title: Technical modification of the double-balloon endoscopy to access to the proximal side of the stenosis in the distal colon.
abstract: BACKGROUND
  The inability to pass endoscopes beyond strictures is a considerable problem in patients with a colonic stricture.
  
  
  METHODS
  In patients with bowel obstruction, we have modified the insertion method for double-balloon endoscopy with a long, transnasal decompression tube.
  
  
  METHODS
  We have succeeded in reaching the proximal side of the stricture from the oral approach across the entire small bowel in a patient.
  
  
  CONCLUSIONS
  This modified double-balloon enteroscopy is useful for patients with bowel obstruction in whom a long decompression tube is already placed.
authors.affiliation: Department of Internal Medicine, Division of Gastroenterology, Jichi Medical School, Tochigi, Japan.
authors.forename: Tomonori
authors.initials: T
authors.lastname: Yano
authors.forename: Hironori
authors.initials: H
authors.lastname: Yamamoto
authors.forename: Hiroto
authors.initials: H
authors.lastname: Kita
authors.forename: Keijiro
authors.initials: K
authors.lastname: Sunada
authors.forename: Yoshikazu
authors.initials: Y
authors.lastname: Hayashi
authors.forename: Hiroyuki
authors.initials: H
authors.lastname: Sato
authors.forename: Michiko
authors.initials: M
authors.lastname: Iwamoto
authors.forename: Yutaka
authors.initials: Y
authors.lastname: Sekine
authors.forename: Tomohiko
authors.initials: T
authors.lastname: Miyata
authors.forename: Akiko
authors.initials: A
authors.lastname: Kuno
authors.forename: Makoto
authors.initials: M
authors.lastname: Nishimura
authors.forename: Hironari
authors.initials: H
authors.lastname: Ajibe
authors.forename: Kenichi
authors.initials: K
authors.lastname: Ido
authors.forename: Kentaro
authors.initials: K
authors.lastname: Sugano
mesh_terms: D003108:Colonic Diseases / Q000628:therapy*; D003113:Colonoscopy / Q000379:methods*; D003251:Constriction, Pathologic; D006801:Humans; D007415:Intestinal Obstruction / Q000628:therapy