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Double balloon enteroscopy (DBE) is a technique for examining the small intestine by passing a flexible endoscope through it using balloons attached to its tip. It allows physicians to directly visualize the lining of the small intestine. This procedure is helpful for diagnosing and treating disorders of the small intestine such as bleeding, tumors, and Crohn's disease.
Q1. What does double balloon enteroscopy involve?
DBE utilizes a flexible endoscope that has balloons attached to its tip. The balloons help propel and maneuver the scope through twists and turns in the small intestine. When inflated, the balloons help anchor the scope and allow controlled advancement into different areas of the small bowel.
Q2. How is double balloon enteroscopy different from standard endoscopy?
Standard endoscopy only allows visualization of the esophagus, stomach, and beginning of the small intestine. DBE is able to advance much further into the small bowel using balloons for propulsion and assistance. This makes it possible to thoroughly examine the entire small intestine.
Q3. What are some indications for double balloon enteroscopy?
Common reasons a physician may recommend DBE include evaluation of obscure gastrointestinal bleeding, suspicion of a small intestinal tumor, diagnosing Crohn's disease involving the small bowel, and retrieving objects that may have been swallowed and passed into the small intestine.
Q4. How is double balloon enteroscopy performed?
The patient is given an anesthetic to sedate them during the procedure. The endoscope is gently inserted through the mouth or anus and advanced using balloon inflation. The physician carefully navigates the scope to examine the lining. Images and biopsies can be taken if needed for diagnosis. The entire procedure usually takes 1-2 hours.
Q5. What are the risks of double balloon enteroscopy?
DBE is generally a low risk procedure but possible complications include perforation of the intestinal lining, bleeding, or infection. Adverse events are uncommon in trained hands. Most patients experience minimal side effects and can resume normal activities shortly after the exam.
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