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Treatment of small-bowel diaphragm disease by using double-balloon enteroscopy
Shahab Mehdizadeh1, Simon K Lo
1Department of Gastroenterology, Cedars-Sinai Medical Center, UCLA School of Medicine, Los Angeles, California, USA.
Background:
Double-balloon enteroscopy is a new technique that allows endoscopic therapy throughout the entire length of the small bowel. Diaphragm disease, characterized by thin septa that narrow the small-bowel lumen, is traditionally treated surgically by segmental resection.
Objective:
To report successful endoscopic treatment of diaphragm disease by double-balloon enteroscopy.
Patients:
Three patients.
Design:
Case report.
Interventions:
Double-balloon enteroscopy and stricture balloon dilation.
Results:
We report, for the first time, 3 cases in which diaphragm strictures were successfully treated during double-balloon enteroscopy. In 2 cases, a retained capsule endoscope was removed by the retrograde approach after stricture dilation.
Limitations:
Small number of patients and brief length of patient follow up.
Conclusion:
Double-balloon enteroscopy may be used to treat patients with diaphragm disease, thus avoiding potentially complicated surgery.
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