title: Clinical outcomes of enteroscopy using the double-balloon method for strictures of the small intestine.
abstract: OBJECTIVE
  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.
  
  
  CONCLUSIONS
  Double-balloon enteroscopy is a useful method for the diagnosis and treatment of strictures in the small bowel.
authors.affiliation: Department of Internal Medicine, Division of Gastroenterology, Jichi Medical School, Yakushiji, Minamikawachi, Tochigi 329-0498, Japan.
authors.forename: Keijiro
authors.initials: K
authors.lastname: Sunada
authors.forename: Hironori
authors.initials: H
authors.lastname: Yamamoto
authors.forename: Hiroto
authors.initials: H
authors.lastname: Kita
authors.forename: Tomonori
authors.initials: T
authors.lastname: Yano
authors.forename: Hiroyuki
authors.initials: H
authors.lastname: Sato
authors.forename: Yoshikazu
authors.initials: Y
authors.lastname: Hayashi
authors.forename: Tomohiko
authors.initials: T
authors.lastname: Miyata
authors.forename: Yutaka
authors.initials: Y
authors.lastname: Sekine
authors.forename: Akiko
authors.initials: A
authors.lastname: Kuno
authors.forename: Michiko
authors.initials: M
authors.lastname: Iwamoto
authors.forename: Hirohide
authors.initials: H
authors.lastname: Ohnishi
authors.forename: Kenichi
authors.initials: K
authors.lastname: Ido
authors.forename: Kentaro
authors.initials: K
authors.lastname: Sugano
mesh_terms: D000328:Adult; D000368:Aged; D001706:Biopsy; D002404:Catheterization / Q000379:methods*; D003251:Constriction, Pathologic; D016145:Endoscopy, Digestive System; D005260:Female; D006801:Humans; D007415:Intestinal Obstruction / Q000473:pathology* / Q000628:therapy*; D007421:Intestine, Small / Q000473:pathology*; D008297:Male; D008875:Middle Aged; D016896:Treatment Outcome
references.citation: Gastrointest Endosc. 2001 Feb;53(2):216-20
references.pmid: 11174299
references.citation: Gut. 1992 Jul;33(7):887-9
references.pmid: 1644327
references.citation: Endoscopy. 2000 May;32(5):369-72
references.pmid: 10817173
references.citation: Endoscopy. 1995 Feb;27(2):164-70
references.pmid: 7601049
references.citation: Gastroenterol Nurs. 2002 Jan-Feb;25(1):24-7
references.pmid: 11852828
references.citation: J Pediatr Gastroenterol Nutr. 2002 Apr;34(4):333-4
references.pmid: 11981950
references.citation: Gastrointest Endosc. 1998 Jan;47(1):18-22
references.pmid: 9468418
references.citation: Can J Gastroenterol. 2003 Apr;17(4):273-4
references.pmid: 12704472
references.citation: Ir J Med Sci. 2002 Apr-Jun;171(2):79-80
references.pmid: 12173894
references.citation: Endoscopy. 2002 Jul;34(7):543-5
references.pmid: 12170406
references.citation: Gastrointest Endosc. 2002 Nov;56(5):621-4
references.pmid: 12397265
references.citation: Am J Gastroenterol. 2002 Nov;97(11):2776-9
references.pmid: 12425547
references.citation: Med Sci Monit. 2002 Jun;8(6):RA128-32
references.pmid: 12070453
references.citation: Gastroenterology. 2003 Nov;125(5):1556; author reply 1556-7
references.pmid: 14628813
references.citation: Gastroenterology. 2000 Dec;119(6):1431-8
references.pmid: 11113063
references.citation: Endoscopy. 2004 Apr;36(4):344-7
references.pmid: 15057687
references.citation: Gastroenterology. 2002 Oct;123(4):999-1005
references.pmid: 12360460
references.citation: Endoscopy. 2002 Jul;34(7):588-90
references.pmid: 12170417
references.citation: Gastrointest Endosc. 2002 Sep;56(3):349-53
references.pmid: 12196771
references.citation: Nature. 2000 May 25;405(6785):417
references.pmid: 10839527
references.citation: Gastrointest Endosc. 2002 Sep;56(3):452-6
references.pmid: 12196797