Therapeutic Small Bowel Endoscopy

  • Seong Ran Jeon
  • Jin-Oh KimEmail author


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.


Device-assisted enteroscopy Insertion procedure Therapeutic intervention 



Sung Noh Hong, Department of Internal Medicine, Sungkyunkwan University School of Medicine, Seoul, South Korea.


  1. 1.
    Jeon SR, Kim J-O. Deep enteroscopy: which technique will survive? Clin Endosc. 2013;46(5):480–5.CrossRefGoogle Scholar
  2. 2.
    Yamamoto H. Therapeutic applications of wired enteroscopy: when & how?. 12th Korea-Japan joint symposium on gastrointestinal endoscopy, Korea. Seoul: Korean Society of Gastrointestinal Endoscopy; 2012. p. 112–6.Google Scholar
  3. 3.
    Sreenivasan P, Gross SA. Double balloon enteroscopy. In: Wu GY, Sridhar S, editors. Diagnostic and therapeutic procedures in gastroenterology. Clinical gastroenterology. Totowa, NJ: Humana Press; 2011. Scholar
  4. 4.
    Yano T, et al. Endoscopic classifi cation of vascular lesions of the small intestine (with videos). Gastrointest Endosc. 2008;67(1):169–72.CrossRefGoogle Scholar
  5. 5.
    Sunada K, et al. Advances in the diagnosis and treatment of small bowel lesions with Crohn’s disease using double-balloon endoscopy. Ther Adv Gastroenterol. 2009;2(6):357–66.CrossRefGoogle Scholar

Copyright information

© Springer Nature Singapore Pte Ltd. 2019

Authors and Affiliations

  1. 1.Department of Internal MedicineSoonchunhyang University College of MedicineSeoulSouth Korea

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