Double Balloon Enteroscopy

Double Balloon Enteroscopy

DBE is an endoscopy procedure used to detect and treat pathological conditions of the small intestine. It can be done orally (through the mouth) or through the anal canal (rectum) (anus).

The DBE tool has a total length of 230 cm and a working length of 200 cm. The length of the second tube (outer tube) placed on it is approximately 145 cm. There is an inflatable function balloon at the tip. In addition, an inflatable balloon is attached to the end of the endoscope and a total of 2 balloons are processed. These two balloons are attached to a device that can be inflated with a thin tube. Sometimes the balloons are inflated together (during the retraction process) and sometimes separately, and the process is performed using push-pull techniques.

Double balloon enteroscopy procedure usually takes one to one and a half hours. After the procedure, patients usually come to themselves within an hour. If the patient does not have any side effects, they are discharged from the hospital within 1-2 hours.

How is the Preparation for Double Balloon Enteroscopy?

Approximately 8-10 hours of fasting is sufficient for the procedure to be performed orally. In the anal examination, bowel preparation should be done exactly as in colonoscopy.

Who should have DBE ?

  • Investigation of unexplained gastrointestinal bleeding
  • Small intestine polyps and can be removed endoscopically
  • removal of tumors
  • Polyposis syndromes
  • Crohn’s patients with possible small bowel involvement
  • Lesions detected in small intestines in capsule endoscopy
  • identification or treatment
  • The lesions detected in the small intestines in radiological examinations
  • evaluation of
  • Crohn’s disease, surgery or drug-induced (NSAID) stenosis, or
  • dilation of stenoses, stent placement
  • Removal of foreign bodies in the small intestine (such as a capsule)
  • Meckel’s diverticulum
  • Marking a lesion in the small intestine prior to surgery
  • Unexplained chronic abdominal pain
  • Unexplained iron deficiencies
  • Chronic diarrhea
  • Gluten patients whose complaints continue despite gluten-free diet
  • Especially in patients with liver-biliary tract and pancreas ERCP
  • diagnosis and application of treatments
  • Intrahepatic bile ducts with liver transplantation or
  • Treatment of hepatico-jejunostomy strictures
  • Anatomical in the gastrointestinal system due to bariatric surgery
  • endoscopic diagnosis and treatment procedures due to changes
  • Patients who cannot have a complete colonoscopy

Who should not have DBE

  • Morbid obese
  • Pregnancy
  • Those with serious cardiac and respiratory system diseases
  • Those with a large number of small bowel adhesions (adhesions)
  • Taking anticoagulant medications and cannot be stopped

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