Clinical outcomes of enteroscopy using the double-balloon method for strictures of the small intestine

Abstract

Aim: To evaluate the clinical outcome of enteroscopy, using the double-balloon method, focusing on the involvement of neoplasms in strictures of the small intestine. Methods: Enteroscopy, using the double-balloon method, was performed between December 1999 and December 2002 at Jichi Medical School Hospital, Japan and strictures of the small intestine were found in 17 out of 62 patients. These 17 consecutive patients were subjected to analysis. Results: The double-balloon enteroscopy contributed to the diagnosis of small intestinal neoplasms found in 3 out of 17 patients by direct observation of the strictures as well as biopsy sampling. Surgical procedures were chosen for these three patients, while balloon dilation was chosen for the strictures in four patients diagnosed with inflammation without involvement of neoplasm. Conclusion: Double-balloon enteroscopy is a useful method for the diagnosis and treatment of strictures in the small bowel. © 2005 The WJG Press and Elsevier Inc. All rights reserved.