THE STANDARD TECHNIQUE AND SOLUTIONS FOR DIFFICULT SITUATIONS IN DOUBLE BALLOON ENDOSCOPY

DOI
  • MITSUI Keigo
    Department of Gastroenterology, Nippon Medical School Hospital.
  • TANAKA Shu
    Department of Gastroenterology, Nippon Medical School Tama Nagayama Hospital.
  • KAISE Mitsuru
    Department of Gastroenterology, Nippon Medical School Hospital.
  • TSUKUI Taku
    Department of Gastroenterology, Nippon Medical School Tama Nagayama Hospital.
  • IWAKIRI Katsuhiko
    Department of Gastroenterology, Nippon Medical School Hospital.

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Other Title
  • ダブルバルーン内視鏡の基本手技と困難例への対策

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Abstract

<p>Double balloon endoscopy has been broadly accepted for patients with small bowel disease, patients with surgically altered intestines, and patients in whom conventional colonoscopy was unsuccessful. However, we often encounter difficult situations and incomplete insertion of the double balloon endoscope in cases with abdominal adhesion due to prior laparotomy. Heavy-handed maneuvers of the scope may lead to severe adverse events. On the other hand, several tips and knacks that endoscopists do not know can overcome these difficulties. Here, we describe the essential technique and several tips when difficult situations are encountered during double balloon endoscopy.</p>

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