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This technique is referred to as push enteroscopy.
Each of these 3 enteroscopy platforms offers similar accuracy and effectiveness but do not have widespread availability.
Double-balloon enteroscopy has found a niche application in the following settings:
Double-balloon enteroscopy, an endoscopic technique for visualization of the small bowel.
Enteroscopy has identified small intestinal lesions in a further 30-40% of patients in whom the first line investigations were normal.
Enteroscopy is the procedure of using an enteroscope for the direct visualization of small bowel.
A new technique, pill enteroscopy, has been a major advance in diagnosis, especially in the small bowel which is difficult to reach with traditional endoscopy.
Small bowel endoscopy can also be performed by double-balloon enteroscopy through intubation of the ileocecal valve.
Small bowel enteroscopy, which uses a longer, lighted flexible tube with a tiny camera that sends pictures of the small intestine to a video screen.
Esophagogastroduodenoscopy (EGD) to examine the stomach, or enteroscopy to examine the small intestine may be done.
The diagnosis of ulcerative jejunoileitis is made by enteroclysis of the small intestine, enteroscopy, or CT scan of the abdomen.
Due to the length of the small bowel, averaging 4-6 meters in the adult, push enteroscopy is still not effective to adequately visualize large portions of the small intestine.
The key disadvantage of double-balloon enteroscopy is the time required to visualize the small bowel; this can exceed three hours, and may require that patients be admitted to hospital for the procedure.
If anaemia cannot be controlled with oral iron more, detailed detailed investigation should be considered including colonoscopy, small bowel radiology, small bowel enteroscopy, and gut arteriography.
Double-balloon enteroscopy offers a number of advantages to other small bowel image techniques, including barium imaging, wireless capsule endoscopy and push enteroscopy:
Spiral enteroscopy is a novel technique that utilizes an overtube with raised spirals affixed on the enteroscope that is rotated to advance the enteroscope deep into the small bowel.
Enteroscopy has identified three different types of mucosal lesion: red spot lesions with intact villi overlying them, erosions with damaged villi and discrete edges, and ulceration in which the thickness of the mucosa has been breached.
Furthermore, small bowel enteroscopy in patients taking NSAIDs has confirmed the abnormalities in the mid small bowel, which range from erythematous blebs and villus atrophy to frank ulceration, all of which may bleed.
Angiodysplasiae in the small bowel can also be diagnosed and treated with double-balloon enteroscopy, a technique involving a long endoscopic camera and overtube, both fitted with balloons, that allow the bowel to be accordioned over the camera.