Original Article
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Risk factors for recurrent stenosis after balloon dilation for benign hepaticojejunostomy anastomotic stricture
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Takafumi Mie, Takashi Sasaki, Takeshi Okamoto, Tsuyoshi Takeda, Chinatsu Mori, Yuto Yamada, Takaaki Furukawa, Akiyoshi Kasuga, Masato Matsuyama, Masato Ozaka, Naoki Sasahira
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Clin Endosc 2024;57(2):253-262. Published online May 16, 2023
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DOI: https://doi.org/10.5946/ce.2022.216
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- Background
/Aims: Hepaticojejunostomy anastomotic stricture (HJAS) is a feared adverse event associated with hepatopancreatobiliary surgery. Although balloon dilation for benign HJAS during endoscopic retrograde cholangiopancreatography with balloon-assisted enteroscopy has been reported to be useful, the treatment strategy remains controversial. Therefore, we evaluated the outcomes and risk factors of recurrent stenosis after balloon dilation alone for benign HJAS.
Methods
We retrospectively analyzed consecutive patients who underwent balloon-assisted enteroscopy–endoscopic retrograde cholangiopancreatography for benign HJAS at our institution between July 2014 and December 2020.
Results
Forty-six patients were included, 16 of whom had recurrent HJAS after balloon dilation. The patency rates at 1 and 2 years after balloon dilation were 76.8% and 64.2%, respectively. Presence of a residual balloon notch during balloon dilation was an independent predictor of recurrence (hazard ratio, 2.80; 95% confidence interval, 1.01–7.78; p=0.048), whereas HJAS within postoperative 1 year tended to be associated with recurrence (hazard ratio, 2.43; 95% confidence interval, 0.85–6.89; p=0.096). The patency rates in patients without a residual balloon notch were 82.1% and 73.1% after 1 and 2 years, respectively.
Conclusions
Balloon dilation alone may be a viable option for patients with benign HJAS without residual balloon notches on fluoroscopy.
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Reviews
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A practical approach for small bowel bleeding
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Sung Eun Kim, Hyun Jin Kim, Myeongseok Koh, Min Cheol Kim, Joon Sung Kim, Ji Hyung Nam, Young Kwan Cho, A Reum Choe, The Research Group for Capsule Endoscopy and Enteroscopy of the Korean Society of Gastrointestinal Endoscopy
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Clin Endosc 2023;56(3):283-289. Published online May 11, 2023
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DOI: https://doi.org/10.5946/ce.2022.302
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- Gastrointestinal (GI) bleeding is one of the most common conditions among patients visiting emergency departments in Korea. GI bleeding is divided into upper and lower GI bleeding, according to the bleeding site. GI bleeding is also divided into overt and occult GI bleeding based on bleeding characteristics. In addition, obscure GI bleeding refers to recurrent or persistent GI bleeding from a source that cannot be identified after esophagogastroduodenoscopy or colonoscopy. The small intestine is the largest part of the alimentary tract. It extends from the pylorus to the cecum. The small intestine is difficult to access owing to its long length. Moreover, it is not fixed to the abdominal cavity. When hemorrhage occurs in the small intestine, the source cannot be found in many cases because of the characteristics of the small intestine. In practice, small-intestinal bleeding accounts for most of the obscure GI bleeding. Therefore, in this review, we introduce and describe systemic approaches and examination methods, including video capsule endoscopy and balloon enteroscopy, that can be performed in patients with suspected small bowel bleeding in clinical practice.
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Citations
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- Effect of Different Types of Antithrombotic Agents on Clinical Outcomes in Patients With Small Bowel Bleeding Who Underwent Balloon‐Assisted Enteroscopy: A KASID Multicenter Study
Jihye Park, Jin Su Kim, Joo Hye Song, Kwangwoo Nam, Seong‐Eun Kim, Eui Sun Jeong, Jae Hyun Kim, Seong Ran Jeon
Journal of Gastroenterology and Hepatology.2025; 40(2): 456. CrossRef - Do all antithrombotic agents have a similar impact on small bowel bleeding?
Chung Hyun Tae, Ki-Nam Shim
Clinical Endoscopy.2025; 58(1): 80. CrossRef - Balloon-assisted enteroscopy in the management of adult small-bowel intussusception: a comparative analysis of with and without double-balloon enteroscopy
Won Shik Kim, Beom Jae Lee, Moon Kyung Joo, Seung Han Kim, Jong-Jae Park
Surgical Endoscopy.2025;[Epub] CrossRef - Manejo da hemorragia digestiva baixa na emergência: abordagem cirúrgica
Carla Azevedo Zaibak, Sara Monteiro Barbosa, Nathalia Machado De Lima, Jordane Lula Cruz, Angela Maria Pereira Costa, Maria Eduarda da Silva Borges, Mariana Vasconcellos De Oliveira, Danyelly Rodrigues Machado
Cuadernos de Educación y Desarrollo.2024;[Epub] CrossRef - Case 19: A 65-Year-Old Man With Melena and Hematochezia
Hajin Lee, Younghee Choe, Jung Heo, Gwkang Hui Park, Su Young Lee, Young Wook Cho, Hyo Suk Kim
Journal of Korean Medical Science.2024;[Epub] CrossRef - Aortoduodenal fistula bleeding caused by an aortic stent graft
Seunghyun Hong, Gwang Ha Kim
Clinical Endoscopy.2024; 57(3): 407. CrossRef - Diagnostic Yield and Outcomes of Small Bowel Capsule Endoscopy in Patients with Small Bowel Bleeding Receiving Antithrombotics
Nikos Viazis, Dimitris Christodoulou, Vasilis Papastergiou, Konstantinos Mousourakis, Dimitra Kozompoli, Giannis Stasinos, Konstantina Dimopoulou, Periklis Apostolopoulos, Fotios Fousekis, Christos Liatsos, Nikolaos Kyriakos, Theodoros Argyropoulos, Georg
Diagnostics.2024; 14(13): 1361. CrossRef - Difficult Small Bowel Bleeding in Surgical View
Jung Min Bae
Journal of Acute Care Surgery.2024; 14(2): 41. CrossRef - Jejunal Dieulafoy’s lesion resembling subepithelial mass resulting in profound gastrointestinal hemorrhage
Thanaboon Chaemsupaphan, Tanawat Geeratragool, Napat Angkathunyakul, Arissa Phothisirisakulwong, Monthira Maneerattanaporn
Clinical Endoscopy.2024; 57(4): 552. CrossRef
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4,485
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Single-balloon enteroscopy-assisted endoscopic retrograde cholangiopancreatography in patients with surgically altered anatomy: a technical review
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Yuki Tanisaka, Masafumi Mizuide, Akashi Fujita, Rie Shiomi, Takahiro Shin, Kei Sugimoto, Shomei Ryozawa
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Clin Endosc 2023;56(6):716-725. Published online April 17, 2023
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DOI: https://doi.org/10.5946/ce.2023.023
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Abstract
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- Endoscopic retrograde cholangiopancreatography (ERCP) in patients with surgically altered anatomy is technically challenging. For example, scope insertion, selective cannulation, and intended procedures, such as stone extraction or stent placement, can be difficult. Single-balloon enteroscopy (SBE)-assisted ERCP has been used to effectively and safely address these technical issues in clinical practice. However, the small working channel limits its therapeutic potential. To address this shortcoming, a short-type SBE (short SBE) with a working length of 152 cm and a channel of 3.2 mm diameter has recently been introduced. Short SBE facilitates the use of larger accessories to complete certain procedures, such as stone extraction or self-expandable metallic stent placement. Despite the development in the SBE endoscope, various steps have to be overcome to successfully perform such procedure. To improve success, the challenging factors of each procedure must be identified. At the same time, endoscopists need to be mindful of adverse events, such as perforation, which can arise due to adhesions specific to the surgically altered anatomy. This review discussed technical tips regarding SBE-assisted ERCP in patients with surgically altered anatomy to increase success and reduce the risk of adverse events associated with ERCP.
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- Advanced technical tips and recent insights in ERCP using balloon‐assisted endoscopy
Masaaki Shimatani, Toshiyuki Mitsuyama, Takeshi Yamashina, Masahiro Takeo, Shunsuke Horitani, Natsuko Saito, Hironao Matsumoto, Masahiro Orino, Masataka Kano, Takafumi Yuba, Takuya Takayama, Tatsuya Nakagawa, Shoji Takayama
DEN Open.2024;[Epub] CrossRef - Efficacy of texture and color enhancement imaging for short‐type single‐balloon enteroscopy‐assisted biliary cannulation in patients with Roux‐en‐Y gastrectomy: Multicenter study (with video)
Yuki Tanisaka, Mamoru Takenaka, Masafumi Mizuide, Akashi Fujita, Ryuhei Jinushi, Takahiro Shin, Kei Sugimoto, Ken Kamata, Kosuke Minaga, Shunsuke Omoto, Tomohiro Yamazaki, Shomei Ryozawa
Digestive Endoscopy.2024; 36(9): 1030. CrossRef - Progress in minimally invasive treatment of biliary pancreatic duct obstruction after digestive tract reconstruction by endoscopic retrograde cholangiopancreatography
Ru-Yi Wang, Zhen Fan
World Chinese Journal of Digestology.2024; 32(7): 490. CrossRef - Endoscopic Management of Biliary and Pancreatic Pathologies in Roux-en-Y Gastric Bypass Patients: Development of a Treatment Algorithm Based on 9-Year Experience
Laurent Monino, Lancelot Marique, Yannick Deswysen, Maximilien Thoma, Pierre H. Deprez, Pierre Goffette, Benoit Navez, Tom G. Moreels
Obesity Surgery.2024; 34(10): 3717. CrossRef - Use of short single-balloon enteroscopy in patients with surgically altered anatomy: a single-center experience
Songming Ding, Shanjie Dong, Hengkai Zhu, Yiting Hu, Shusen Zheng, Qiyong Li
Scientific Reports.2024;[Epub] CrossRef - Emergency Laparoscopic Common Bile Duct Exploration for Acute Cholangitis in Cases with Difficulty with an Endoscopic Approach
Naoki Matsumoto, Isao Sato, Yoshihide Chino, Makoto Mizutani, Tomotake Tabata, Tomoyuki Tagi, Shigeyoshi Shimaoka, Takafumi Oe
The Japanese Journal of Gastroenterological Surgery.2024; 57(11): 535. CrossRef - Development and evaluation of artificial organ models for ERCP training in patients with surgically altered anatomies
Kai Koch, Benedikt Duckworth-Mothes, Ulrich Schweizer, Karl-Ernst Grund, Tom G. Moreels, Alfred Königsrainer, Dörte Wichmann
Scientific Reports.2023;[Epub] CrossRef - Simplified single-session EUS-guided transhepatic antegrade stone removal for management of choledocholithiasis in patients with surgically altered anatomy
Tingting Yu, Suning Hou, Haiming Du, Wei Zhang, Jiao Tian, Yankun Hou, Jun Yao, Senlin Hou, Lichao Zhang
Gastroenterology Report.2023;[Epub] CrossRef
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Original Articles
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Endoscopic and histological characteristics of small bowel tumors diagnosed by double-balloon enteroscopy
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Suleyman Dolu, Soner Onem, Zarni Htway, Farid Hajıyev, Ali Bilgen, Hatice Cilem Binicier, Ecem Kalemoglu, Ozgul Sagol, Mesut Akarsu
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Clin Endosc 2023;56(1):83-91. Published online October 27, 2022
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DOI: https://doi.org/10.5946/ce.2022.131
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- Background
/Aims: Double-balloon enteroscopy (DBE) allows for the diagnoses and treatment of small bowel tumors (SBTs). This study aimed to evaluate the utility of DBE for the diagnosis and treatment of SBTs.
Methods
Patients diagnosed with SBTs who underwent DBE were included in this study. According to their endoscopic appearances, they were categorized as polyps or masses, and according to their histological characteristics, they were categorized as benign or malignant SBTs.
Results
A total of 704 patients were retrospectively analyzed, and 90 (12.8%) were diagnosed with SBTs. According to their endoscopic appearance, 48 (53.3%) had polyps and 42 (46.7%) had masses. Additionally, 53 (58.9%) and 37 (41.1%) patients had malignant and benign SBTs, respectively, depending on their histological characteristics. Patients diagnosed with polyps were younger than those diagnosed with masses (p<0.001). Patients diagnosed with benign SBTs were younger than those diagnosed with malignant SBT (p<0.001). Overall, histological diagnosis was determined using DBE in 73 (81.1%) patients.
Conclusions
DBE is a useful method for diagnosing SBTs. Additionally, the histological type of the lesion can be determined using DBE.
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Citations
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- Effectiveness of Double Balloon Enteroscopy in the Diagnosis and Treatment of Small Bowel Varices
Suleyman Dolu, Mehmet Emin Arayici, Soner Onem, Ilker Buyuktorun, Huseyin Dongelli, Goksel Bengi, Mesut Akarsu
Diagnostics.2025; 15(3): 336. CrossRef - Balloon-assisted enteroscopy in the management of adult small-bowel intussusception: a comparative analysis of with and without double-balloon enteroscopy
Won Shik Kim, Beom Jae Lee, Moon Kyung Joo, Seung Han Kim, Jong-Jae Park
Surgical Endoscopy.2025;[Epub] CrossRef
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2,533
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130
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Capsule enteroscopy versus small-bowel ultrasonography for the detection and differential diagnosis of intestinal diseases
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Luca Elli, Erica Centorrino, Andrea Costantino, Maurizio Vecchi, Stefania Orlando, Mirella Fraquelli
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Clin Endosc 2022;55(4):532-539. Published online July 28, 2022
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DOI: https://doi.org/10.5946/ce.2021.224
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Abstract
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- Background
/Aims: Capsule enteroscopy (CE) and intestinal ultrasonography (IUS) are techniques that are currently used for investigating small-bowel (SB) diseases. The aim of this study was to compare the main imaging findings and the lesion detection rate (LDR) of CE and IUS in different clinical scenarios involving the SB.
Methods
We retrospectively enrolled patients who underwent CE and IUS for obscure gastrointestinal bleeding (OGIB), complicated celiac disease (CeD), and suspected or known inflammatory bowel disease (IBD). We evaluated the LDR of both techniques. The accuracy of IUS was determined using CE as the reference standard.
Results
A total of 159 patients (113 female; mean age, 49±19 years) were enrolled. The LDR was 55% and 33% for CE and IUS (p<0.05), respectively. Subgroup analysis showed that the LDR of CE was significantly higher than that of IUS in patients with OGIB (62% vs. 14%, p<0.05) and CeD (55% vs. 35%, p<0.05). IUS showed a similar LDR to CE in patients with suspected or known IBD (51% vs. 46%, p=0.83).
Conclusions
CE should be preferred in cases of OGIB and CeD, whereas IUS should be considered an early step in the diagnosis and follow-up of IBD even in patients with a proximal SB localization of the disease.
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Citations
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- Past, Present, and Future of Noninvasive Tests to Assess Gluten Exposure, Celiac Disease Activity, and End-Organ Damage
Jocelyn A. Silvester, Luca Elli, Chaitan Khosla, Jason A. Tye-Din
Gastroenterology.2024; 167(1): 159. CrossRef - Saudi consensus guidance for the diagnosis and management of inflammatory bowel disease in children and adolescents
Omar I. Saadah, Turki AlAmeel, Ahmed Al Sarkhy, Mohammed Hasosah, Abdulrahman Al-Hussaini, Majid A. Almadi, Badr Al-Bawardy, Talal A. Altuwaijri, Mohammed AlEdreesi, Shakir A. Bakkari, Othman R. Alharbi, Nahla A. Azzam, Abdulelah Almutairdi, Khalidah A. A
Saudi Journal of Gastroenterology.2024;[Epub] CrossRef - The role of videocapsule endoscopy in the diagnosis and follow-up of celiac disease: a scoping review
Roberta Elisa Rossi, Valeria Poletti, Benedetta Masoni, Angelo Zullo, Matteo Colombo, Cesare Hassan, Alessandro Repici
Expert Review of Gastroenterology & Hepatology.2024; 18(10): 673. CrossRef - A practical approach for small bowel bleeding
Sung Eun Kim, Hyun Jin Kim, Myeongseok Koh, Min Cheol Kim, Joon Sung Kim, Ji Hyung Nam, Young Kwan Cho, A Reum Choe
Clinical Endoscopy.2023; 56(3): 283. CrossRef - Small Bowel Imaging in Celiac Disease: Is there a role for Small Bowel Ultrasound?
Roberta Elisa Rossi, Anita Busacca, Luca Brandaleone, Benedetta Masoni, Sara Massironi, Mirella Fraquelli, Alessandro Repici
Current Gastroenterology Reports.2023; 25(12): 430. CrossRef
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Review
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Recent developments in small bowel endoscopy: the “black box” is now open!
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Luigina Vanessa Alemanni, Stefano Fabbri, Emanuele Rondonotti, Alessandro Mussetto
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Clin Endosc 2022;55(4):473-479. Published online July 14, 2022
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DOI: https://doi.org/10.5946/ce.2022.113
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- Over the last few years, capsule endoscopy has been established as a fundamental device in the practicing gastroenterologist’s toolbox. Its utilization in diagnostic algorithms for suspected small bowel bleeding, Crohn’s disease, and small bowel tumors has been approved by several guidelines. The advent of double-balloon enteroscopy has significantly increased the therapeutic possibilities and release of multiple devices (single-balloon enteroscopy and spiral enteroscopy) aimed at improving the performance of small bowel enteroscopy. Recently, some important innovations have appeared in the small bowel endoscopy scene, providing further improvement to its evolution. Artificial intelligence in capsule endoscopy should increase diagnostic accuracy and reading efficiency, and the introduction of motorized spiral enteroscopy into clinical practice could also improve the therapeutic yield. This review focuses on the most recent studies on artificial-intelligence-assisted capsule endoscopy and motorized spiral enteroscopy.
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- Do all antithrombotic agents have a similar impact on small bowel bleeding?
Chung Hyun Tae, Ki-Nam Shim
Clinical Endoscopy.2025; 58(1): 80. CrossRef - Balloon-assisted enteroscopy in the management of adult small-bowel intussusception: a comparative analysis of with and without double-balloon enteroscopy
Won Shik Kim, Beom Jae Lee, Moon Kyung Joo, Seung Han Kim, Jong-Jae Park
Surgical Endoscopy.2025;[Epub] CrossRef - Deep learning–based lesion detection and severity grading of small-bowel Crohn’s disease ulcers on double-balloon endoscopy images
Wanqing Xie, Jing Hu, Pengcheng Liang, Qiao Mei, Aodi Wang, Qiuyuan Liu, Xiaofeng Liu, Juan Wu, Xiaodong Yang, Nannan Zhu, Bingqing Bai, Yiqing Mei, Zhen Liang, Wei Han, Mingmei Cheng
Gastrointestinal Endoscopy.2024; 99(5): 767. CrossRef - Capsule Endoscopy for the Diagnosis of Suspected Small Bowel Bleeding
P. P. Polyakov, A. Ya. Alimetov, A. V. Onopriev, A. V. Avakimyan, A. Kh. Kade, S. A. Zanin, E. S. Zanina, Z. S. Popov, A. I. Trofimenko, Z. T. Jndoyan, A. A. Avagimyan
Innovative Medicine of Kuban.2023; (3): 121. CrossRef - Outcomes of Double Balloon-Enteroscopy in Elderly vs. Adult Patients: A Retrospective 16-Year Single-Centre Study
Margherita Trebbi, Cesare Casadei, Silvia Dari, Andrea Buzzi, Mario Brancaccio, Valentina Feletti, Alessandro Mussetto
Diagnostics.2023; 13(6): 1112. CrossRef
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4,158
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Case Report
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Management of Biliopancreatic Limb Bleeding after Roux-en-Y Gastric Bypass: A Case Report
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Christophe Riquoir, Luis Antonio Díaz, David Chiliquinga, Roberto Candia, Fernando Pimentel, Alex Arenas
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Clin Endosc 2021;54(5):754-758. Published online May 25, 2021
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DOI: https://doi.org/10.5946/ce.2021.060
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- The Roux-en-Y gastric bypass is one of the most extensive surgical treatments for obesity. The treatment of upper gastrointestinal bleeding after Roux-en-Y gastric bypass is complex due to the difficulty of accessing the excluded gastric antrum and duodenal bulb. There is no consensus regarding the management of this complication. While various techniques have been described to access the biliopancreatic limb, double-balloon enteroscopy is the most commonly used. If double-balloon enteroscopy is unavailable, a pediatric colonoscope may be used as an alternative; however, its use in such cases has not been described. We report the case of a 50-year-old male patient who underwent gastric bypass 13 years ago and was admitted for a second episode of upper gastrointestinal bleeding. The initial approach using upper endoscopy, colonoscopy, and abdominal computed tomography angiography did not reveal the cause of gastrointestinal hemorrhage; therefore, an endoscopic study of the biliopancreatic limb was performed using a pediatric colonoscope. A Forrest Ib ulcer was found in the duodenal bulb, and endoscopic therapy was administered. The evolution was found to be satisfactory.
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- Endoscopic management of postoperative bleeding
Sung Hyeok Ryou, Ki Bae Bang
Clinical Endoscopy.2023; 56(6): 706. CrossRef
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Focused Review Series: Present and Future of Diagnosis and Managements of Small Bowel Diseases Exploiting Artificial Intelligence and Advanced Endoscopy
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Roles of Capsule Endoscopy and Device-Assisted Enteroscopy in the Diagnosis and Treatment of Small-Bowel Tumors
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Eun Ran Kim
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Clin Endosc 2020;53(4):410-416. Published online July 30, 2020
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DOI: https://doi.org/10.5946/ce.2020.161
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Abstract
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- With the development of capsule endoscopy (CE) and device-assisted enteroscopy (DAE), the incidence of small-bowel tumors has increased and the characteristics of these tumors have changed. In addition, the diagnostic and therapeutic approaches for small-bowel tumors have diversified. CE is a simple, noninvasive method that aid in the visualization the entire small bowel. CE is considered the initial approach for small-bowel tumors. DAE can be used to perform endoscopic procedures such as bleeding control, polypectomy, stent insertion, and tattooing, as well as for diagnosis through visualization or tissue sampling. Therapeutic intervention with DAE is particularly useful in polyposis syndromes such as familial adenomatous polyposis and Peutz-Jeghers syndrome. This review will discuss the roles of CE and DAE in the diagnosis and treatment of small-bowel tumors.
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Citations
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- Balloon-assisted enteroscopy in the management of adult small-bowel intussusception: a comparative analysis of with and without double-balloon enteroscopy
Won Shik Kim, Beom Jae Lee, Moon Kyung Joo, Seung Han Kim, Jong-Jae Park
Surgical Endoscopy.2025;[Epub] CrossRef - Discordance Rate and Risk Factor of Other Diagnostic Modalities for Small Bowel Tumors Detected by Device-Assisted Enteroscopy: A Korean Association for the Study of Intestinal Disease (KASID) Multicenter Study
Jihye Park, Jin Su Kim, Joo Hye Song, Kwangwoo Nam, Seong-Eun Kim, Eui Sun Jeong, Jae Hyun Kim, Seong Ran Jeon
Gut and Liver.2024; 18(4): 686. CrossRef - Research Progress of the Use of Balloon-Assisted Enteroscopy (BAE) in Small Bowel Diseases
芸玲 李
Advances in Clinical Medicine.2024; 14(09): 555. CrossRef - Cancer risk in patients with Peutz-Jeghers syndrome in Korea: a retrospective multi-center study
Su Hwan Kim, Eun Ran Kim, Jae Jun Park, Eun Sun Kim, Hyeon Jeong Goong, Kyeong Ok Kim, Ji Hyung Nam, Yehyun Park, Sang Pyo Lee, Hyun Joo Jang
The Korean Journal of Internal Medicine.2023; 38(2): 176. CrossRef - The first experience of small bowel adenoma removal by cold loop resection
A.A. Fedorenko, P.V. Pavlov, A.P. Kiryukhin, A.S. Tertychnyy
Endoskopicheskaya khirurgiya.2023; 29(2): 56. CrossRef - Intraoperative push enteroscopy for treatment of occult small bowel bleed due to hemorrhagic bleed and tumor: a report of two cases
Maribona A Sofia, Philip Dwight, Shatawi Zaineb, Seaver Christopher
Journal of Surgical Case Reports.2023;[Epub] CrossRef - Capsule Endoscopy for the Diagnosis of Suspected Small Bowel Bleeding
P. P. Polyakov, A. Ya. Alimetov, A. V. Onopriev, A. V. Avakimyan, A. Kh. Kade, S. A. Zanin, E. S. Zanina, Z. S. Popov, A. I. Trofimenko, Z. T. Jndoyan, A. A. Avagimyan
Innovative Medicine of Kuban.2023; (3): 121. CrossRef -
MUTYH-associated polyposis: Is it time to change upper gastrointestinal surveillance? A single-center case series and a literature overview
Lupe Sanchez-Mete, Lorenzo Mosciatti, Marco Casadio, Luigi Vittori, Aline Martayan, Vittoria Stigliano
World Journal of Gastrointestinal Oncology.2023; 15(11): 1891. CrossRef - Epidemiology, Risk Factors and Diagnosis of Small Bowel Adenocarcinoma
Thomas Aparicio, Atanas Pachev, Pierre Laurent-Puig, Magali Svrcek
Cancers.2022; 14(9): 2268. CrossRef - Small bowel lymphoma: clinical update and challenges for the gastroenterologist
Priya Oka, Reena Sidhu
Current Opinion in Gastroenterology.2022; 38(3): 270. CrossRef - Recent developments in small bowel endoscopy: the “black box” is now open!
Luigina Vanessa Alemanni, Stefano Fabbri, Emanuele Rondonotti, Alessandro Mussetto
Clinical Endoscopy.2022; 55(4): 473. CrossRef - Application of capsule endoscopy in patients with chronic and recurrent abdominal pain
Wei Yang, Zheng Li, Rui Liu, Xudong Tong, Wei Wang, Dongqiang Xu, Shan Gao
Medical Engineering & Physics.2022; 110: 103901. CrossRef - A Two Stream Fusion Assisted Deep Learning Framework for Stomach Diseases Classification
Muhammad Shahid Amin, Jamal Hussain Shah, Mussarat Yasmin, Ghulam Jillani Ansari, Muhamamd Attique Khan, Usman Tariq, Ye Jin Kim, Byoungchol Chang
Computers, Materials & Continua.2022; 73(2): 4423. CrossRef - Peutz-Jeghers syndrome
Ilja Tacheci, Marcela Kopacova, Jan Bures
Current Opinion in Gastroenterology.2021; 37(3): 245. CrossRef - Endoscopic Management of Hamartomatous Polyposis Syndromes
Elena G. Gibson, Judith Staub, Priyanka Kanth
Current Treatment Options in Gastroenterology.2021; 19(4): 543. CrossRef - Premalignant Lesions of the Small Intestine
Su Hwan Kim, Ji Won Kim
Journal of Digestive Cancer Reports.2021; 9(2): 60. CrossRef - Small Bowel Malignancies in Patients Undergoing Capsule Endoscopy for Iron Deficiency Anemia
Su Hwan Kim, Ji Won Kim
Diagnostics.2021; 12(1): 91. CrossRef
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Roles of Capsule Endoscopy and Balloon-Assisted Enteroscopy in the Optimal Management of Small Bowel Bleeding
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Hani Abutalib, Tomonori Yano, Satoshi Shinozaki, Alan Kawarai Lefor, Hironori Yamamoto
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Clin Endosc 2020;53(4):402-409. Published online July 30, 2020
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DOI: https://doi.org/10.5946/ce.2020.143
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Abstract
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- The small bowel had long been considered a dark unapproachable tunnel until the invention of capsule endoscopy and doubleballoon enteroscopy in the 21st century, which revolutionized the diagnosis and management of small bowel diseases, including bleeding. Various imaging modalities such as computed tomographic enterography, angiography, capsule endoscopy, and balloonassisted enteroscopy play vital roles in the diagnosis and management of small bowel bleeding. The choice of modality to use and timing of application differ according to the availability of the modalities, patient’s history, and physician’s experience. Small bowel bleeding is managed using different strategies as exemplified by medical treatment, interventional radiology, endoscopic therapy, or surgical intervention. Balloon-assisted enteroscopy enables endoscopic interventions to control small bowel bleeding, including electrocautery, argon plasma coagulation, clip application, and tattooing as a prelude to surgery. In this article, we clarify the recent approaches to the optimal diagnosis and management of patients with small bowel bleeding.
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- Hemangioma capilar del yeyuno como causa de sangrado agudo: reporte de caso y revisión de la literatura
Martín Alonso Gómez Zuleta, Diego Alexander Cardona Botero, Juan Antonio Trejos Naranjo, Felipe Vera Polanía
Revista colombiana de Gastroenterología.2024; 39(3): 318. CrossRef - A practical approach for small bowel bleeding
Sung Eun Kim, Hyun Jin Kim, Myeongseok Koh, Min Cheol Kim, Joon Sung Kim, Ji Hyung Nam, Young Kwan Cho, A Reum Choe
Clinical Endoscopy.2023; 56(3): 283. CrossRef - Indication, Location of the Lesion, Diagnostic Yield, and Therapeutic Yield of Double-Balloon Enteroscopy: Seventeen Years of Experience
Sang Pyo Lee, Hyun Joo Jang, Sea Hyub Kae, Jae Gon Lee, Ji Hye Kwon
Diagnostics.2022; 12(9): 2224. CrossRef - Application of capsule endoscopy in patients with chronic and recurrent abdominal pain
Wei Yang, Zheng Li, Rui Liu, Xudong Tong, Wei Wang, Dongqiang Xu, Shan Gao
Medical Engineering & Physics.2022; 110: 103901. CrossRef
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Case Reports
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Metal Stent Placement in the Afferent Loop Obstructed by Peritoneal Metastases—Experience of Five Cases
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Yoshihide Kanno, Tetsuya Ohira, Yoshihiro Harada, Yoshiki Koike, Taku Yamagata, Megumi Tanaka, Tomohiro Shimada, Kei Ito
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Clin Endosc 2018;51(3):299-303. Published online April 18, 2018
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DOI: https://doi.org/10.5946/ce.2018.005
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Abstract
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- Afferent loop syndrome is often difficult to resolve. Among patients with afferent loop syndrome whose data were extracted from databases, 5 patients in whom metal stent placement was attempted were included and evaluated in this study. The procedure was technically successful without any adverse events in all patients. Metal stent(s) was placed with an endoscope in the through-the-scope manner in 4 patients and via a percutaneous route in 1 patient. Obvious clinical efficacy was observed in all patients. Adverse events related to the procedure and stent occlusion during the follow-up period were not observed. Metal stent placement for malignant obstruction of the afferent loop was found to be safe and feasible.
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Citations
Citations to this article as recorded by

- Early and late effects of endoscopic interventions in patients with malignant afferent loop syndrome: A single‐center experience and literature review
Kenjiro Yamamoto, Takao Itoi, Yukitoshi Matsunami, Atsushi Sofuni, Takayoshi Tsuchiya, Shuntaro Mukai, Hiroyuki Kojima, Hirohito Minami, Ryosuke Nakatsubo, Ryosuke Tonozuka
Journal of Hepato-Biliary-Pancreatic Sciences.2024; 31(2): 120. CrossRef - Efficacy of endoscopic ultrasound‐guided gastroenterostomy using self‐expandable metallic stent for afferent loop syndrome: A single‐center retrospective study
Yuya Hagiwara, Susumu Hijioka, Yoshikuni Nagashio, Yuta Maruki, Akihiro Ohba, Yuki Kawasaki, Kotaro Takeshita, Tetsuro Takasaki, Daiki Agarie, Hidenobu Hara, Shin Yagi, Soma Fukuda, Masaru Kuwada, Daiki Yamashige, Kohei Okamoto, Mark Chatto, Shunsuke Kond
Journal of Gastroenterology and Hepatology.2024; 39(10): 2136. CrossRef - Efficacy and safety of endoscopic stent placement for afferent loop obstruction using a short double‐balloon endoscopy
Takashi Ito, Masaaki Shimatani, Masataka Masuda, Koh Nakamaru, Toshiyuki Mitsuyama, Norimasa Fukata, Tsukasa Ikeura, Makoto Takaoka, Kazuichi Okazaki, Makoto Naganuma
DEN Open.2023;[Epub] CrossRef - Endoscopic Transluminal Stent Placement for Malignant Afferent Loop Obstruction
Chinatsu Yonekura, Takashi Sasaki, Takafumi Mie, Takeshi Okamoto, Tsuyoshi Takeda, Takaaki Furukawa, Yuto Yamada, Akiyoshi Kasuga, Masato Matsuyama, Masato Ozaka, Naoki Sasahira
Journal of Clinical Medicine.2022; 11(21): 6357. CrossRef - Clinical management for malignant afferent loop obstruction
Arata Sakai, Hideyuki Shiomi, Atsuhiro Masuda, Takashi Kobayashi, Yasutaka Yamada, Yuzo Kodama
World Journal of Gastrointestinal Oncology.2021; 13(7): 509. CrossRef - Clinical management for malignant afferent loop obstruction
Arata Sakai, Hideyuki Shiomi, Atsuhiro Masuda, Takashi Kobayashi, Yasutaka Yamada, Yuzo Kodama
World Journal of Gastrointestinal Oncology.2021; 13(7): 684. CrossRef - Endoscopic Ultrasound-Guided Gastroenterostomy for Afferent Loop Syndrome
Hideyuki Shiomi, Arata Sakai, Ryota Nakano, Shogo Ota, Takashi Kobayashi, Atsuhiro Masuda, Hiroko Iijima
Clinical Endoscopy.2021; 54(6): 810. CrossRef - Usefulness of endoscopic metal stent placement for malignant afferent loop obstruction
Akihiko Kida, Hidenori Kido, Toshiki Matsuo, Atsuyoshi Mizukami, Masaaki Yano, Fumitaka Arihara, Koichiro Matsuda, Kohei Ogawa, Mitsuru Matsuda, Akito Sakai
Surgical Endoscopy.2020; 34(5): 2103. CrossRef - Endoscopic Self-Expandable Metal Stent Placement for Malignant Afferent Loop Obstruction After Pancreaticoduodenectomy: A Case Series and Review
Arata Sakai, Hideyuki Shiomi, Takao Iemoto, Ryota Nakano, Takuya Ikegawa, Takashi Kobayashi, Atsuhiro Masuda, Yuzo Kodama
Clinical Endoscopy.2020; 53(4): 491. CrossRef - Endoscopic nasogastric tube insertion for treatment of benign afferent loop obstruction after radical gastrectomy for gastric cancer
Yuning Cao, Xiangheng Kong, Daogui Yang, Senlin Li
Medicine.2019; 98(28): e16475. CrossRef - Enteral self-expandable metal stent placement for malignant afferent limb syndrome using single-balloon enteroscope: report of five cases
Kei Yane, Akio Katanuma, Tsuyoshi Hayashi, Kuniyuki Takahashi, Toshifumi Kin, Kazumasa Nagai, Kazunari Tanaka, Naohiro Komatsu, Masato Endo, Yousuke Kobayashi, Yukiko Takigawa, Ran Utsunomiya
Endoscopy International Open.2018; 06(11): E1330. CrossRef
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Laparoscopic Resection of a Jejunal Inflammatory Fibroid Polyp that Caused Occult Gastrointestinal Bleeding, Diagnosed via Capsule Endoscopy and Double-Balloon Enteroscopy: A Case Report
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Chizu Kameda, Hideaki Miwa, Ryohei Kawabata, Daiki Marukawa, Masahiro Murakami, Shingo Noura, Junzo Shimizu, Junichi Hasegawa
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Clin Endosc 2018;51(4):384-387. Published online March 20, 2018
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DOI: https://doi.org/10.5946/ce.2017.162
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Abstract
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- An inflammatory fibroid polyp (IFP) is a mesenchymal tumor of the gastrointestinal tract. IFPs in the small intestine are the most frequently detected with symptoms, such as abdominal pain and tarry stool due to intussusception. Accordingly, few studies have reported jejunal IFP as a cause of occult gastrointestinal bleeding (OGIB) diagnosed via both of capsule endoscopy (CE) and double-balloon enteroscopy (DBE). A 68-year-old woman presented with a progression of anemia and a positive fecal occult blood test result. Esophagogastroduodenoscopy and total colonoscopy findings were unremarkable. CE revealed a tumor with bleeding in the jejunum. DBE also revealed a jejunal polypoid tumor. Bleeding from the tumor seemed to have caused anemia. The patient underwent partial laparoscopic resection of the jejunum, including resection of the tumor. The tumor was histopathologically diagnosed as IFP. To our knowledge, this is the first reported case of laparoscopic resection of jejunal IFP with OGIB diagnosed via CE and DBE preoperatively.
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Citations
Citations to this article as recorded by

- Minimally invasive colonoscopy treatment of inflammatory fibroid polyps in the terminal ileum
Yin-Si Tang, Lu Liu, Ying Gao, Qiao-Chu He, Hai-Mei Guo, Zhi-Feng Zhao
Scientific Reports.2023;[Epub] CrossRef - Where does capsule endoscopy fit in the diagnostic algorithm of small bowel intussusception?
Stefania Chetcuti Zammit, Aman Yadav, Deirdre McNamara, Alejandro Bojorquez, Cristina Carretero-Ribón, Martin Keuchel, Peter Baltes, Reuma Margalit-Yehuda, Uri Kopylov, Reena Sidhu, Clelia Marmo, Maria Elena Riccioni, Xavier Dray, Romain Leenhardt, Emanue
Digestive and Liver Disease.2023; 55(12): 1719. CrossRef - Cystic lymphangioma in the peripheral jejunal mesentery in an adult and excision with laparoscopic-assisted surgery: a case report
Hideki Nagano, Toshihisa Kimura, Atsushi Iida, Tamotsu Togawa, Takanori Goi, Yasunori Sato
World Journal of Surgical Oncology.2019;[Epub] CrossRef
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6,228
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96
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4
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3
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Focused Review Series: Current Status of Endoscopy in the Management of Inflammatory Bowel Disease
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Balloon-Assisted Enteroscopy and Capsule Endoscopy in Suspected Small Bowel Crohn’s Disease
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Hsu-Heng Yen, Chen-Wang Chang, Jen-Wei Chou, Shu-Chen Wei
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Clin Endosc 2017;50(5):417-423. Published online September 29, 2017
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DOI: https://doi.org/10.5946/ce.2017.142
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Abstract
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- Inflammatory bowel diseases are idiopathic inflammatory diseases of two main types, Crohn’s disease and ulcerative colitis. Crohn’s disease can affect the entire gastrointestinal tract, and the distal ileum is involved in up to 70% of patients. Moreover, Crohn’s disease in one-quarter to one-third of patients involves isolation of the small bowel. Due to the nonspecific symptoms and anatomical location of the disease, small bowel Crohn’s disease is a phenotype that is particularly difficult to manage. Since the introduction of capsule endoscopy in 2000 and balloon-assisted enteroscopy in the 21st century, it is now possible to directly inspect for small bowel Crohn’s disease. However, the new modalities still have limitations, such as capsule retention and invasiveness of balloon-assisted enteroscopy. The diagnostic yields of both capsule endoscopy and balloon-assisted enteroscopy are high for patients with suspected small bowel Crohn’s disease. Therefore, earlier use of capsule endoscopy or balloon-assisted enteroscopy can help with the diagnosis and earlier treatment of these patients to avert possible disastrous outcomes.
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Citations
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- From Data to Insights: How Is AI Revolutionizing Small-Bowel Endoscopy?
Joana Mota, Maria João Almeida, Francisco Mendes, Miguel Martins, Tiago Ribeiro, João Afonso, Pedro Cardoso, Helder Cardoso, Patrícia Andrade, João Ferreira, Miguel Mascarenhas, Guilherme Macedo
Diagnostics.2024; 14(3): 291. CrossRef - Management of Crohn’s disease in Taiwan: consensus guideline of the Taiwan Society of Inflammatory Bowel Disease updated in 2023
Jia-Feng Wu, Hsu-Heng Yen, Horng-Yuan Wang, Ting-An Chang, Chung-Hsin Chang, Chen-Wang Chang, Te-Hsin Chao, Jen-Wei Chou, Yenn-Hwei Chou, Chiao-Hsiung Chuang, Wen-Hung Hsu, Tzu-Chi Hsu, Tien-Yu Huang, Tsung-I Hung, Puo-Hsien Le, Chun-Che Lin, Chun-Chi Lin
Intestinal Research.2024; 22(3): 250. CrossRef - Real‐world experience of adalimumab therapy for patients with ulcerative colitis: A single tertiary medical center experience in Central Taiwan
Hsu‐Heng Yen, Yu‐Chun Hsu, Chu‐Hsuan Kuo, Tsui‐Chun Hsu, Yang‐Yuan Chen
Advances in Digestive Medicine.2023; 10(1): 28. CrossRef - New‐onset Crohn's disease after interleukin‐17A inhibitor therapy with secukinumab: A report of an unusual case
Tung‐Lung Wu, Hui‐Ting Hsu, Hsu‐Heng Yen, Yang‐Yuan Chen
Advances in Digestive Medicine.2022; 9(3): 200. CrossRef - Clinicopathological Features of Small Bowel Tumors Diagnosed by Video Capsule Endoscopy and Balloon-Assisted Enteroscopy: A Single Center Experience
Ah Young Yoo, Beom Jae Lee, Won Shik Kim, Seong Min Kim, Seung Han Kim, Moon Kyung Joo, Hyo Jung Kim, Jong-Jae Park
Clinical Endoscopy.2021; 54(1): 85. CrossRef - Diagnostic efficacy of double-balloon enteroscopy in patients with suspected isolated small bowel Crohn’s disease
Zihan Huang, Xiang Liu, Fei Yang, Guoxin Wang, Nan Ge, Sheng Wang, Jintao Guo, Siyu Sun
BMC Gastroenterology.2020;[Epub] CrossRef - Small bowel enteroscopy � A joint clinical guideline by the Spanish and Portuguese small-bowel study groups
Enrique Pérez-Cuadrado Robles, Rolando Pinho, Begoña González-Suárez, Susana M�o-de-Ferro, Cristina Chagas, Pilar Esteban Delgado, Cristina Carretero, Pedro Figueiredo, Bruno Rosa, Javier García-Lledó, Óscar Nogales, Ana Ponte, Patrícia Andrade, José Fran
Revista Española de Enfermedades Digestivas.2020;[Epub] CrossRef - Predictive values of stool-based tests for mucosal healing among Taiwanese patients with ulcerative colitis: a retrospective cohort analysis
Hsu-Heng Yen, Mei-Wen Chen, Yu-Yao Chang, Hsuan-Yuan Huang, Tsui-Chun Hsu, Yang-Yuan Chen
PeerJ.2020; 8: e9537. CrossRef - Small Bowel Enteroscopy – A Joint Clinical Guideline from the Spanish and Portuguese Small Bowel Study Groups
Enrique Pérez-Cuadrado-Robles, Rolando Pinho, Begoña Gonzalez, Susana Mão de Ferro, Cristina Chagas, Pilar Esteban Delgado, Cristina Carretero, Pedro Figueiredo, Bruno Rosa, Javier García Lledó, Óscar Nogales, Ana Ponte, Patrícia Andrade, Jose Francisco J
GE - Portuguese Journal of Gastroenterology.2020; 27(5): 324. CrossRef - Epidemiological trend in inflammatory bowel disease in Taiwan from 2001 to 2015: a nationwide populationbased study
Hsu-Heng Yen, Meng-Tzu Weng, Chien-Chih Tung, Yu-Ting Wang, Yuan Ting Chang, Chin-Hao Chang, Ming-Jium Shieh, Jau-Min Wong, Shu-Chen Wei
Intestinal Research.2019; 17(1): 54. CrossRef - Meckel's Diverticulum Diagnosed in a Child with Suspected Small Bowel Crohn's Disease
Hyun Sik Kang, Jeong Sub Lee, Chang Rim Hyun, In-Ho Jung, Ki Soo Kang
Pediatric Gastroenterology, Hepatology & Nutrition.2019; 22(1): 98. CrossRef - Small bowel strictures
Deniz Durmush, Arthur J. Kaffes
Current Opinion in Gastroenterology.2019; 35(3): 235. CrossRef
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9,861
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234
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12
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12
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Focused Review Series: Training in Endoscopy
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Training in Endoscopy: Enteroscopy
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Jinsu Kim
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Clin Endosc 2017;50(4):328-333. Published online July 31, 2017
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DOI: https://doi.org/10.5946/ce.2017.089
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Abstract
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- The balloon-assisted enteroscope has been regarded as the standard device for direct visualization of deep small bowels and allows for the diagnosis and treatment of small bowel disease. At the beginning, its application was focused on the diagnosis of obscure gastrointestinal bleeding, inflammatory bowel disease, and small bowel tumor. However, the indications are being expanded to various therapeutic procedures, not only confined to bleeding control. With the expansion of the indications, the need to perform enteroscopy effectively and safely is increasing. Recent studies have been focused on the diagnostic yield, therapeutic yield, and long-term outcomes of the device. However, with the increasing number of procedures, procedural guidelines and quality indicators are also needed.
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Citations
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- Performance of pan‐enteroscopy in children with intestinal failure due to short bowel syndrome: A single‐center retrospective study
Jonathan A. Salazar, Christina Chan, Enju Liu, Fatima Hamroud, Amit S. Grover, Victor L. Fox, Peter D. Ngo, Lissette Jimenez, Christopher P. Duggan, Alexandra N. Carey
Journal of Pediatric Gastroenterology and Nutrition.2024; 79(4): 915. CrossRef - Research Progress of the Use of Balloon-Assisted Enteroscopy (BAE) in Small Bowel Diseases
芸玲 李
Advances in Clinical Medicine.2024; 14(09): 555. CrossRef - The Role of Endoscopy in the Diagnosis and Management of Small Bowel Pathology in Children
Amornluck Krasaelap, Diana G. Lerner, Salvatore Oliva
Gastrointestinal Endoscopy Clinics of North America.2023; 33(2): 423. CrossRef - A systematic review of symptomatic hamartomas of the jejunum and ileum
N Farkas, M Conroy, M Baig
The Annals of The Royal College of Surgeons of England.2022; 104(1): 18. CrossRef - Clinicopathological Features of Small Bowel Tumors Diagnosed by Video Capsule Endoscopy and Balloon-Assisted Enteroscopy: A Single Center Experience
Ah Young Yoo, Beom Jae Lee, Won Shik Kim, Seong Min Kim, Seung Han Kim, Moon Kyung Joo, Hyo Jung Kim, Jong-Jae Park
Clinical Endoscopy.2021; 54(1): 85. CrossRef - Device-assisted enteroscopy training. A rapid review
Federico Soria Gálvez, Octavio López-Albors, Pilar Esteban Delgado, Enrique Pérez-Cuadrado Robles, Rafael Latorre Reviriego
Revista Española de Enfermedades Digestivas.2020;[Epub] CrossRef - Balloon-Assisted Enteroscopy for Retrieval of Small Intestinal Foreign Bodies: A KASID Multicenter Study
Jeongseok Kim, Beom Jae Lee, Nam Seok Ham, Eun Hye Oh, Kee Don Choi, Byong Duk Ye, Jeong-Sik Byeon, Chang Soo Eun, Jin Su Kim, Dong-Hoon Yang
Gastroenterology Research and Practice.2020; 2020: 1. CrossRef - Enteroscopy in children and adults with inflammatory bowel disease
Giovanni Di Nardo, Gianluca Esposito, Chiara Ziparo, Federica Micheli, Luigi Masoni, Maria Pia Villa, Pasquale Parisi, Maria Beatrice Manca, Flavia Baccini, Vito Domenico Corleto
World Journal of Gastroenterology.2020; 26(39): 5944. CrossRef - Enteroscopy in children
Giovanni Di Nardo, Carlo Calabrese, Roberto Conti Nibali, Arianna De Matteis, Emanuele Casciani, Luigi Martemucci, Giuseppe Pagliaro, Nico Pagano
United European Gastroenterology Journal.2018; 6(7): 961. CrossRef - Motorized Spiral Enteroscopy for Occult Bleeding
Laura Mans, Marianna Arvanitakis, Horst Neuhaus, Jacques Devière
Digestive Diseases.2018; 36(4): 325. CrossRef - Comprehensive review of outcomes of endoscopic treatment of gastrointestinal bleeding
Tae-Geun Gweon, Jinsu Kim
International Journal of Gastrointestinal Intervention.2018; 7(3): 123. CrossRef - Balloon-Assisted Enteroscopy and Capsule Endoscopy in Suspected Small Bowel Crohn’s Disease
Hsu-Heng Yen, Chen-Wang Chang, Jen-Wei Chou, Shu-Chen Wei
Clinical Endoscopy.2017; 50(5): 417. CrossRef
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6,842
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14
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Case Report
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A Case of Primary Small Bowel Melanoma Diagnosed by Single-Balloon Enteroscopy
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Jun Young Shin, In Suh Park, Byoung Wook Bang, Hyung Kil Kim, Yong Woon Shin, Kye Sook Kwon
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Clin Endosc 2017;50(4):395-399. Published online June 2, 2017
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DOI: https://doi.org/10.5946/ce.2016.153
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Abstract
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- Although metastasis from cutaneous malignant melanoma to the small intestine is not uncommon, primary small bowel melanoma (SBM) is extremely rare. This case report describes a rare case of primary SBM, diagnosed by single-balloon enteroscopy. A 74-year-old man presented with recurrent melena. Upper endoscopy and colonoscopy were unremarkable. Abdominal computed tomography (CT) revealed an ileal mass with ileo-ileal intussusception. Subsequent single-balloon enteroscopy identified an ileal tumor, which was histologically diagnosed as melanoma. Extensive clinical examination did not reveal any primary cutaneous lesions. To the best of our knowledge, this is the first case of primary SBM in South Korea.
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- Primary malignant melanoma of the small bowel: A case report
James R. Marak, Tushant Kumar, Shivam Dwivedi, Shashwat Verma
Radiology Case Reports.2024; 19(3): 1215. CrossRef - Small bowel melanoma causing obstruction: A case report and a literature review
Ammar Mattit, Ibrahim Marrawi, Safouh Kheir, Taha Khamis, Safaa Qatleesh, Muhammad Ali Ousta
International Journal of Surgery Case Reports.2024; 116: 109388. CrossRef - Small Bowel Intussusception Secondary to Malignant Melanoma 11 Years After Melanoma-In-Situ Excision
W. Eric Briscoe, W. Todd Cockerham, Kevin N. Harrell
The American Surgeon™.2023; 89(7): 3275. CrossRef - Primary Small Bowel Melanoma: A Case Report and Review of Literature
Amanda M. Graças, Willy P. Souza, Ana Carolina A. Canut, Maurice Y. Franciss, Bruno Zilberstein
Frontiers in Surgery.2022;[Epub] CrossRef - Primary jejunal amelanotic melanoma: case report and review of literature
Kavya M. Reddy, Tinashe Maduke, Francis Wade, Christine Hachem
Clinical Journal of Gastroenterology.2021; 14(5): 1376. CrossRef - Effect of Double-Balloon Enteroscopy on Diagnosis and Treatment of Small-Bowel Diseases
Li Tang, Liu-Ye Huang, Jun Cui, Cheng-Rong Wu
Chinese Medical Journal.2018; 131(11): 1321. CrossRef
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6,783
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Reviews
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Diagnostic and Therapeutic Capability of Double-Balloon Enteroscopy in Clinical Practice
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Umit Akyuz, Filiz Akyuz
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Clin Endosc 2016;49(2):157-160. Published online March 7, 2016
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DOI: https://doi.org/10.5946/ce.2015.036
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Abstract
PDF
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ePub
- Advances in technology have facilitated the common use of small-bowel imaging. Intraoperative enteroscopy was the gold standard method for small-bowel imaging. However, noninvasive capsule endoscopy and invasive balloon enteroscopy are currently the main endoscopic procedures that are routinely used for small-bowel pathologies, and the indications for both techniques are similar. Although obstruction is a contraindication for capsule endoscopy, it is not considered to be problematic for double-balloon enteroscopy. The most important advantage of double-balloon enteroscopy is the applicability of therapeutic interventions during the procedure; however, double-balloon enteroscopy has certain advantages as well as disadvantages.
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Citations
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- Development of an earthworm-based soft robot for colon sampling
Gongxin Li, Wei Qiu, Mindong Wang, Yazhou Zhu, Fei Liu
Frontiers in Robotics and AI.2024;[Epub] CrossRef - Role of balloon enteroscopy for obscure gastrointestinal bleeding in those with surgically altered anatomy: A systematic review
Mahmoud Aryan, Tyler Colvin, Ali M Ahmed, Kondal Rao Kyanam Kabir Baig, Shajan Peter
World Journal of Gastrointestinal Endoscopy.2022; 14(7): 434. CrossRef - Development of an Earthworm-Based Intestinal Soft Robot Equipped with a Gripper
Gongxin Li, Wei Qiu, Hao Wen, Mindong Wang, Fei Liu
Machines.2022; 10(11): 1057. CrossRef - Predictors for Small Bowel Stenosis in Balloon-Assisted Enteroscopy
Bai-Rong Li, Tao Sun, Jing Li, Meng Li, Shou-Bin Ning, Xiao-Wei Jin, Ming Zhu, Gao-Ping Mao
Digestive Diseases and Sciences.2020; 65(9): 2630. CrossRef - Enteroscopia de doble balón: indicaciones, abordajes, eficacia diagnóstica y terapéutica y seguridad. Experiencia temprana de un solo centro
J.J.E. García-Correa, J.J. Ramírez-García, L.F. García-Contreras, C. Fuentes-Orozco, L. Irusteta-Jiménez, L.R. Michel-Espinoza, A.S. Carballo Uribe, J.A. Torres Chávez, A. González-Ojeda
Revista de Gastroenterología de México.2018; 83(1): 31. CrossRef - Double-balloon enteroscopy: Indications, approaches, diagnostic and therapeutic yield, and safety. Early experience at a single center
J.J.E. García-Correa, J.J. Ramírez-García, L.F. García-Contreras, C. Fuentes-Orozco, L. Irusteta-Jiménez, L.R. Michel-Espinoza, A.S. Carballo Uribe, J.A. Torres Chávez, A. González-Ojeda
Revista de Gastroenterología de México (English Edition).2018; 83(1): 31. CrossRef - Double-Balloon Endoscopy in Overt and Occult Small Bowel Bleeding: Results, Complications, and Correlation with Prior Videocapsule Endoscopy in a Tertiary Referral Center
Carlijn Hermans, Arnold Stronkhorst, Annemarie Tjhie-Wensing, Jan Kamphuis, Bas van Balkom, Rob Dahlmans, Lennard Gilissen
Clinical Endoscopy.2017; 50(1): 69. CrossRef - Education and Training Guidelines for the Board of the Korean Society of Gastrointestinal Endoscopy
Hee Seok Moon, Eun Kwang Choi, Ji Hyun Seo, Jeong Seop Moon, Ho June Song, Kyoung Oh Kim, Jong Jin Hyun, Sung Kwan Shin, Beom Jae Lee, Sang Heon Lee
Clinical Endoscopy.2017; 50(4): 345. CrossRef
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9,175
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Diagnosis of Obscure Gastrointestinal Bleeding
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Satoshi Tanabe
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Clin Endosc 2016;49(6):539-541. Published online February 11, 2016
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DOI: https://doi.org/10.5946/ce.2016.004
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Abstract
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- Obscure gastrointestinal bleeding (OGIB) is defined as gastrointestinal bleeding from a source that cannot be identified on upper or lower gastrointestinal endoscopy. OGIB is considered an important indication for capsule endoscopy (CE). CE is particularly useful for the detection of vascular and small ulcerative lesions, conditions frequently associated with OGIB, particularly in Western countries. On the other hand, balloon enteroscopy (BE) can facilitate the diagnosis of lesions presenting with minimal changes of the mucosal surface, such as submucosal tumors, and can be used not only for diagnosis, but also for treatment, including endoscopic hemostasis. In other words, the complementary use of both CE and BE enables OGIB to be more efficiently diagnosed and treated. However, rebleeding can occur even in patients with negative results of CE, and such patients require repeat CE or BE. It is essential to effectively use both CE and BE based on a thorough understanding of the strong points and weak points of these procedures. Further advances and developments in virtual endoscopy incorporating computed tomography and magnetic resonance imaging are expected in the future.
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Citations
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- Sporadic small intestinal hamartomatous polyp: Causative element for obscure gastrointestinal bleeding and iron deficiency anemia: A case report
Ali Issa
International Journal of Case Reports and Images.2023; 14(1): 84. CrossRef - The role of video capsule endoscopy in the diagnosis of gastrointestinal diseases: experience of the Department of Diagnostic and Operative Endoscopy
A. A. Likutov, T. A. Vlasko, V. V. Veselov
Ambulatornaya khirurgiya = Ambulatory Surgery (Russia).2023; 20(2): 116. CrossRef - Evaluation of Low-Dose Multidetector Computed Tomography Whole Gastroenterography With Oral Administration of Contrast Agents
Yong Guo, Qing-jun Wang, Li-jing Shi, Ying-ying Hu, Wen-ping Li
Canadian Association of Radiologists Journal.2021; 72(3): 410. CrossRef - Life‐threatening gastrointestinal bleeding from a giant ileal lipoma
Amy Donovan, Sandun Abeyasundara, Hajir Nabi
ANZ Journal of Surgery.2020;[Epub] CrossRef - Review on the Applications of Deep Learning in the Analysis of Gastrointestinal Endoscopy Images
Wenju Du, Nini Rao, Dingyun Liu, Hongxiu Jiang, Chengsi Luo, Zhengwen Li, Tao Gan, Bing Zeng
IEEE Access.2019; 7: 142053. CrossRef - Preoperative detection and localization of small bowel hemangioma: Two case reports
Nobuhisa Takase, Keisuke Fukui, Takafumi Tani, Tohru Nishimura, Tomohiro Tanaka, Naoki Harada, Kimihiko Ueno, Manabu Takamatsu, Akihiko Nishizawa, Akiharu Okamura, Kunihiko Kaneda
World Journal of Gastroenterology.2017; 23(20): 3752. CrossRef
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Original Article
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Roles of Capsule Endoscopy and Single-Balloon Enteroscopy in Diagnosing Unexplained Gastrointestinal Bleeding
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Shohei Ooka, Kiyonori Kobayashi, Kana Kawagishi, Masaru Kodo, Kaoru Yokoyama, Miwa Sada, Satoshi Tanabe, Wasaburo Koizumi
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Clin Endosc 2016;49(1):56-60. Published online January 28, 2016
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DOI: https://doi.org/10.5946/ce.2016.49.1.56
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Abstract
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- Background
/Aims: The diagnostic algorithms used for selecting patients with obscure gastrointestinal bleeding (OGIB) for capsule endoscopy (CE) or balloon-assisted enteroscopy (BE) vary among facilities. We aimed to demonstrate the appropriate selection criteria of CE and single balloon-assisted enteroscopy (SBE) for patients with OGIB according to their conditions, by retrospectively comparing the diagnostic performances of CE and BE for detecting the source of the OGIB.
Methods
We investigated 194 patients who underwent CE and/or BE. The rate of positive findings, details of the findings, accidental symptoms, and hemostasis methods were examined and analyzed.
Results
CE and SBE were performed in 103 and 91 patients, respectively, and 26 patients underwent both examinations. The rate of positive findings was significantly higher with SBE (73.6%) than with CE (47.5%, p<0.01). The rate of positive findings was higher in overt bleeding cases than in occult bleeding cases for both BE and SBE. Among the overt bleeding cases, the rate was significantly higher in ongoing bleeding cases than in previous bleeding cases.
Conclusions
Both CE and SBE are useful to diagnose OGIB. For overt bleeding cases and ongoing bleeding cases, SBE may be more appropriate than CE because endoscopic diagnosis and treatment can be completed simultaneously.
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Citations
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- The Role of Capsule Endoscopy in the Diagnosis and Management of Small Bowel Tumors: A Narrative Review
Stefano Fantasia, Pablo Cortegoso Valdivia, Stefano Kayali, George Koulaouzidis, Marco Pennazio, Anastasios Koulaouzidis
Cancers.2024; 16(2): 262. CrossRef - Research Progress of the Use of Balloon-Assisted Enteroscopy (BAE) in Small Bowel Diseases
芸玲 李
Advances in Clinical Medicine.2024; 14(09): 555. CrossRef - Inpatient Small Bowel Capsule Endoscopy: Not Associated With Bleeding Site Identification or 30-Day Readmission Prevention
Ismail Ghafary, Talal Seoud, Michael Jorgensen, Jade Marhaba, William M Briggs, Daniel S Jamorabo
Cureus.2024;[Epub] CrossRef - Small-bowel capsule endoscopy and device-assisted enteroscopy for diagnosis and treatment of small-bowel disorders: European Society of Gastrointestinal Endoscopy (ESGE) Guideline – Update 2022
Marco Pennazio, Emanuele Rondonotti, Edward J. Despott, Xavier Dray, Martin Keuchel, Tom Moreels, David S. Sanders, Cristiano Spada, Cristina Carretero, Pablo Cortegoso Valdivia, Luca Elli, Lorenzo Fuccio, Begona Gonzalez Suarez, Anastasios Koulaouzidis,
Endoscopy.2023; 55(01): 58. CrossRef - Use of device-assisted enteroscopy in small bowel disease: an expert consensus statement by the Korean Association for the Study of Intestinal Diseases
Han Hee Lee, Jin Su Kim, Hyeon Jeong Goong, Shin Hee Lee, Eun Hye Oh, Jihye Park, Min Cheol Kim, Kwangwoo Nam, Young Joo Yang, Tae Jun Kim, Seung-Joo Nam, Hee Seok Moon, Jae Hyun Kim, Duk Hwan Kim, Seong-Eun Kim, Seong Ran Jeon, Seung-Jae Myung
Intestinal Research.2023; 21(1): 3. CrossRef - Use of Device-Assisted Enteroscopy in Small Bowel Disease: An Expert Consensus Statement by the Korean Association for the Study of Intestinal Diseases
Han Hee Lee, Jin Su Kim, Hyeon Jeong Goong, Shin Hee Lee, Eun Hye Oh, Jihye Park, Min Cheol Kim, Kwangwoo Nam, Young Joo Yang, Tae Jun Kim, Seung-Joo Nam, Hee Seok Moon, Jae Hyun Kim, Duk Hwan Kim, Seong-Eun Kim, Seong Ran Jeon, Seung-Jae Myung
The Korean Journal of Gastroenterology.2023; 81(1): 1. CrossRef - Updates in the diagnosis and management of small-bowel tumors
Erasmia Vlachou, Apostolos Koffas, Christos Toumpanakis, Martin Keuchel
Best Practice & Research Clinical Gastroenterology.2023; 64-65: 101860. CrossRef - Diagnostic and therapeutic yields of early capsule endoscopy and device-assisted enteroscopy in the setting of overt GI bleeding: a systematic review with meta-analysis
Maria Manuela Estevinho, Rolando Pinho, Carlos Fernandes, Adélia Rodrigues, Ana Ponte, Ana Catarina Gomes, Edgar Afecto, João Correia, João Carvalho
Gastrointestinal Endoscopy.2022; 95(4): 610. CrossRef - Clinical features of capsule endoscopy in young adults: A single‐center retrospective study
Hui‐Wen Xu, Yi‐Ru Chen, Mei‐Qian Wang, Sen‐Lin Zhu
JGH Open.2022; 6(9): 637. CrossRef - Occult Small Bowel Bleeding
Perry K. Pratt, Haleh Vaziri
Current Treatment Options in Gastroenterology.2021; 19(2): 211. CrossRef - Technical and Clinical Aspects of Diagnostic Single-Balloon Enteroscopy in the First Decade of Use: A Systematic Review and Meta-Analysis
Ye Gao, Lei Xin, Yi-Tong Zhang, Xiao-Rong Guo, Qian-Qian Meng, Zhao-Shen Li, Zhuan Liao
Gut and Liver.2021; 15(2): 262. CrossRef - Timing of enteroscopy in overt-obscure gastrointestinal bleeding - a systematic review and meta-analysis
Ana Catarina Gomes, Rolando Taveira Pinho, Ana Ponte, Manuela Estevinho, Jo�o Carvalho
Revista Española de Enfermedades Digestivas.2021;[Epub] CrossRef - Anisakiasis in the Small Intestine with Excessive Bleeding That Was Difficult to Diagnose Endoscopically
Kazumasa Kawashima, Tatsuo Fujiwara, Kyoko Katakura, Naohiko Gunji, Aki Yokokawa, Ayumu Sakamoto, Takuto Hikichi, Koji Kono, Hiromasa Ohira
Internal Medicine.2019; 58(1): 63. CrossRef - Diagnostic Value and Safety of Emergency Single-Balloon Enteroscopy for Obscure Gastrointestinal Bleeding
Yipin Liu, Weiwei Jiang, Guoxun Chen, Yanqing Li
Gastroenterology Research and Practice.2019; 2019: 1. CrossRef - UEG Week 2018 Poster Presentations
United European Gastroenterology Journal.2018;[Epub] CrossRef
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Case Reports
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Single Balloon Enteroscopy-Assisted Endoscopic Retrograde Cholangiopancreatography in Patients Who Underwent a Gastrectomy with Roux-en-Y Anastomosis: Six Cases from a Single Center
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Jae Seung Soh, Dong-Hoon Yang, Sang Soo Lee, Seohyun Lee, Jungho Bae, Jeong-Sik Byeon, Seung-Jae Myung, Suk-Kyun Yang
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Clin Endosc 2015;48(5):452-457. Published online September 30, 2015
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DOI: https://doi.org/10.5946/ce.2015.48.5.452
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Patients with altered anatomy such as a Roux-en-Y anastomosis often present with various pancreaticobiliary problems requiring therapeutic intervention. However, a conventional endoscopic approach to the papilla is very difficult owing to the long afferent limb and acute angle of a Roux-en-Y anastomosis. Balloon-assisted enteroscopy can be used for endoscopic retrograde cholangiopancreatography (ERCP) in patients with altered anatomy. We experienced six cases of Roux-en-Y anastomosis with biliary problems, and attempted ERCP using single balloon enteroscopy (SBE). SBE insertion followed by replacement with a conventional endoscope was attempted in five of six patients. The papilla was successfully approached using SBE in all cases. However, therapeutic intervention was completed in only three cases because of poor maneuverability caused by postoperative adhesion. We conclude that in patients with Roux-en-Y anastomosis, the ampulla can be readily accessed with SBE, but longer dedicated accessories are necessary to improve this therapeutic intervention.
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Citations
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- Single Balloon Enteroscopy-Guided Endoscopic Retrograde Cholangiopancreatography in Surgically Altered Anatomy: Long vs. Short Type
Chang-Hwan Park
The Korean Journal of Pancreas and Biliary Tract.2021; 26(3): 181. CrossRef - Direct Insertion of a Short-Type Single-Balloon Enteroscope and Using a Stent Retriever to Treat Difficult Bile Duct Stones in Surgically Altered Anatomy
Takashi Sasaki, Naoki Sasahira
Clinical Endoscopy.2021; 54(6): 937. CrossRef - Single-balloon enteroscopy-assisted ERCP in patients with Roux-en-Y anatomy and choledocholithiasis: do technical improvements mean better outcomes?
Jesús Espinel Díez, María Eugenia Pinedo Ramos
Revista Española de Enfermedades Digestivas.2020;[Epub] CrossRef - Application of single balloon enteroscopy-assisted therapeutic endoscopic retrograde cholangiopancreatography in patients after bilioenteric Roux-en-Y anastomosis: Experience of multi-disciplinary collaboration
Wen-Guang Wu, Lu-Cui Qin, Xiao-Ling Song, Ming-Ning Zhao, Wen-Jie Zhang, Jun Gu, Hao Weng, Ying-Bin Liu, Yi Zhang, Chun-Ying Qu, Lei-Ming Xu, Xue-Feng Wang
World Journal of Gastroenterology.2019; 25(36): 5505. CrossRef - Comparison between Enteroscopy-Based and Laparoscopy-Assisted ERCP for Accessing the Biliary Tree in Patients with Roux-en-Y Gastric Bypass: Systematic Review and Meta-analysis
Alberto Machado da Ponte-Neto, Wanderley M. Bernardo, Lara M. de A. Coutinho, Iatagan Rocha Josino, Vitor Ottoboni Brunaldi, Diogo T. H. Moura, Paulo Sakai, Rogério Kuga, Eduardo G. H. de Moura
Obesity Surgery.2018; 28(12): 4064. CrossRef - Impact of a Newly Developed Short Double-Balloon Enteroscope on Stent Placement in Patients with Surgically Altered Anatomies
Koichiro Tsutsumi, Hironari Kato, Hiroyuki Okada
Gut and Liver.2017; 11(2): 306. CrossRef
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8,732
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Successful Removal of a Screw Nail in the Jejunum Using Double-Balloon Enteroscopy
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Dong Ju Kim, Myoung Ki Sim, Sang Wook Lee, Tae Hee Lee
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Clin Endosc 2015;48(5):444-446. Published online September 30, 2015
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DOI: https://doi.org/10.5946/ce.2015.48.5.444
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The vast majority of foreign bodies (FBs) that enter the stomach pass through the gastrointestinal tract spontaneously. When the FB enters the small bowel-beyond the reach of conventional endoscopy-daily radiographs are needed to ensure its safe passage. However, endoscopic intervention is an appropriate management strategy for a sharp-pointed FB, because sharp FBs have a higher risk of intestinal perforation. We describe here a case in which a 1.5-cm, sharp-pointed screw nail in the proximal jejunum was removed successfully by double-balloon enteroscopy from a 19-year-old-male with autism. This case adds to the growing body of evidence demonstrating the value of therapeutic double-balloon enteroscopy in the field of FB ingestion
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Citations
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- Balloon-Assisted Enteroscopy for Retrieval of Small Intestinal Foreign Bodies: A KASID Multicenter Study
Jeongseok Kim, Beom Jae Lee, Nam Seok Ham, Eun Hye Oh, Kee Don Choi, Byong Duk Ye, Jeong-Sik Byeon, Chang Soo Eun, Jin Su Kim, Dong-Hoon Yang
Gastroenterology Research and Practice.2020; 2020: 1. CrossRef - Foreign Body Penetration through Jejunal Loops Causing Renal Artery Thrombosis and Renal Infarct
Najib Nassani, Elie El-Charabaty, Patricia Nasr, Iskandar Barakat, Sherif Andrawes
ACG Case Reports Journal.2017; 4(1): e12. CrossRef
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Original Article
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A Single-Center Randomized Controlled Trial Evaluating Timing of Preparation for Capsule Enteroscopy
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Katherine R. Black, Wiley Truss, Cynthia I. Joiner, Shajan Peter, Frederick H. Weber
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Clin Endosc 2015;48(3):234-238. Published online May 29, 2015
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DOI: https://doi.org/10.5946/ce.2015.48.3.234
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- Background/Aims
Intestinal lavage (IL) administration immediately before capsule enteroscopy (CE) is superior to lavage the day before the procedure. We aimed to determine the effect of IL timing on CE diagnostic yield.
MethodsPatients referred for CE were randomized prospectively into two equal groups according to the timing of IL with 2 L of polyethylene glycol solution. Group A and B underwent IL over 2 hours beginning 14 and 4 hours, respectively, before the scheduled CE. The primary outcome measure was preparation quality, measured with a predetermined validated grading scale.
ResultsA total of 34 patients were randomized. The frequency of mucosal abnormalities (77% vs. 82%, p=not significant [NS]) and diagnostic yield (47% vs. 53%, p=NS) were similar between the two groups. Moreover, no significant association between the quality of small bowel preparation and the timing at which the purgative for IL was administered was observed (overall fluid transparency, p=0.936; overall mucosal invisibility, p=0.091).
ConclusionsDay-before IL is equivalent to same-day IL in terms of overall preparation quality, proportion of complete studies to cecum, small bowel transit time, frequency of identified mucosal abnormalities, and overall diagnostic yield.
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Citations
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- Preparation Regimens to Improve Capsule Endoscopy Visualization and Diagnostic Yield (PrepRICE): a multicenter randomized trial
Maria Manuela Estevinho, Mara Sarmento Costa, Rita Franco, Inês Pestana, Pedro Marílio Cardoso, Sara Archer, Maria Inês Canha, João Correia, Pedro Mesquita, Lídia Roque Ramos, Adélia Rodrigues, Catarina Gomes, Sandra Lopes, Rolando Pinho
Gastrointestinal Endoscopy.2024;[Epub] CrossRef - Preparation, Timing, Prokinetics, and Surface Agents in Video Capsule Endoscopy
Elizabeth Squirell, Michelle Ricci, Lawrence Hookey
Gastrointestinal Endoscopy Clinics of North America.2021; 31(2): 251. CrossRef - Bowel Preparation With Polyethylene Glycol 3350 or Fasting Only Before Peroral Single-balloon Enteroscopy
Frank Lenze, Tobias Nowacki, Sabine Schöppner, Hansjörg Ullerich, Dominik Bettenworth, Paola Soriani, Tommaso Gabbani, Vincenzo G. Mirante, Dirk Domagk, Mauro Manno, Philipp Lenz
Journal of Clinical Gastroenterology.2020; 54(2): 170. CrossRef - Optimal Bowel Preparation for Capsule Endoscopy and Device-assisted Enteroscopy
Hyun Joo Song
The Korean Journal of Gastroenterology.2020; 75(2): 74. CrossRef - Quality Indicators for Small Bowel Capsule Endoscopy
Ki-Nam Shim, Seong Ran Jeon, Hyun Joo Jang, Jinsu Kim, Yun Jeong Lim, Kyeong Ok Kim, Hyun Joo Song, Hyun Seok Lee, Jae Jun Park, Ji Hyun Kim, Jaeyoung Chun, Soo Jung Park, Dong-Hoon Yang, Yang Won Min, Bora Keum, Bo-In Lee
Clinical Endoscopy.2017; 50(2): 148. CrossRef - Systematic review and meta-analysis: is bowel preparation still necessary in small bowel capsule endoscopy?
Diana E. Yung, Emanuele Rondonotti, Catherine Sykes, Marco Pennazio, John N. Plevris, Anastastios Koulaouzidis
Expert Review of Gastroenterology & Hepatology.2017; 11(10): 979. CrossRef - Optimal Bowel Preparation for Video Capsule Endoscopy
Hyun Joo Song, Jeong Seop Moon, Ki-Nam Shim
Gastroenterology Research and Practice.2016; 2016: 1. CrossRef - Superiority of the Split-dose PEG Regimen for Small-Bowel Capsule Endoscopy
Pedro Magalhães-Costa, Joana Carmo, Miguel Bispo, Sofia Santos, Cristina Chagas
Journal of Clinical Gastroenterology.2016; 50(7): e65. CrossRef - What Is the Optimal Timing of Bowel Preparation for Video Capsule Endoscopy?
Hyun Joo Song, Ki-Nam Shim
Clinical Endoscopy.2015; 48(3): 183. CrossRef
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Review
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Should Capsule Endoscopy Be the First Test for Every Obscure Gastrointestinal Bleeding?
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Chung Hyun Tae, Ki-Nam Shim
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Clin Endosc 2014;47(5):409-414. Published online September 30, 2014
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DOI: https://doi.org/10.5946/ce.2014.47.5.409
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Obscure gastrointestinal bleeding (OGIB) refers to gastrointestinal (GI) bleeding of unclear origin that persists or recurs after negative findings on esophagogastroduodenoscopy and colonoscopy. OGIB accounts for approximately 5% of all types of GI bleeding. More than 80% of OGIB cases originate in the small bowel. The ability to detect OGIB in the small bowel has significantly advanced and been revolutionized since the introduction of the capsule endoscopy and double-balloon enteroscopy techniques in 2000 and 2001, respectively. With these new methods for small-bowel evaluation, new guidelines have been proposed for the diagnosis and management of OGIB. However, some issues remain unsolved. The purpose of this article is to review the various modalities used for evaluating OGIB, including capsule endoscopy and double-balloon enteroscopy, and to help guide clinicians in their decisions on which modality will be the most effective.
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Citations
Citations to this article as recorded by

- Early intervention with double balloon enteroscopy for higher yield for inpatient overt obscure gastrointestinal bleeding: A propensity matched analysis
Mahmoud Aryan, Krishna V R Venkata, Tyler Colvin, Lauren Daley, Parth Patel, T. Mark Beasley, Benjamin Nunley, Nicholas Baldwin, Ali M Ahmed, Kondal R Kyanam Kabir Baig, Klaus Mönkemüller, Shajan Peter
JGH Open.2023; 7(7): 509. CrossRef - Clinical features of obscure gastrointestinal bleeding undergoing capsule endoscopy: A retrospective cohort study
Yuga Komaki, Shuji Kanmura, Kazuki Yutsudo, Kosuke Kuwazuru, Fukiko Komaki, Akihito Tanaka, Hidehito Maeda, Shiho Arima, Shiroh Tanoue, Fumisato Sasaki, Shinichi Hashimoto, Masahisa Horiuchi, Akio Ido, Gopal Krishna Dhali
PLOS ONE.2022; 17(3): e0265903. CrossRef - Enteroscopia de doble balón: indicaciones, abordajes, eficacia diagnóstica y terapéutica y seguridad. Experiencia temprana de un solo centro
J.J.E. García-Correa, J.J. Ramírez-García, L.F. García-Contreras, C. Fuentes-Orozco, L. Irusteta-Jiménez, L.R. Michel-Espinoza, A.S. Carballo Uribe, J.A. Torres Chávez, A. González-Ojeda
Revista de Gastroenterología de México.2018; 83(1): 31. CrossRef - Double-balloon enteroscopy: Indications, approaches, diagnostic and therapeutic yield, and safety. Early experience at a single center
J.J.E. García-Correa, J.J. Ramírez-García, L.F. García-Contreras, C. Fuentes-Orozco, L. Irusteta-Jiménez, L.R. Michel-Espinoza, A.S. Carballo Uribe, J.A. Torres Chávez, A. González-Ojeda
Revista de Gastroenterología de México (English Edition).2018; 83(1): 31. CrossRef - Double-Balloon Endoscopy in Overt and Occult Small Bowel Bleeding: Results, Complications, and Correlation with Prior Videocapsule Endoscopy in a Tertiary Referral Center
Carlijn Hermans, Arnold Stronkhorst, Annemarie Tjhie-Wensing, Jan Kamphuis, Bas van Balkom, Rob Dahlmans, Lennard Gilissen
Clinical Endoscopy.2017; 50(1): 69. CrossRef - What is the Role of Double-Balloon Endoscopy in Patients Presenting with Obscure Gastrointestinal Bleeding?
Jung Ho Kim, Kwang An Kwon
Clinical Endoscopy.2017; 50(1): 8. CrossRef - Colonic lesions in patients undergoing small bowel capsule endoscopy: incidence, diagnostic and therapeutic impact
José Francisco Juanmartiñena Fernández, Iñaki Fernández-Urién Sainz, Beatriz Zabalza Ollo, Ana Borda Martín, Juan José Vila Costas
Revista Española de Enfermedades Digestivas.2017;[Epub] CrossRef - Gastroduodenal lesions detected during small bowel capsule endoscopy: incidence, diagnostic and therapeutic impact
José Francisco Juanmartiñena Fernández, Ignacio Fernández-Urien Sainz, Beatriz Zabalza Ollo, Cristina Saldaña Dueñas, Marta Montañés Guimera, Alfonso Elosua González, Juan José Vila Costas
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Ahilan Arulanandan, Parambir S Dulai, Siddharth Singh, William J Sandborn, Denise Kalmaz
World Journal of Gastroenterology.2016; 22(40): 8999. CrossRef - Different roles of capsule endoscopy and double-balloon enteroscopy in obscure small intestinal diseases
Zhi-Hong Zhang, Chun-Hua Qiu, Yi Li
World Journal of Gastroenterology.2015; 21(23): 7297. CrossRef - A jejunal GIST presenting with obscure gastrointestinal bleeding and small bowel obstruction secondary to intussusception
Peter Sadeghi, Sandro Lanzon-Miller
BMJ Case Reports.2015; : bcr2014207650. CrossRef
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Case Report
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Small Bowel Stent-in-Stent Placement for Malignant Small Bowel Obstruction Using a Balloon-Assisted Overtube Technique
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Daniel Popa, Jayapal Ramesh, Shajan Peter, C. Mel Wilcox, Klaus Mönkemüller
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Clin Endosc 2014;47(1):108-111. Published online January 24, 2014
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DOI: https://doi.org/10.5946/ce.2014.47.1.108
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Self-expanding metal stents are a useful therapy to palliate malignant and benign luminal gastrointestinal obstruction. Self-expanding metal stents has been widely reported for colonic, esophageal, and gastric obstruction. However, endoscopic delivery and placement to the small bowel is more challenging and difficult. This case illustrates the usefulness and technical advantages of the balloon-overtube and enteroscopy technique for the palliative treatment of neoplastic stenosis affecting the small intestine.
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- The evolving role of device-assisted enteroscopy: The state of the art as of August 2023
Hironori Yamamoto, Edward J. Despott, Begoña González-Suárez, Marco Pennazio, Klaus Mönkemüller
Best Practice & Research Clinical Gastroenterology.2023; 64-65: 101858. CrossRef - WITHDRAWN: The evolving role of device-assisted enteroscopy
Hironori Yamamoto, Begoña González-Suárez, Klaus Mönkemüller
Best Practice & Research Clinical Gastroenterology.2023; : 101845. CrossRef - The Evolution of Device-Assisted Enteroscopy: From Sonde Enteroscopy to Motorized Spiral Enteroscopy
Fredy Nehme, Hemant Goyal, Abhilash Perisetti, Benjamin Tharian, Neil Sharma, Tony C. Tham, Rajiv Chhabra
Frontiers in Medicine.2021;[Epub] CrossRef - Small bowel enteroscopy � A joint clinical guideline by the Spanish and Portuguese small-bowel study groups
Enrique Pérez-Cuadrado Robles, Rolando Pinho, Begoña González-Suárez, Susana M�o-de-Ferro, Cristina Chagas, Pilar Esteban Delgado, Cristina Carretero, Pedro Figueiredo, Bruno Rosa, Javier García-Lledó, Óscar Nogales, Ana Ponte, Patrícia Andrade, José Fran
Revista Española de Enfermedades Digestivas.2020;[Epub] CrossRef - Small Bowel Enteroscopy – A Joint Clinical Guideline from the Spanish and Portuguese Small Bowel Study Groups
Enrique Pérez-Cuadrado-Robles, Rolando Pinho, Begoña Gonzalez, Susana Mão de Ferro, Cristina Chagas, Pilar Esteban Delgado, Cristina Carretero, Pedro Figueiredo, Bruno Rosa, Javier García Lledó, Óscar Nogales, Ana Ponte, Patrícia Andrade, Jose Francisco J
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Tom G. Moreels
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Yoshihide Kanno, Tetsuya Ohira, Yoshihiro Harada, Yoshiki Koike, Taku Yamagata, Megumi Tanaka, Tomohiro Shimada, Kei Ito
Clinical Endoscopy.2018; 51(3): 299. CrossRef - How to treat intestinal obstruction due to malignant recurrence after Whipple’s resection for pancreatic head cancer: Description of 2 new endoscopic techniques
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Akiyoshi Tsuboi, Toshio Kuwai, Tomoyuki Nishimura, Sumio Iio, Takeshi Mori, Hiroki Imagawa, Toshiki Yamaguchi, Atsushi Yamaguchi, Hirotaka Kouno, Hiroshi Kohno
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Ting-Hui Jiang
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Kazunari Nakahara
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Masaaki Shimatani, Norimasa Fukata, Ryo Suzuki, Sachi Miyamoto, Kota Kato, Toshiyuki Mitsuyama, Hideaki Miyoshi, Tsukasa Ikeura, Makoto Takaoka, Kazuichi Okazaki
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Esha Baichoo, Louis M. Wong Kee Song
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Special Issue Article of IDEN 2013
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Deep Enteroscopy: Which Technique Will Survive?
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Seong Ran Jeon, Jin-Oh Kim
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Clin Endosc 2013;46(5):480-485. Published online September 30, 2013
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DOI: https://doi.org/10.5946/ce.2013.46.5.480
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The advent of deep enteroscopy (DE) has dramatically changed diagnostic and therapeutic approaches to small bowel diseases. Unlike capsule endoscopy, which is unable to obtain biopsies or treat a disease, DE techniques have diagnostic and therapeutic capabilities. Double-balloon enteroscopy (DBE) was introduced in 2001, and single-balloon enteroscopy (SBE) and spiral enteroscopy (SE) were subsequently developed for small bowel investigation. In published reports comparing these different enteroscopy techniques, most comparative parameters (depth of insertion, complications, learning curve, diagnostic yield, and therapeutic yield) were comparable among DBE, SBE, and SE. However, the procedure duration appears to be shorter for SE than for DBE and SBE. The rate of complete enteroscopy is clearly superior for DBE, compared with SE and SBE. Because these results do not indicate an increase in diagnostic or therapeutic yield, the clinical impact of complete enteroscopy remains controversial. According to previous studies, the three DE methods seem to be equally effective and safe in the clinical setting. Although larger randomized controlled trials are needed to evaluate the procedural characteristics and clinical impact, the selection of an enteroscopic technique should be based on availability and the endoscopist's experience.
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- Use of Device-Assisted Enteroscopy in Small Bowel Disease: An Expert Consensus Statement by the Korean Association for the Study of Intestinal Diseases
Han Hee Lee, Jin Su Kim, Hyeon Jeong Goong, Shin Hee Lee, Eun Hye Oh, Jihye Park, Min Cheol Kim, Kwangwoo Nam, Young Joo Yang, Tae Jun Kim, Seung-Joo Nam, Hee Seok Moon, Jae Hyun Kim, Duk Hwan Kim, Seong-Eun Kim, Seong Ran Jeon, Seung-Jae Myung
The Korean Journal of Gastroenterology.2023; 81(1): 1. CrossRef - Three cases of jejunal tumors detected by standard upper gastrointestinal endoscopy: A case series
Jaesun Lee, Sunmoon Kim, Daesung Kim, Sangeok Lee, Kihyun Ryu
World Journal of Clinical Cases.2023; 11(4): 962. CrossRef - Use of device-assisted enteroscopy in small bowel disease: an expert consensus statement by the Korean Association for the Study of Intestinal Diseases
Han Hee Lee, Jin Su Kim, Hyeon Jeong Goong, Shin Hee Lee, Eun Hye Oh, Jihye Park, Min Cheol Kim, Kwangwoo Nam, Young Joo Yang, Tae Jun Kim, Seung-Joo Nam, Hee Seok Moon, Jae Hyun Kim, Duk Hwan Kim, Seong-Eun Kim, Seong Ran Jeon, Seung-Jae Myung
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Liang Zhao, An-ning Yin, Fei Liao, Yi-juan Ding, Hong-gang Yu
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Arecio Peñaloza Ramírez, Jonathan Barreto Pérez, Fabio Sierra Matamoros, Esteban Coral Argoty, María Alejandra Castro Rodríguez, Pedro Nel Aponte Ordoñez
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Federico Soria Gálvez, Octavio López-Albors, Pilar Esteban Delgado, Enrique Pérez-Cuadrado Robles, Rafael Latorre Reviriego
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Begoña González-Suárez, Antonio Giordano, Miriam Escapa, Josep Llach
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Stefania Chetcuti Zammit, Reena Sidhu
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Hey-Long Ching, Federica Branchi, David S Sanders, David Turnbull, Reena Sidhu
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Flávio Heuta IVANO, Izabela Rodrigues VILLELA, Lívia Fouani de MIRANDA, Thaísa Sami NAKADOMARI
ABCD. Arquivos Brasileiros de Cirurgia Digestiva (São Paulo).2017; 30(2): 83. CrossRef - Endoscopy in the Diagnosis and Management of Complications of Inflammatory Bowel Disease
Benjamin Tharian, Nayana George, Udayakumar Navaneethan
Inflammatory Bowel Diseases.2016; 22(5): 1184. CrossRef - Comparison of double-balloon and single-balloon enteroscope for therapeutic endoscopic retrograde cholangiography after Roux-en-Y small bowel surgery
Michael De Koning, Tom G. Moreels
BMC Gastroenterology.2016;[Epub] CrossRef - Enteroscopy
Shailendra S. Chauhan, Michael A. Manfredi, Barham K. Abu Dayyeh, Brintha K. Enestvedt, Larissa L. Fujii-Lau, Sri Komanduri, Vani Konda, John T. Maple, Faris M. Murad, Rahul Pannala, Nirav C. Thosani, Subhas Banerjee
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Rabia Ali, Daniel Wild, Frederick Shieh, David L. Diehl, Monika Fischer, Wataru Tamura, David T. Rubin, Vivek Kumbhari, Patrick Okolo, Andrew Storm, Zamir Halpern, Helmut Neumann, Harshit S. Khara, Mark B. Pochapin, Seth A. Gross
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Masaaki Shimatani, Norimasa Fukata, Ryo Suzuki, Sachi Miyamoto, Kota Kato, Toshiyuki Mitsuyama, Hideaki Miyoshi, Tsukasa Ikeura, Makoto Takaoka, Kazuichi Okazaki
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Esha Baichoo, Louis M. Wong Kee Song
Gastrointestinal Intervention.2014; 3(1): 30. CrossRef
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7,402
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Case Reports
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Aortoenteric Fistula Diagnosed by Double Balloon Enteroscopy: A Case Report
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Hyung Geun Yoon, Bong Min Ko, Jae Woong Tae, Su Jin Hong, Jong Ho Moon, Jin Oh Kim, Joon Seong Lee, Moon Sung Lee
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Clin Endosc 2013;46(1):106-109. Published online January 31, 2013
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DOI: https://doi.org/10.5946/ce.2013.46.1.106
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A secondary aortoenteric fistula (AEF) is a direct communication between the gastrointestinal tract and the aorta in a patient who has undergone major surgery on the aorta, often an aorta graft operation. We experienced a patient who had undergone graft interposition for abdominal aortic aneurysm and was admitted due to three episodes of hematemesis and following hamatochezia. Gastroscopy, colonoscopy, and radioactive iodine scan failed to identify the bleeding site in the patient. He was diagnosed with AEF by double balloon enteroscopy and recovered after surgical intervention.
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- Aortic Bulge: A Possible Predictive Sign of Impending Aortoenteric Fistula
Patrick Kennedy, Sandra Monteiro, Gordon Yip, Fernando Gastaldo
Canadian Association of Radiologists Journal.2019; 70(2): 204. CrossRef - Editor's Choice – Management of Secondary Aorto-enteric and Other Abdominal Arterio-enteric Fistulas: A Review and Pooled Data Analysis
S.K. Kakkos, C.D. Bicknell, I.A. Tsolakis, D. Bergqvist
European Journal of Vascular and Endovascular Surgery.2016; 52(6): 770. CrossRef
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6,342
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Giant Brunner's Gland Adenoma of the Proximal Jejunum Presenting as Iron Deficiency Anemia and Mimicking Intussusceptions
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Chan Soo So, Hyun Joo Jang, Yun Sun Choi, Dong Hee Koh, Min Ho Choi, Sea Hyub Kae, Sun Jung Min, Jin Lee
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Clin Endosc 2013;46(1):102-105. Published online January 31, 2013
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DOI: https://doi.org/10.5946/ce.2013.46.1.102
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Brunner's gland adenoma is a rare benign proliferative lesion developing most commonly in the posterior wall of the duodenum. It is usually small in size and asymptomatic. Depending on its size or location, however, the clinical manifestations of this tumor may be variable from nonspecific symptoms to gastrointestinal bleeding or obstruction. Brunner's gland adenoma in the proximal jejunum is extremely rare. We report a very rare case of giant Brunner's gland adenoma developing in the proximal jejunum which presented as iron deficiency anemia and mimicked intussusceptions on radiologic studies.
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- Brunner’s gland hamartomas: Not always benign
Manar Shmais, Ahmad Mousawi, Fadi Mourad, Ala I. Sharara
Arab Journal of Gastroenterology.2024; 25(1): 70. CrossRef - Duodenal Epithelial Polyps: A Clinicopathologic Review
Katrina Collins, Saverio Ligato
Archives of Pathology & Laboratory Medicine.2019; 143(3): 370. CrossRef - Giant Brunner’s gland adenoma with intestinal obstruction arising from duodenal bulb, resected by ESD : A Case report
Ayako Ochiai, Shigetaka Tounou, Hiroyuki Fukazawa, Yousuke Muraki, Tomoki Michita
Progress of Digestive Endoscopy.2016; 88(1): 118. CrossRef - A Case Of Huge Brunner's Gland Adenoma With Acute Bleeding Treated By Endoscopic Resection
Pyung Kang Park, Woo-Cho Chung, Kyoung Yong Lee, Sung Hak Lee, Jae Jung Jang, Seungchul Suh
Kosin Medical Journal.2015; 30(2): 171. CrossRef - Brunner’s gland adenoma: A rare case report
Şehmus ÖLMEZ, Bünyamin SARITAŞ, Süleyman SAYAR, İbrahim ARAS
Endoskopi Gastrointestinal.2015; 23(1): 22. CrossRef - Brunner’s gland hamartoma of the duodenum
J Sedano, R Swamy, K Jain, S Gupta
The Annals of The Royal College of Surgeons of England.2015; 97(5): e70. CrossRef - Some observations on pyloric gland adenoma: an uncommon and long ignored entity!
Michael Vieth, Elizabeth Anne Montgomery
Journal of Clinical Pathology.2014; 67(10): 883. CrossRef - Successful Endoscopic Resection of Large Pedunculated Brunner's Gland Hamartoma Causing Gastrointestinal Bleeding Arising from the Pylorus
Yunho Jung, Il Kwun Chung, Tae Hoon Lee, Young Sin Cho, Yeong Geol Jo, Sang Heum Park, Hyundeuk Cho, Sun Joo Kim
Case Reports in Gastroenterology.2013; 7(2): 304. CrossRef
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Two Cases of Ileal Dieulafoy Lesion with Massive Hematochezia Treated by Single Balloon Enteroscopy
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Young Chul Choi, Sang Hyun Park, Byoung Wook Bang, Kye Sook Kwon, Hyung Gil Kim, Yong Woon Shin
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Clin Endosc 2012;45(4):440-443. Published online November 30, 2012
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DOI: https://doi.org/10.5946/ce.2012.45.4.440
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Ileal Dieulafoy lesion is an unusual vascular abnormality that can cause gastrointestinal bleeding. It can be associated with massive, life-threatening hemorrhage and requires urgent angiographic intervention or surgery. Ileal Dieulafoy lesion is hard to recognize due to inaccessibility and normal-appearing mucosa. With advances in endoscopy, aggressive diagnostic and therapeutic approaches including enteroscopy have recently been performed for small bowel bleeding. We report two cases of massive ileal Dieulafoy lesion bleeding diagnosed and treated successfully by single balloon enteroscopy with a review of the literature.
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- A diagnostic dilemma: a case report of concomitant duodenal Dieulafoy lesion and gastric ulcer
Lauren Wallace, Peter J Gallagher
Journal of Surgical Case Reports.2024;[Epub] CrossRef - Stitch in time saves nine
Aisha Rummaan, Irene Lee, Deepa Rattehalli, Prajesh Kumar, Sauid Ishaq
Frontline Gastroenterology.2023; 14(3): 265. CrossRef - Ileal Dieulafoy Lesion: a rare case report
Aleena Jain, Manjusha Karegar, Amita Joshi, Amey Rojekar
Surgical and Experimental Pathology.2018;[Epub] CrossRef - The Role of Emergency Endoscopy in Small Bowel Bleeding: A Review
Enrique Pérez-Cuadrado-Robles, Enrique Pérez-Cuadrado-Martínez
GE Portuguese Journal of Gastroenterology.2016; 23(2): 84. CrossRef - An Unusual Cause of Torrential Lower Gastrointestinal Hemorrhage
Terence C. Chua, Anthony J. Gill, Jaswinder S. Samra
Gastroenterology.2015; 148(5): e10. CrossRef
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8,490
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Special Issue Articles of IDEN 2012
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A Look into the Small Bowel in Crohn's Disease
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Soo Jung Park, Won Ho Kim
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Clin Endosc 2012;45(3):263-268. Published online August 22, 2012
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DOI: https://doi.org/10.5946/ce.2012.45.3.263
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Crohn's disease (CD) is an inflammatory bowel disease that can affect the entire gastrointestinal tract, with the small bowel (SB) being the most commonly affected site. In some patients, refractory inflammation or chronic strictures of the SB are responsible for a debilitating course of the disease that might lead to severely reduced quality of life. Therefore, SB imaging is a crucial element in diagnosing and/or managing SB CD, and continues to evolve because of technologic advances. SB endoscopy (capsule endoscopy and device-assisted enteroscopy) and cross-sectional radiologic imaging (computed tomography enterography and magnetic resonance enterography) have become key players to diagnose and/or manage CD. In everyday practice, the choice of the imaging modalities is based on the presence and availability of the techniques and of experienced operators in each institute, clinical usefulness, safety, and cost. Here, SB endoscopy and radiologic imaging in suspected or known CD patients will be addressed and discussed.
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- ECHOGRAPHY IN THE DIAGNOSTICS OF INFLAMMATORY BOWEL DISEASES IN CHILDREN
M. I. Pykov, A. M. Vrublevskaya
Russian Journal of Pediatric Surgery.2020; 24(2): 101. CrossRef - Endoscopy in the Diagnosis and Management of Complications of Inflammatory Bowel Disease
Benjamin Tharian, Nayana George, Udayakumar Navaneethan
Inflammatory Bowel Diseases.2016; 22(5): 1184. CrossRef - The role of capsule endoscopy in evaluating both suspected and known Crohnʼs disease
Erika S. Boroff, Jonathan A. Leighton
Techniques in Gastrointestinal Endoscopy.2015; 17(1): 5. CrossRef
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7,471
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Case Report
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A Case of Giant Inflammatory Ileal Polyp Removed by Double-Balloon Enteroscopy
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Dae Woong Yoon, Beom Jae Lee, Jae Hyoung Lee, Jong-Jae Park, Jae Seon Kim, Young-Tae Bak, Won Jae Choi, Young Jae Mok
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Clin Endosc 2012;45(3):198-201. Published online August 22, 2012
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DOI: https://doi.org/10.5946/ce.2012.45.3.198
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Inflammatory fibroid polyps are rare benign tumors of the GI tract, that commonly present with intestinal obstruction as a result of intussusceptions in the small bowel. A 39-year old man visited our clinic with an asymptomatic polypoid mass in the distal ileum that was identified on abdominal computed tomography for postoperative surveillance after total gastrectomy due to previously diagnosed early gastric cancer. Retrograde double-balloon enteroscopy was performed to diagnose the ileal mass and a complete resection of the polyp was performed using snare for polypectomy without complications. The final histological finding was an ileal inflammatory polyp. Balloon-assisted enteroscopy is a valuable modality to diagnose and treat small bowel lesions in lieu of surgical procedures in selected cases.
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Citations
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- Gel immersion EMR of small-bowel inflammatory fibroid polyp using double-balloon endoscopy
Yuka Matsubara, Akiyoshi Tsuboi, Issei Hirata, Akihiko Sumioka, Hidenori Tanaka, Ken Yamashita, Yuji Urabe, Shiro Oka
VideoGIE.2024; 9(2): 92. CrossRef - Inflammatory Fibroid Polyp of Ileum with Intussusception
Eun Sun Lee
Korean Journal of Abdominal Radiology.2022; 6(1): 72. CrossRef - Masquerading in the midgut: a rare diagnosis in a patient with recurrent abdominal pain
Philip J Smith, Trusha Patel, Nicholas Reading, Konstantinos Giaslakiotis, Sami Hoque
Frontline Gastroenterology.2020; 11(5): 420. CrossRef - Pólipo fibroso inflamatorio (de Vaneck) como origen de hemorragia digestiva de origen oscuro
Javier Martínez-González, Marta Aicart Ramos, Paloma Bebia Conesa, María Isabel López-Espín, Enrique Pérez-Cuadrado Robles, Enrique Pérez-Cuadrado Martínez
Gastroenterología y Hepatología.2015; 38(1): 21. CrossRef - Vanek’s tumor of the small bowel in adults
Bassam Abboud
World Journal of Gastroenterology.2015; 21(16): 4802. CrossRef - Massive gastrointestinal bleeding caused by a giant gastric inflammatory fibroid polyp: A case report
Chenghai Zhang, Ming Cui, Jiadi Xing, Yunfei Shi, Xiangqian Su
International Journal of Surgery Case Reports.2014; 5(9): 571. CrossRef
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6,632
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A Case of Capillary Hemangioma in the Jejunum Detected by Single Balloon Enteroscopy in a Patient with Anemia
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Jun-Hyung Cho, M.D., Jae Young Jang, M.D., Chang Hyun Cho, M.D., Jaejun Shim, M.D., Seok Ho Dong, M.D., Hyo Jong Kim, M.D., Byung-Ho Kim, M.D. and Young Woon Chang, M.D.
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Korean J Gastrointest Endosc 2011;42(4):263-267. Published online April 28, 2011
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- Hemangiomas are uncommon benign vascular tumors that account for up to 10% of all small bowel tumors. The jejunum is the most common location, and gastrointestinal bleeding is a frequent clinical presentation. Histologically, hemangiomas are classified as cavernous, capillary, or mixed types. Capillary hemangiomas are dense collections of capillaries usually with a hyperplastic endothelium. There have been a few cases of small bowel capillary hemangioma revealed by capsule endoscopy and confirmed after surgical resection. But preoperative detection of hemangiomas in the small intestine has not been reported, as far as we know, associated with the use of balloon-assisted enteroscopy. This report describes a 44-year-old male with a small bowel mass considered to be a cause of severe iron deficiency anemia. In this case, we performed capsule endoscopy and single balloon enteroscopy to examine the lesion. The patient then underwent a segmental resection of the jejunum, which confirmed the presence of a capillary hemangioma with surface ulceration. (Korean J Gastrointest Endosc 2011;42: 263-267)
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Indications for Enteroscopy: Which Patients Should Be Recommended for Enteroscopy?
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Hwang Choi, M.D.
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Korean J Gastrointest Endosc 2011;42(3):137-142. Published online March 28, 2011
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Abstract
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- Balloon-assisted endoscopy (double-balloon or single-balloon endoscopy) is a novel method used to examine the entire small bowel. Enteroscopy has advantages in that tissues can be obtained to get a detailed image, and it is feasible for endoscopic treatments such as hemostasis, dilatation, and polypectomy. Indications for enteroscopy are obscure gastrointestinal bleeding, small bowel involvement due to inflammatory bowel disease, an investigation of a small bowel tumor or polyposis, and difficulty of a colonoscopy. Enteroscopy should be recommended to patients with recurrent mid-gut bleeding of obscure origin, suspected Crohn's disease, suspicious small bowel tumor on abnormal imaging, and surveillance of polyposis syndrome including familial adenomatous polyposis and Peutz-Jeghers syndrome. We may consider enteroscopy in patients with chronic abdominal pain or diarrhea and increased inflammatory markers. We must also understand the contraindications, complications, and limitations of enteroscopy. (Korean J Gastrointest Endosc 2011;42:137-142)