Therapeutic Small Bowel Endoscopy
The advent of device-assisted enteroscopy (DAE) has dramatically changed diagnostic and therapeutic approaches to small bowel diseases. At first, indication of DAE was focused on the diagnosis of obscure gastrointestinal bleeding. Therapeutic application of DAE confined to bleeding control. Now, DAE provides various therapeutic procedures such as polypectomy, stricture dilation, stenting, foreign body removal, and endoscopic retrograde cholangiopancreatography in patients with postsurgical altered anatomy. Therapeutic yield was comparable for double- and single-balloon enteroscopy and spiral enteroscopy. Major complications are pancreatitis and perforation. The overall complication rate of DAE is low and acceptable. This chapter aims to describe the DAE procedure and therapeutic intervention.
KeywordsDevice-assisted enteroscopy Insertion procedure Therapeutic intervention
Sung Noh Hong, Department of Internal Medicine, Sungkyunkwan University School of Medicine, Seoul, South Korea.
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