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Updated: May 22, 2026
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Murine Endoscopy for In Vivo Multimodal Imaging of Carcinogenesis and Assessment of Intestinal Wound Healing and Inflammation
Published on: August 26, 2014
Double balloon enteroscopy for pediatric inflammatory bowel disease.
Keiichi Uchida1, Shigeyuki Yoshiyama, Mikihiro Inoue
1Department of Gastrointestinal Surgery, Mie University Graduate School of Medicine, Tsu, Mie, Japan. ucchie@clin.medic.mie-u.ac.jp
Summary
Double balloon enteroscopy (DBE) is a safe and effective procedure for diagnosing pediatric inflammatory bowel disease (IBD). This study found DBE useful for accurate diagnosis in children with suspected Crohn's disease (CD).
Area of Science:
- Pediatric Gastroenterology
- Endoscopic Procedures
- Inflammatory Bowel Disease
Background:
- Inflammatory Bowel Disease (IBD) presents diagnostic challenges in pediatric patients.
- Accurate diagnosis is crucial for effective IBD management in children.
Purpose of the Study:
- To evaluate the efficacy and safety of double balloon enteroscopy (DBE) in pediatric patients with IBD.
- To assess DBE's diagnostic yield in children with suspected or established Crohn's disease (CD).
Main Methods:
- Retrospective review of 17 double balloon enteroscopy (DBE) procedures in 12 pediatric patients (ages 3-19) with IBD.
- Procedures included oral, anal, and ileostomal approaches, with evaluation of sedation, efficacy, and safety.
- Patients 15 years or younger received general anesthesia.
Main Results:
- DBE achieved an accurate diagnosis in 88% of suspected Crohn's disease (CD) cases.
- Procedure duration averaged 60 minutes, with acceptable tolerance and uneventful recovery in all patients.
- No serious complications were reported during or after the DBE procedures.
Conclusions:
- Double balloon enteroscopy (DBE) is a safe and effective diagnostic tool for pediatric inflammatory bowel disease (IBD).
- DBE facilitates accurate diagnosis in children with suspected Crohn's disease (CD), supporting its use in this population.
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