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Using the Endoscope for Endobronchial Ultrasound in the Esophagus
Published on: November 21, 2023
New balloon-guided technique for deep small-intestine endoscopy using standard endoscopes
S N Adler1, I Bjarnason, Y C Metzger
1Division of Gastroenterology, Bikur Holim Hospital, Jerusalem, Israel. samadler@inter.net.il
Endoscopy
|June 17, 2008
Summary
Balloon-guided endoscopy (BGE) is a safe new technique for deep small bowel intubation using standard equipment. It offers improved insertion depth compared to push enteroscopy for diagnosing small intestine disorders.
Area of Science:
- Gastroenterology
- Endoscopy
- Small Bowel Imaging
Background:
- Capsule endoscopy allows small bowel visualization but requires further interventions.
- Current enteroscopy methods include push enteroscopy (limited reach), intraoperative enteroscopy (invasive), and double-balloon enteroscopy (effective but costly).
Purpose of the Study:
- To evaluate the safety and efficacy of a novel balloon-guided endoscopy (BGE) technique.
- To assess BGE's feasibility using standard endoscopic equipment for deep small bowel intubation.
Main Methods:
- Twenty patients with small intestine disorders underwent balloon-guided endoscopy (BGE).
- Insertion depth was measured by summing endoscope lengths during push-pull steps, similar to double-balloon enteroscopy.
Main Results:
- Average insertion depth beyond the ligament of Treitz was 1.45 m (range 0.80–2.65 m) in 17 peroral procedures.
- Transanal procedures successfully intubated the terminal ileum.
- Balloon-guided endoscopy (BGE) achieved greater insertion depth than push enteroscopy, with no severe adverse events.
Conclusions:
- Balloon-guided endoscopy (BGE) is a safe method for deep small bowel intubation.
- This technique, using standard endoscopes, surpasses push enteroscopy in insertion depth.
- Further research and technical advancements are expected to enhance BGE's capabilities for deeper intubation.
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