Double balloon enteroscopy?

summary

Double balloon enteroscopy is to add an outer tube with an air bag on the top of the original push enteroscopy, and also add an air bag on the top of the enteroscopy. Under normal circumstances, it can reach the middle and lower segment of the ileum, and part of it can reach the terminal ileum. The scope of examination is greatly expanded. If the entrance or transanal endoscopy is combined, the whole small intestine may be comprehensively and thoroughly examined. Electronic enteroscopy has a wide field of vision, clear image, and can be used for endoscopic biopsy and related treatment. What about double balloon enteroscopy?

Double balloon enteroscopy?

During the operation, 30% meglumine diatrizoate can be injected into the biopsy hole according to the need. Under X-ray fluoroscopy, the position of the endoscope, the stenosis and expansion of the intestinal cavity, and the distance from the endoscope to the terminal ileum can be understood. Enteroscopy can also perform biopsy, hemostasis, polypectomy, injection and other treatment in the process of examination, so that the examination and treatment can be completed in the same process. Compared with other endoscopies, the time of enteroscopy is relatively long, about 90 minutes. The patients are well tolerated and safe when they are examined under conscious sedation or general anesthesia.

Double balloon enteroscopy overcomes the shortcomings of capsule endoscopy, which can not directly observe and take biopsy. It can advance or retreat in the intestinal cavity, and it can also take biopsy to mark the lesions. There is a tube attached to the enteroscope. Its great advantage is that it can be operated and treated under the endoscope. It can make pathological diagnosis of small intestinal diseases, and also treat some common small intestinal diseases, such as endoscopic hemostasis, polypectomy, balloon dilatation, stent placement, etc. the image is coherent and clear, which significantly improves the diagnosis rate of small intestinal diseases. It also makes many small intestinal bleeding diseases, unexplained anemia, Crohn's disease, tumor and so on become common diseases with "cause" to be found and cured, thus removing the "mystery" veil of small intestine.

Hemostatic treatment: vascular malformation is the main cause of small intestinal bleeding. Double gas enteroscopy can treat small intestinal vascular malformation through titanium clip, electrocoagulation and other methods, which has obvious advantages compared with drug and surgical treatment. Polypectomy: double balloon enteroscopy can be used for regular reexamination and polypectomy of patients with multiple small intestinal polyps, to prevent complications such as intussusception, intestinal bleeding and tumor, and to avoid multiple open surgery.

matters needing attention

Although small bowel disease is relatively rare, it has always been a clinical problem due to the difficulty in diagnosis. In recent years, with the emergence of capsule endoscopy and double balloon enteroscopy, enteroscopy technology has made a breakthrough, we can easily observe all the small intestine, greatly improving the detection rate of small bowel diseases. The patients have a good tolerance to the two methods, and the safety is worth affirming. Capsule endoscopy is suitable for the initial examination, while double balloon enteroscopy can further confirm the lesions or carry out treatment. The combination of the two will play a greater role in the diagnosis and treatment of small bowel diseases.