11 , Pages 1177-1182.e3 , November 2009

Complications Associated With Double Balloon Enteroscopy at Nine US Centers

  • Lauren B. Gerson

      Affiliations

    • Division of Gastroenterology and Hepatology, Stanford University School of Medicine, Stanford, California
    • Corresponding Author InformationReprint requests Address requests for reprints to: Lauren B. Gerson, MD, MSc, Division of Gastroenterology and Hepatology, A149, 300 Pasteur Drive, Stanford, California 94305-5202. fax: (650) 723-8305
    • ,
  • Jeffrey Tokar

      Affiliations

    • Fox Chase Cancer Center, Philadelphia, Pennsylvania
    • ,
  • Michael Chiorean

      Affiliations

    • Indiana University, Indianapolis, Indiana
    • ,
  • Simon Lo

      Affiliations

    • Cedars Sinai Medical Center, Los Angeles, California
    • ,
  • G. Anton Decker

      Affiliations

    • Mayo Clinic, Scottsdale, Arizona
    • ,
  • David Cave

      Affiliations

    • University of Massachusetts, Worcester, Massachusetts
    • ,
  • Doumit BouHaidar

      Affiliations

    • University of Virginia, Charlottesville, Virginia
    • ,
  • Daniel Mishkin

      Affiliations

    • Boston University Medical Center, Boston, Massachusetts
    • ,
  • Charles Dye

      Affiliations

    • University of Chicago, Chicago, Illinois
    • ,
  • Oleh Haluszka

      Affiliations

    • Fox Chase Cancer Center, Philadelphia, Pennsylvania
    • ,
  • Jonathan A. Leighton

      Affiliations

    • Mayo Clinic, Scottsdale, Arizona
    • ,
  • Alvin Zfass

      Affiliations

    • University of Virginia, Charlottesville, Virginia
    • ,
  • Carol Semrad

      Affiliations

    • University of Chicago, Chicago, Illinois

References 

  1. Yamamoto H, Sekine Y, Sato Y, et al. Total enteroscopy with a nonsurgical steerable double-balloon method. Gastrointest Endosc. 2001;53:216–220
  2. Fry LC, Bellutti M, Neumann H, et al. Utility of double-balloon enteroscopy for the evaluation of malabsorption. Dig Dis. 2008;26:134–139
  3. Matsumoto T, Esaki M, Yanaru-Fujisawa R, et al. Small-intestinal involvement in familial adenomatous polyposis: evaluation by double-balloon endoscopy and intraoperative enteroscopy. Gastrointest Endosc. 2008;68:911–919
  4. 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;61:140–147
  5. Koornstra JJ. Double balloon enteroscopy for endoscopic retrograde cholangiopancreaticography after Roux-en-Y reconstruction: case series and review of the literature. Neth J Med. 2008;66:275–279
  6. 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;2:1010–1016
  7. 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
  8. 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;62:545–550
  9. Mehdizadeh S, Ross A, Gerson L, et al. What is the learning curve associated with double-balloon enteroscopy? (Technical details and early experience in 6 U.S. tertiary care centers). Gastrointest Endosc. 2006;64:740–750
  10. Hadithi M, Heine GD, Jacobs MA, et al. A prospective study comparing video capsule endoscopy with double-balloon enteroscopy in patients with obscure gastrointestinal bleeding. Am J Gastroenterol. 2006;101:52–57
  11. Heine GD, Hadithi M, Groenen MJ, et al. Double-balloon enteroscopy: indications, diagnostic yield, and complications in a series of 275 patients with suspected small-bowel disease. Endoscopy. 2006;38:42–48
  12. Kaffes AJ, Koo JH, Meredith C. Double-balloon enteroscopy in the diagnosis and the management of small-bowel diseases: an initial experience in 40 patients. Gastrointest Endosc. 2006;63:81–86
  13. Monkemuller K, Weigt J, Treiber G, et al. Diagnostic and therapeutic impact of double-balloon enteroscopy. Endoscopy. 2006;38:67–72
  14. Cazzato IA, Cammarota G, Nista EC, et al. Diagnostic and therapeutic impact of double-balloon enteroscopy (DBE) in a series of 100 patients with suspected small bowel diseases. Dig Liver Dis. 2007;39:483–487
  15. Barreto-Zuñiga R, Tellez-Avila FI, Chavez-Tapia NC, et al. Diagnostic yield, therapeutic impact, and complications of double-balloon enteroscopy in patients with small-bowel pathology. Surg Endosc. 2008;22:1223–1226
  16. Zhong J, Ma T, Zhang C, et al. A retrospective study of the application on double-balloon enteroscopy in 378 patients with suspected small-bowel diseases. Endoscopy. 2007;39:208–215
  17. Zhi FC, Yue H, Jiang B, et al. Diagnostic value of double balloon enteroscopy for small-intestinal disease: experience from China. Gastrointest Endosc. 2007;66(3 Suppl):S19–S21
  18. Gross SA, Stark ME. Initial experience with double-balloon enteroscopy at a U.S. center. Gastrointest Endosc. 2008;67:890–897
  19. Domagk D, Bretthauer M, Lenz P, et al. Carbon dioxide insufflation improves intubation depth in double-balloon enteroscopy: a randomized, controlled, double-blind trial. Endoscopy. 2007;39:1064–1067
  20. 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
  21. Cheng DW, Han NJ, Mehdizadeh S, et al. Intraperitoneal bleeding after oral double-balloon enteroscopy: a case report and review of the literature. Gastrointest Endosc. 2007;66:627–629
  22. Mensink PB, Haringsma J, Kucharzik T, et al. Complications of double balloon enteroscopy: a multicenter survey. Endoscopy. 2007;39:613–615
  23. Perez-Cuadrado E, Mas P, Hallal H, et al. Double-balloon enteroscopy: a descriptive study of 50 explorations. Rev Esp Enferm Dig. 2006;98:73–81
  24. Mehdizadeh S, Han NJ, Cheng DW, et al. Success rate of retrograde double-balloon enteroscopy. Gastrointest Endosc. 2007;65:633–639
  25. May A, Nachbar L, Pohl J, et al. Endoscopic interventions in the small bowel using double balloon enteroscopy: feasibility and limitations. Am J Gastroenterol. 2007;102:527–535
  26. Gerson L, Kamal A. Cost-effectiveness analysis of management strategies for obscure GI bleeding. Gastrointest Endosc. 2008;68:920–936

 To view this article's video abstract, go to the AGA's YouTube Channel.

 Conflict of interest The authors disclose the following: Lauren B. Gerson received speaker's honoraria from Given Imaging Inc and grant support, speaker's honoraria, and equipment from Fujinon Inc. Jeffrey Tokar received grant support and speaker's honoraria from Fujinon Inc. Michael Chiorean is a consultant for Discovery Endoease (Spirus); he received speaker's honoraria from Given Imaging Inc. Simon Lo received grant support and speaker's honoraria from Fujinon Inc. G. Anton Decker received research support from Fujinon Inc. Daniel Mishkin is a consultant for US Endoscopy; he received grant support from EZEM and speaker's honoraria from Given Imaging Inc and Salix. Charles Dye received grant support and speaker's honoraria from Fujinon Inc. Oleh Haluszka is a consultant for EZEM; he received grant support and speaker's honoraria from Fujinon Inc. Jonathan A. Leighton is a consultant for Given Imaging Inc; he received grant support from Fujinon Inc, Olympus, and Given Imaging Inc. Carol Semrad received grant support and speaker's honoraria from Fujinon Inc. The remaining authors disclose no conflicts.

PII: S1542-3565(09)00659-4

doi: 10.1016/j.cgh.2009.07.005

Clinical Gastroenterology and Hepatology
Volume 7, Issue 11 , Pages 1177-1182.e3 , November 2009