Novosti
Khirurgii
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Year 2010 Vol. 18 No 4

GENERAL AND SPECIAL SURGERY

A.V. VOROBEY, YU.N. ORLOVSKY, N.A. LAGODICH, M.G. IVASHKO

THE EXPERIENCE OF DOUBLE BALLOON ENTEROSCOPY AT THE SMALL INTESTINE AND PANCREATOBILIARY ZONE PATHOLOGY


Objectives. To inform about the results of both diagnostic and therapeutic double balloon enteroscopy (DBE) in the patients suspected to have the small intestine pathology of various etiology as well as at the disorders of the pancreatobiliary zone after previously performed reconstructive surgeries on the biliary ducts.
Methods. Double balloon enteroscopy was carried out in 39 patients (45 investigations) in order to diagnose the small intestine and hepaticojejunostomy strictures pathology after reconstructive surgeries on the biliary ducts.
Results. The source of the intestinal hemorrhage was revealed in 9 patients, arteriovenous malformations in 8, epithelial growths of the small intestine in 3, Crohn disease of the small intestine in 2. The Roux loop and hepaticojejunostomy zone examination was successful in 17 patients. The hepaticojejunostomy zone was visualized in 8 patients (47%): in 3 cases anastomosis functioned adequately, in 5 patients the stricture was confirmed. DBE-cholangiography was performed in 4 patients.
Conclusions. The DBE application experience shows that inaccessible parts of the gastrointestinal tract have become available for diagnostics and possibility for performing not only morphological verification of a diagnosis but also for the number of therapeutic endoscopic procedures.

Keywords: double balloon enteroscopy, intestinal hemorrhage, small intestine growths, hepaticojejunostomy, stricture
p. 31-40 of the original issue
References
  1. Hiratsuka, H. Endoscopic diagnosis in the small intestine / H. Hiratsuka // Stomach. Intestinal. 1972. Vol. 7. P. 1679-1685.
  2. , . . / . . // . . . 2007. . 3, 59. . 120-123.
  3. Mulder, C. J. History and development of double balloon endoscopy / C. J. Mulder // Atlas of double balloon endoscopy / Ed. G. H. Medconnect Munich. Germany, 2007.
  4. Sugano, K. Double balloon endoscopy: Theory and Practice / K. Sugano, H. Yamamoto, H. Kita. Springer, 2006. . 9-11.
  5. Yamamoto, H. A new method of enteroscopy the double balloon method / H. Yamamoto, K. Sugano // Can. J. Gastroenterol. 2003. Vol. 17, N 4. P. 273-274.
  6. A facilitated method for endoscopic interventions at the bile duct after Roux-en-Y reconstruction using double balloon enteroscopy / M. Fahndrich [et al.] // Z. Gastroenterol. 2008. Vol. 46, N 4. P. 335-338.
  7. ERCP with balloon-assisted enteroscopy technique: A systematic review / J. J. Koornstra [et al.] // Dig. Dis. 2008. 26. P. 324-329.
  8. Use of double-balloon enteroscopy to perform PEG in the excluded stomach after Roux-en-Y gastric bypass / A. S. Ross [et al.] // Gastrointest. Endosc. 2006. Vol. 64, N 5. P. 797-800.
  9. A case of successful enteroscopic balloon dilation for late anastomotic stricture of choledochojejunostomy after living donor liver transplantation / H. Haruta [et al.] // Liver Transpl. 2005. 11. . 1608-1610.
  10. What is the learning curve associated with double-balloon enteroscopy? Technical details and early experience in 6 U.S. tertiary care centers / S. Mehdizadeh [et al.] // Gastrointest. Endosc. 2006. N 64. P. 740-750.
  11. Emmett, D. S. Double-balloon ERCP in patients who have undergone Roux-en-Y surgery: a case series / D. S. Emmett, D. B.Mallat // Gastrointest. Endosc. 2007. N 66. P. 1038-1041.
  12. The use of the double-balloon enteroscope for endoscopic retrograde cholangiopancreatography and biliary stent placement after Roux-en-Y hepaticojejunostomy / T. G. Moreels [et al.] // Endoscopy. 2007. Vol. 39. Suppl. 1. E. 196-197.
  13. Treatment of choledocholithiasis following Roux-en-Y hepaticojejunostomy using double-balloon endoscopy / T. W. Spahn [et al.] // Digestion. 2007. N 75. P. 20-21.
  14. Double-balloon 1. enteroscopy for endoscopic retrograde cholangiography in patients with a Roux-en-Y anastomosis / L. Aabakken [et al.] // Endoscopy. 2007. N 39. . 1068-1071.
  15. Therapeutic ERCP with the double-balloon enteroscope in patients with Roux-en-Y anastomosis / K. Mnkemuller [et al.] // Gastrointest. Endosc. 2008. N 67. P. 992-996.
  16. Koornstra, J. J. Double balloon enteroscopy for endoscopic retrograde cholangiopancreaticography after Roux-en-Y reconstruction: case series and review of the literature / J. J. Koornstra // Neth. J. Med. 2008. N 66. P. 275-279.
  17. Double-balloon enteroscopy application in biliary tract disease its therapeutic and diagnosis function / Y. C. Chu [et al.] // Gastrointest. Endosc. 2008. Vol. 68, N 3. P. 585-591.
  18. Double balloon enteroscopy: a useful tool for diagnostic and therapeutic procedures in the pancreaticobilliary system / C. Maaser [et al.] // Am. J. Gastroenterol. 2008. Vol. 103, N 12. P. 3218-3219.
  19. Efficacy of novel single balloon enteroscopy for the small intestine / T. Nakahara [et al.] // Gut. 2007. Vol. 3. N 56. P. 383.
  20. Yokoyama, K. Clinical usefulness and safety of a new model single-balloon enteroscope (SIF-Q260) for the diagnosis and treatment of small intestinal diseases / K. Yokoyama [et al.] // Gut. 2007. Vol. 3, N 56. P. 384.
  21. , . . : . . . / . . . ., 1998.
  22. Swain, P. Role of video endoscopy on managing small bowel disease / P. Swain, A. Fritscher-Ravens // Enteroscopy. 2004. N 53. P. 1866-1875.
  23. / . . [ .] // . . 2009. . 2. 19. . 18-28.
  24. Rey, J. Single balloon enteroscopy: a new technology / J. Rey, K. Kuznetsov // Gut. 2007. Vol. 3, N 56. P. 383-384.
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