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Current status of single-balloon enteroscopy: Insertability and clinical applications
Takuji Kawamura1, Koji Uno1, Kiyohito Tanaka1
1Takuji Kawamura, Koji Uno, Kiyohito Tanaka, Kenjiro Yasuda, Department of Gastroenterology, Kyoto Second Red Cross Hospital, Kyoto 602-8026, Japan.
World Journal of Gastrointestinal Endoscopy
|January 23, 2015
Summary
Single-balloon enteroscopy (SBE) offers a simpler alternative to double-balloon enteroscopy (DBE) for deep insertion. This review details techniques to enhance SBE
Area of Science:
- Gastroenterology and Endoscopy
- Minimally Invasive Procedures
Background:
- Single-balloon enteroscopy (SBE) was introduced in 2007 as a potentially simpler enteroscopy method compared to double-balloon enteroscopy (DBE).
- Debate exists regarding the comparative insertability and diagnostic yield of SBE versus DBE.
- Advancements in techniques and accessories aim to overcome limitations in SBE's insertion depth.
Purpose of the Study:
- To review the current literature on the insertability of single-balloon enteroscopy (SBE).
- To describe technical aspects that improve deep insertion rates during SBE procedures.
- To outline the expanding applications of SBE beyond small bowel investigations.
Main Methods:
- Comprehensive literature review of studies on single-balloon enteroscopy.
- Analysis of technical modifications and accessory use to enhance SBE insertion depth.
- Summary of clinical applications of SBE in various gastrointestinal and pancreatobiliary conditions.
Main Results:
- Various techniques and accessories have been developed to improve the depth of insertion achievable with SBE.
- SBE demonstrates utility not only for small bowel diseases but also for pancreatobiliary and colonic evaluations.
- Evidence suggests SBE is a valuable tool for modern endoscopic practice.
Conclusions:
- Single-balloon enteroscopy (SBE) is a significant advancement in endoscopic procedures.
- Technical refinements are crucial for maximizing SBE's deep insertion capabilities.
- The application scope of SBE continues to broaden, encompassing diverse clinical scenarios.
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