BACKGROUND: Double-balloon enteroscopy (DBE) is a useful and epoch-making technique for small-bowel diseases. The single-balloon enteroscope (SBE) is a new instrument introduced by Olympus. OBJECTIVE: To evaluate a prototype of the SBE. DESIGN: A prospective case series. SETTING: Kyoto Second Red Cross Hospital, between April 2006 and July 2007. PATIENTS: We used the SBE system to perform 37 enteroscopic examinations on 27 patients, including 22 oral and 15 anal approaches. MAIN OUTCOME MEASUREMENTS: The rate of whole small-bowel visualization, mean time necessary for the investigation, discovery rate of lesions, and complications. RESULTS: We observed the entire small intestine in 1 of 8 cases (12.5%) that we examined. The mean (+/-SD) time necessary for the oral approach was 83 +/- 38 minutes and that for the anal approach was 90 +/- 32 minutes. The preparation time was less than 5 minutes in both approaches. Small-intestinal lesions were detected in 11 of the 27 patients (40.7%). Perforation occurred in one case as a complication, but the injury healed without surgical intervention. LIMITATION: This was a single-center study. CONCLUSIONS: Use of the SBE system in the endoscopic study of the small intestine makes it possible to observe the entire small intestine and to diagnose lesions; thus, the SBE system is a useful instrument for small-bowel diseases. However, the rate of whole small-bowel visualization was inferior to the DBE system.
BACKGROUND: Double-balloon enteroscopy (DBE) is a useful and epoch-making technique for small-bowel diseases. The single-balloon enteroscope (SBE) is a new instrument introduced by Olympus. OBJECTIVE: To evaluate a prototype of the SBE. DESIGN: A prospective case series. SETTING: Kyoto Second Red Cross Hospital, between April 2006 and July 2007. PATIENTS: We used the SBE system to perform 37 enteroscopic examinations on 27 patients, including 22 oral and 15 anal approaches. MAIN OUTCOME MEASUREMENTS: The rate of whole small-bowel visualization, mean time necessary for the investigation, discovery rate of lesions, and complications. RESULTS: We observed the entire small intestine in 1 of 8 cases (12.5%) that we examined. The mean (+/-SD) time necessary for the oral approach was 83 +/- 38 minutes and that for the anal approach was 90 +/- 32 minutes. The preparation time was less than 5 minutes in both approaches. Small-intestinal lesions were detected in 11 of the 27 patients (40.7%). Perforation occurred in one case as a complication, but the injury healed without surgical intervention. LIMITATION: This was a single-center study. CONCLUSIONS: Use of the SBE system in the endoscopic study of the small intestine makes it possible to observe the entire small intestine and to diagnose lesions; thus, the SBE system is a useful instrument for small-bowel diseases. However, the rate of whole small-bowel visualization was inferior to the DBE system.
Authors: Douglas Morgan; Bennie Upchurch; Peter Draganov; Kenneth F Binmoeller; Oleh Haluszka; Sreeni Jonnalagadda; Patrick Okolo; Ian Grimm; Joel Judah; Jeff Tokar; Michael Chiorean Journal: Gastrointest Endosc Date: 2010-09-25 Impact factor: 9.427
Authors: Vladimir M Kushnir; Michael Tang; Johnathan Goodwin; Thomas G Hollander; Christine E Hovis; Faris M Murad; Daniel K Mullady; Riad R Azar; Sreenivasa S Jonnalagadda; Dayna S Early; Steven A Edmundowiz; Chien-Huan Chen Journal: Dig Dis Sci Date: 2013-02-22 Impact factor: 3.199
Authors: Ashley H Davis-Yadley; Seth Lipka; Andrea C Rodriguez; Kirbylee K Nelson; Vignesh Doraiswamy; Roshanak Rabbanifard; Ambuj Kumar; Patrick G Brady Journal: Therap Adv Gastroenterol Date: 2016-03 Impact factor: 4.409