title: [Double-balloon enteroscopy in children: indications, safety, and efficacy].
abstract: BACKGROUND
  Double-balloon enteroscopy is a technique that utilises an endoscope equipped with an overtube to inspect the entire small bowel. Diagnostic and therapeutic procedures can be performed during this type of endoscopy. So far, the use of this technique in children has been limited. In this article, we present a case illustrating the indication, efficacy and safety of this technique in the paediatric setting.
  
  
  METHODS
  In a 17-year-old girl with chronic abdominal pain and iron deficiency anaemia, neither gastroduodenoscopy nor ileocolonoscopy revealed any abnormality. Video capsule endoscopy revealed a few suspicious erosive lesions and ulcerations, presumed to be located in the ileum. A double-balloon enteroscopy was then performed during which an ulcer was seen on a small-bowel stenosis; this was consistent with the diagnosis of Crohn's disease. The symptoms diminished after treatment with budesonide and azathioprine was initiated.
  
  
  CONCLUSIONS
  Double-balloon enteroscopy also appears to be an effective and safe method of diagnosing and performing therapeutic interventions in paediatric small bowel pathology.
authors.affiliation: VU medisch centrum, Afd. Kindermaag-darm-leverziekten, Amsterdam, the Netherlands. t.demeij@vumc.nl
authors.forename: Tim G J
authors.initials: TG
authors.lastname: de Meij
authors.forename: C M Frank
authors.initials: CM
authors.lastname: Kneepkens
authors.forename: Maarten  A
authors.initials: M
authors.lastname: Jacobs
mesh_terms: D015746:Abdominal Pain / Q000175:diagnosis* / Q000209:etiology; D000293:Adolescent; D018798:Anemia, Iron-Deficiency / Q000175:diagnosis* / Q000209:etiology; D003424:Crohn Disease / Q000150:complications / Q000175:diagnosis*; D003937:Diagnosis, Differential; D058582:Double-Balloon Enteroscopy / Q000009:adverse effects / Q000379:methods*; D005260:Female; D005767:Gastrointestinal Diseases / Q000175:diagnosis; D006471:Gastrointestinal Hemorrhage / Q000175:diagnosis / Q000209:etiology; D006801:Humans