Related Experiment Video
Updated: Aug 9, 2026

Endoscopic Vacuum Therapy for the Treatment of Anastomotic Leakage after Total Gastrectomy with Esophagojejunostomy
Published on: August 22, 2025
Therapeutic uses of double-balloon enteroscopy
Simon K Lo1, Shahab Mehdizadeh
1Digestive Disease Center, Cedar-Sinai Medical Center, 8700 Beverly Boulevard, Room 7511, Los Angeles, CA 90048, USA. Simon.lo@cshs.org
Double-balloon enteroscopy is a valuable endoscopic tool for diagnosing and treating small-bowel lesions, offering an alternative to surgery. Overcoming reimbursement challenges is key to its wider adoption and future applications.
Area of Science:
- Gastroenterology
- Minimally Invasive Procedures
Background:
- Double-balloon enteroscopy (DBE) is a specialized endoscopic technique for examining the small intestine.
- Initial skepticism regarding its practicability is giving way to recognition of its therapeutic potential.
Purpose of the Study:
- To highlight the growing importance and future applications of double-balloon enteroscopy.
- To emphasize its role in delivering endoscopic therapies and minimizing surgical interventions.
- To address the challenges hindering its widespread adoption, particularly reimbursement issues.
Main Methods:
- The abstract discusses the clinical utility and procedural requirements of double-balloon enteroscopy.
- It considers the impact of capsule endoscopy on the need for advanced small-bowel interventions.
- Economic factors and healthcare policy implications are examined.
Main Results:
- Double-balloon enteroscopy is poised to become an integral part of gastroenterological practice.
- The technique facilitates endoscopic therapies, reducing the need for invasive surgery.
- Increased detection of small-bowel lesions via capsule endoscopy will drive demand for DBE.
Conclusions:
- Double-balloon enteroscopy offers significant therapeutic advantages for small-bowel conditions.
- Reimbursement hurdles are a major barrier to its acceptance and utilization.
- Collaborative efforts are needed to establish the cost-effectiveness and secure adequate reimbursement for DBE.
Related Concept Videos
Endoscopic Procedures V: ERCP
Patient...
Endoscopic Procedures IV: Sigmoidoscopy and Laproscopy
Sigmoidoscopy
Sigmoidoscopy is a diagnostic procedure that uses a flexible sigmoidoscope equipped with a light source and camera to examine the rectum and sigmoid colon. The procedure involves inserting the tube through the anus...
Endoscopic Procedures I: Esophagogastroduodenoscopy
During an EGD, the endoscope can be used to:
Endoscopic Procedures II: Colonoscopy
Inflammatory Bowel Disease V: Surgical Management
Here are some common surgical interventions for IBD:
Endoscopic Procedures III: Video Capsule Endoscopy
