Technical modification of the double-balloon endoscopy to access to the proximal side of the stenosis in the distal colon.
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.
Yano
Tomonori
T
Department of Internal Medicine, Division of Gastroenterology, Jichi Medical School, Tochigi, Japan.
Yamamoto
Hironori
H
Kita
Hiroto
H
Sunada
Keijiro
K
Hayashi
Yoshikazu
Y
Sato
Hiroyuki
H
Iwamoto
Michiko
M
Sekine
Yutaka
Y
Miyata
Tomohiko
T
Kuno
Akiko
A
Nishimura
Makoto
M
Ajibe
Hironari
H
Ido
Kenichi
K
Sugano
Kentaro
K
D003108:Colonic Diseases / Q000628:therapy*; D003113:Colonoscopy / Q000379:methods*; D003251:Constriction, Pathologic; D006801:Humans; D007415:Intestinal Obstruction / Q000628:therapy