Small-Bowel Disorders
Conditions
Keywords
Small-Bowel Disorders, Double-balloon enteroscopy, Single-balloon enteroscopy
Brief summary
Double-balloon enteroscopy (DBE) is now an established method for diagnostic and therapeutic small-bowel endoscopy. Single-balloon enteroscopy (SBE) has been introduced to simplify the technique. A prospective randomized study was carried out to compare the two methods in obscure small bowel bleeding
Detailed description
Th e double-balloon enteroscopy (DBE) system, developed by Dr Yamamoto, was presented for the fi rst time in Japan in 2001. The system has become established throughout the world for diagnostic and therapeutic small-bowel examinations, and it is now used universally in routine clinical work. Another balloon enteroscopy system was recently introduced in which only one balloon is attached at the tip of the overtube; the method is therefore known as SBE. SBE is a simplification of the double balloon method, and its value has already been confirmed for difficult colonoscopies. The question of whether similar results can be achieved with the single balloon method in the more complex situation of the small bowel has not yet been answered.
Interventions
Double-balloon enteroscopy
Single-balloon enteroscopy
Sponsors
Study design
Eligibility
Inclusion criteria
1. suspected or known small-bowel bleeding 2. age: 16-70
Exclusion criteria
1. pregnancy 2. coagulation disorders 3. prior surgery of the small bowel and colon
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| whether the complete enteroscopy is achieved? | 2 hours | the rate of complete enteroscopy in both groups. |
Secondary
| Measure | Time frame |
|---|---|
| side effects | 2 days |
| Diagnostic yield | 2 hours |
| Preparation time | 2 hours |
| Investigation time | 2 hours |
Countries
China