Treatment of small-bowel diaphragm disease by using double-balloon enteroscopy.

Abstract

BACKGROUND:

Double-balloon enteroscopy is a new technique that allows endoscopic therapy throughout the entire length of the small bowel. Diaphragm disease, characterized by thin septa that narrow the small-bowel lumen, is traditionally treated surgically by segmental resection.

OBJECTIVE:

To report successful endoscopic treatment of diaphragm disease by double-balloon enteroscopy.

PATIENTS:

Three patients.

DESIGN:

Case report.

INTERVENTIONS:

Double-balloon enteroscopy and stricture balloon dilation.

RESULTS:

We report, for the first time, 3 cases in which diaphragm strictures were successfully treated during double-balloon enteroscopy. In 2 cases, a retained capsule endoscope was removed by the retrograde approach after stricture dilation.

LIMITATIONS:

Small number of patients and brief length of patient follow up.

CONCLUSION:

Double-balloon enteroscopy may be used to treat patients with diaphragm disease, thus avoiding potentially complicated surgery.

• Authors: Shahab Mehdizadeh, Simon K Lo
• Journal: Gastrointestinal endoscopy (Gastrointest Endosc) Vol. 64 Issue 6 Pg. 1014-7 (Dec 2006) ISSN: 0016-5107 [Print] United States
• PMID: 17140921 (Publication Type: Case Reports, Journal Article)

Topics

• Aged
• Aged, 80 and over
• Endoscopes, Gastrointestinal
• Endoscopy, Gastrointestinal (methods)
• Equipment Design
• Female
• Follow-Up Studies
• Humans
• Intestinal Obstruction (pathology, surgery)
• Intestine, Small (pathology)
• Male
• Middle Aged