INTRODUCTION: Double-balloon enteroscopy (DBE) is a useful and feasible modality for evaluating small intestinal lesions, even in children. METHODS: DBE makes it possible to perform biopsy, diagnosis, polypectomy and endoscopic therapies including hemostasis, tattooing and clipping of the small intestinal lesions. However, endoscopic procedures in the small intestines of children are more difficult than in adults, because the intestinal wall is thin and the lumen is narrow. A novel hybrid treatment was developed using DBE for small bowel lesions combined with transumbilical minimal incision surgery. CONCLUSION: This hybrid treatment is safe, effective, provides excellent cosmetic results and can be used as an alternative for traditional open laparotomy or endoscopic surgery.
INTRODUCTION: Double-balloon enteroscopy (DBE) is a useful and feasible modality for evaluating small intestinal lesions, even in children. METHODS: DBE makes it possible to perform biopsy, diagnosis, polypectomy and endoscopic therapies including hemostasis, tattooing and clipping of the small intestinal lesions. However, endoscopic procedures in the small intestines of children are more difficult than in adults, because the intestinal wall is thin and the lumen is narrow. A novel hybrid treatment was developed using DBE for small bowel lesions combined with transumbilical minimal incision surgery. CONCLUSION: This hybrid treatment is safe, effective, provides excellent cosmetic results and can be used as an alternative for traditional open laparotomy or endoscopic surgery.
Authors: H Kita; H Yamamoto; T Yano; T Miyata; M Iwamoto; K Sunada; M Arashiro; Y Hayashi; K Ido; K Sugano Journal: Inflammopharmacology Date: 2007-04 Impact factor: 4.473
Authors: Simona Di Caro; Andrea May; Dimitri G N Heine; Lucia Fini; Bruno Landi; Lucio Petruzziello; Christophe Cellier; Chris J Mulder; Guido Costamagna; Christian Ell; Antonio Gasbarrini Journal: Gastrointest Endosc Date: 2005-10 Impact factor: 9.427