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Treatment of small-bowel diaphragm disease by using double-balloon enteroscopy

2006; Elsevier BV; Volume: 64; Issue: 6 Linguagem: Inglês

10.1016/j.gie.2006.05.026

1097-6779

Shahab Mehdizadeh, Simon K. Lo,

Gastrointestinal Tumor Research and Treatment

Background Double-balloon enteroscopy is a new technique that allows endoscopic therapy throughout the entire length of the small bowel. Diaphragm disease, characterized by thin septa that narrow the small-bowel lumen, is traditionally treated surgically by segmental resection. Objective To report successful endoscopic treatment of diaphragm disease by double-balloon enteroscopy. Patients Three patients. Design Case report. Interventions Double-balloon enteroscopy and stricture balloon dilation. Results We report, for the first time, 3 cases in which diaphragm strictures were successfully treated during double-balloon enteroscopy. In 2 cases, a retained capsule endoscope was removed by the retrograde approach after stricture dilation. Limitations Small number of patients and brief length of patient follow up. Conclusion Double-balloon enteroscopy may be used to treat patients with diaphragm disease, thus avoiding potentially complicated surgery. Double-balloon enteroscopy is a new technique that allows endoscopic therapy throughout the entire length of the small bowel. Diaphragm disease, characterized by thin septa that narrow the small-bowel lumen, is traditionally treated surgically by segmental resection. To report successful endoscopic treatment of diaphragm disease by double-balloon enteroscopy. Three patients. Case report. Double-balloon enteroscopy and stricture balloon dilation. We report, for the first time, 3 cases in which diaphragm strictures were successfully treated during double-balloon enteroscopy. In 2 cases, a retained capsule endoscope was removed by the retrograde approach after stricture dilation. Small number of patients and brief length of patient follow up. Double-balloon enteroscopy may be used to treat patients with diaphragm disease, thus avoiding potentially complicated surgery.