Clinical outcomes of enteroscopy using the double-balloon method for strictures of the small intestine.
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.
Sunada
Keijiro
K
Department of Internal Medicine, Division of Gastroenterology, Jichi Medical School, Yakushiji, Minamikawachi, Tochigi 329-0498, Japan.
Yamamoto
Hironori
H
Kita
Hiroto
H
Yano
Tomonori
T
Sato
Hiroyuki
H
Hayashi
Yoshikazu
Y
Miyata
Tomohiko
T
Sekine
Yutaka
Y
Kuno
Akiko
A
Iwamoto
Michiko
M
Ohnishi
Hirohide
H
Ido
Kenichi
K
Sugano
Kentaro
K
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
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