Endoscopic Intervention in Inflammatory Bowel Disease
Today, since we have balloon-assisted enteroscope (BAE) for small intestine, it is possible to perform endoscopic treatment for various small-bowel disorders. In this chapter, we describe endoscopic interventions for small-bowel disorders, particularly inflammatory bowel diseases.
Patients with Crohn’s disease sometimes have massive bleeding that requires transfusion or surgery. In cases where the bleeding point can be detected endoscopically, which is relatively rare, endoscopic small-bowel hemostasis is performed using BAE.
BAE enables endoscopic balloon dilation (EBD) to be performed even for deeply situated strictures of the small intestine. EBD is indicated for small-bowel tumors and inflammatory diseases such as Crohn’s disease (CD), NSAID-induced enteropathy, intestinal tuberculosis, and chronic non-specific multiple ulcers of small intestine to avoid surgery. EBD for small-bowel disorders seems to be quite effective according to short-term analysis of many reports.
A well-designed prospective study is necessary to confirm the long-term efficacy and safety of EBD.
KeywordsBalloon-assisted enteroscopy Endoscopic interventions Endoscopic hemostasis Endoscopic mucosal resection Endoscopic balloon dilation
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