Year 2020 / Volume 112 / Number 4
Special Article
Small bowel enteroscopy – A joint clinical guideline by the Spanish and Portuguese small-bowel study groups

309-318

DOI: 10.17235/reed.2020.7020/2020

Enrique Pérez-Cuadrado Robles, Rolando Pinho, Begoña González-Suárez, Susana Mão-de-Ferro, Cristina Chagas, Pilar Esteban Delgado, Cristina Carretero, Pedro Figueiredo, Bruno Rosa, Javier García-Lledó, Óscar Nogales, Ana Ponte, Patrícia Andrade, José Francisco Juanmartiñena-Fernández, Mileidis San-Juan-Acosta, Sandra Lopes, César Prieto-Frías, Juan Egea Valenzuela, Noemí Caballero, Eduardo Valdivieso-Cortázar, Helder Cardoso, Consuelo Gálvez, Nuno Almeida, Pilar Borque Barrera, Blas José Gómez Rodríguez, Francisco Luis Sánchez Ceballos, Carlos Bernardes, Pedro A. Alonso-Aguirre, Federico Argüelles Arias, Miguel Mascarenhas Saraiva, Enrique Pérez-Cuadrado Martínez, Enrique Pérez-Cuadrado-Robles on behalf of Capsule Endoscopy and Enteroscopy Group of the Spanish Society of Gastrointestinal Endoscopy *, Rolando Pinho on behalf of Portuguese Small Bowel Study Group (GEPID)**,

* Capsule Endoscopy and Enteroscopy Group of the Spanish Society of Gastrointestinal Endoscopy : Enrique Pérez-Cuadrado-Robles
** Portuguese Small Bowel Study Group (GEPID): Rolando Pinho

Abstract
The present evidence-based guidelines are focused on the use of device-assisted enteroscopy in the management of small-bowel diseases. A panel of experts selected by the Spanish and Portuguese small-bowel study groups reviewed the available evidence focusing on the main indications of this technique, its role in the management algorithm of each indication, and its diagnostic and therapeutic yield. A set of recommendations was issued accordingly.
Share Button
New comment
Comments
No comments for this article
References
1. Pennazio M, Spada C, Eliakim R et al. Small-bowel capsule endoscopy and device-assisted enteroscopy for diagnosis and treatment of small-bowel disorders: European Society of Gastrointestinal Endoscopy (ESGE) Clinical Guideline. Endoscopy 2015; 47: 352-386
2. Teshima CW, Kuipers EJ, van Zanten SV et al. Double balloon enteroscopy and capsule endoscopy for obscure gastrointestinal bleeding: an updated meta-analysis. Journal of gastroenterology and hepatology 2011; 26: 796-801
3. Perez-Cuadrado-Robles E, Perez-Cuadrado-Martinez E. The Role of Emergency Endoscopy in Small Bowel Bleeding: A Review. GE Port J Gastroenterol 2016; 23: 84-90
4. Pattni V, Tate DJ, Terlevich A et al. Device-assisted enteroscopy in the UK: description of a large tertiary case series under conscious sedation. Frontline Gastroenterol 2018; 9: 122-128
5. Hashimoto R, Matsuda T, Nakahori M. False-negative double-balloon enteroscopy in overt small bowel bleeding: long-term follow-up after negative results. Surg Endosc 2019; 33: 2635-2641
6. Akarsu M, Akkaya Ozdinc S, Celtik A et al. Diagnostic and therapeutic efficacy of double-balloon endoscopy in patients with small intestinal diseases: single-center experience in 513 procedures. Turk J Gastroenterol 2014; 25: 374-380
7. Khashab MA, Lennon AM, Dunbar KB et al. A comparative evaluation of single-balloon enteroscopy and spiral enteroscopy for patients with mid-gut disorders. Gastrointestinal endoscopy 2010; 72: 766-772
8. Arakawa D, Ohmiya N, Nakamura M et al. Outcome after enteroscopy for patients with obscure GI bleeding: diagnostic comparison between double-balloon endoscopy and videocapsule endoscopy. Gastrointestinal endoscopy 2009; 69: 866-874
9. Perez-Cuadrado-Robles E, Esteban-Delgado P, Martinez-Andres B et al. [Diagnosis agreement between capsule endoscopy and double-balloon enteroscopy in obscure gastrointestinal bleeding at a referral center]. Revista espanola de enfermedades digestivas : organo oficial de la Sociedad Espanola de Patologia Digestiva 2015; 107: 495-500
10. Ohmiya N, Yano T, Yamamoto H et al. Diagnosis and treatment of obscure GI bleeding at double balloon endoscopy. Gastrointestinal endoscopy 2007; 66: S72-77
11. Xin L, Liao Z, Jiang YP et al. Indications, detectability, positive findings, total enteroscopy, and complications of diagnostic double-balloon endoscopy: a systematic review of data over the first decade of use. Gastrointestinal endoscopy 2011; 74: 563-570
12. Liu Y, Jiang W, Chen G et al. Diagnostic Value and Safety of Emergency Single-Balloon Enteroscopy for Obscure Gastrointestinal Bleeding. Gastroenterol Res Pract 2019; 2019: 9026278
13. Monkemuller K, Neumann H, Meyer F et al. A retrospective analysis of emergency double-balloon enteroscopy for small-bowel bleeding. Endoscopy 2009; 41: 715-717
14. Rodrigues JP, Pinho R, Rodrigues A et al. Diagnostic and therapeutic yields of urgent balloon-assisted enteroscopy in overt obscure gastrointestinal bleeding. European journal of gastroenterology & hepatology 2018; 30: 1304-1308
15. Aniwan S, Viriyautsahakul V, Rerknimitr R et al. Urgent double balloon endoscopy provides higher yields than non-urgent double balloon endoscopy in overt obscure gastrointestinal bleeding. Endosc Int Open 2014; 2: E90-95
16. Tu CH, Kao JY, Tseng PH et al. Early timing of single balloon enteroscopy is associated with increased diagnostic yield in patients with overt small bowel bleeding. J Formos Med Assoc 2019; 118: 1644-1651
17. Perez-Cuadrado Robles E, Bebia Conesa P, Esteban Delgado P et al. Emergency double-balloon enteroscopy combined with real-time viewing of capsule endoscopy: a feasible combined approach in acute overt-obscure gastrointestinal bleeding? Digestive endoscopy : official journal of the Japan Gastroenterological Endoscopy Society 2015; 27: 338-344
18. Edwards AL, Monkemuller K, Pamboukian SV et al. Utility of double-balloon enteroscopy in patients with left ventricular assist devices and obscure overt gastrointestinal bleeding. Endoscopy 2014; 46: 986-991
19. Lin WP, Chiu CT, Su MY et al. Treatment decision for potential bleeders in obscure gastrointestinal bleeding during double-balloon enteroscopy. Digestive diseases and sciences 2009; 54: 2192-2197
20. Kaffes AJ, Siah C, Koo JH. Clinical outcomes after double-balloon enteroscopy in patients with obscure GI bleeding and a positive capsule endoscopy. Gastrointestinal endoscopy 2007; 66: 304-309
21. Hsu CM, Chiu CT, Su MY et al. The outcome assessment of double-balloon enteroscopy for diagnosing and managing patients with obscure gastrointestinal bleeding. Digestive diseases and sciences 2007; 52: 162-166
22. Lipka S, Rabbanifard R, Kumar A et al. A single-center United States experience with bleeding Dieulafoy lesions of the small bowel: diagnosis and treatment with single-balloon enteroscopy. Endosc Int Open 2015; 3: E339-345
23. Chen YY, Chiu CT, Hsu CM et al. Enteroscopic Diagnosis and Management of Small Bowel Diverticular Hemorrhage: A Multicenter Report from the Taiwan Association for the Study of Small Intestinal Diseases. Gastroenterol Res Pract 2015; 2015: 564536
24. Pinto-Pais T, Pinho R, Rodrigues A et al. Emergency single-balloon enteroscopy in overt obscure gastrointestinal bleeding: Efficacy and safety. United European Gastroenterol J 2014; 2: 490-496
25. Nelson KK, Lipka S, Davis-Yadley AH et al. Timing of single balloon enteroscopy: significant or not? Endosc Int Open 2016; 4: E761-766
26. Aniwan S, Viriyautsahakul V, Angsuwatcharakon P et al. Comparison of urgent video capsule endoscopy and urgent double-balloon endoscopy in massive obscure gastrointestinal bleeding. Hepatogastroenterology 2014; 61: 1990-1994
27. Shinozaki S, Yamamoto H, Yano T et al. Favorable long-term outcomes of repeat endotherapy for small-intestine vascular lesions by double-balloon endoscopy. Gastrointestinal endoscopy 2014; 80: 112-117
28. Madisch A, Schmolders J, Bruckner S et al. Less favorable clinical outcome after diagnostic and interventional double balloon enteroscopy in patients with suspected small-bowel bleeding? Endoscopy 2008; 40: 731-734
29. Tanaka S, Mitsui K, Tatsuguchi A et al. Current status of double balloon endoscopy--indications, insertion route, sedation, complications, technical matters. Gastrointestinal endoscopy 2007; 66: S30-33
30. Hashimoto R, Nakahori M, Matsuda T. Impact of Urgent Double-Balloon Enteroscopy on the Short-Term and Long-Term Outcomes in Overt Small Bowel Bleeding. Digestive diseases and sciences 2019; 64: 2933-2938
31. Hermans C, Stronkhorst A, Tjhie-Wensing A et al. Double-Balloon Endoscopy in Overt and Occult Small Bowel Bleeding: Results, Complications, and Correlation with Prior Videocapsule Endoscopy in a Tertiary Referral Center. Clin Endosc 2017; 50: 69-75
32. Nakamura M, Ohmiya N, Shirai O et al. Route selection for double-balloon endoscopy, based on capsule transit time, in obscure gastrointestinal bleeding. J Gastroenterol 2010; 45: 592-599
33. Gerson LB, Batenic MA, Newsom SL et al. Long-term outcomes after double-balloon enteroscopy for obscure gastrointestinal bleeding. Clinical gastroenterology and hepatology : the official clinical practice journal of the American Gastroenterological Association 2009; 7: 664-669
34. Moran RA, Barola S, Law JK et al. A Randomized Controlled Trial Comparing the Depth of Maximal Insertion Between Anterograde Single-Balloon Versus Spiral Enteroscopy. Clin Med Insights Gastroenterol 2018; 11: 1179552218754881
35. Shinozaki S, Yano T, Sakamoto H et al. Long-Term Outcomes in Patients with Overt Obscure Gastrointestinal Bleeding After Negative Double-Balloon Endoscopy. Digestive diseases and sciences 2015; 60: 3691-3696
36. Sun B, Rajan E, Cheng S et al. Diagnostic yield and therapeutic impact of double-balloon enteroscopy in a large cohort of patients with obscure gastrointestinal bleeding. The American journal of gastroenterology 2006; 101: 2011-2015
37. Kaffes AJ, Koo JH, Meredith C. Double-balloon enteroscopy in the diagnosis and the management of small-bowel diseases: an initial experience in 40 patients. Gastrointestinal endoscopy 2006; 63: 81-86
38. Zhu CN, Friedland J, Yan B et al. Presence of Melena in Obscure Gastrointestinal Bleeding Predicts Bleeding in the Proximal Small Intestine. Digestive diseases and sciences 2018; 63: 1280-1285
39. Shelnut DJ, Sims OT, Zaibaq JN et al. Predictors for outcomes and readmission rates following double balloon enteroscopy: a tertiary care experience. Endosc Int Open 2018; 6: E751-e757
40. Prachayakul V, Deesomsak M, Aswakul P et al. The utility of single-balloon enteroscopy for the diagnosis and management of small bowel disorders according to their clinical manifestations: a retrospective review. BMC gastroenterology 2013; 13: 103
41. Pinho R, Ponte A, Rodrigues A et al. Long-term rebleeding risk following endoscopic therapy of small-bowel vascular lesions with device-assisted enteroscopy. European journal of gastroenterology & hepatology 2016; 28: 479-485
42. Santhakumar C, Liu K. Evaluation and outcomes of patients with obscure gastrointestinal bleeding. World J Gastrointest Pathophysiol 2014; 5: 479-486
43. Sidhu R, McAlindon ME, Drew K et al. Evaluating the role of small-bowel endoscopy in clinical practice: the largest single-centre experience. European journal of gastroenterology & hepatology 2012; 24: 513-519
44. Moschler O, May A, Muller MK et al. Complications in and performance of double-balloon enteroscopy (DBE): results from a large prospective DBE database in Germany. Endoscopy 2011; 43: 484-489
45. Barreto-Zuniga R, Tellez-Avila FI, Chavez-Tapia NC et al. Diagnostic yield, therapeutic impact, and complications of double-balloon enteroscopy in patients with small-bowel pathology. Surg Endosc 2008; 22: 1223-1226
46. Manabe N, Tanaka S, Fukumoto A et al. Double-balloon enteroscopy in patients with GI bleeding of obscure origin. Gastrointestinal endoscopy 2006; 64: 135-140
47. Hadithi M, Heine GD, Jacobs MA et al. A prospective study comparing video capsule endoscopy with double-balloon enteroscopy in patients with obscure gastrointestinal bleeding. The American journal of gastroenterology 2006; 101: 52-57
48. Pasha SF, Leighton JA, Das A et al. Double-balloon enteroscopy and capsule endoscopy have comparable diagnostic yield in small-bowel disease: a meta-analysis. Clinical gastroenterology and hepatology : the official clinical practice journal of the American Gastroenterological Association 2008; 6: 671-676
49. Tee HP, Kaffes AJ. Non-small-bowel lesions encountered during double-balloon enteroscopy performed for obscure gastrointestinal bleeding. World journal of gastroenterology : WJG 2010; 16: 1885-1889
50. Chettiar R, Selby WS, Kaffes AJ. Antegrade double balloon enteroscopy for continued obscure gastrointestinal bleeding following push enteroscopy: is there a role? Digestive diseases and sciences 2010; 55: 1381-1384
51. Jeon SR, Byeon JS, Jang HJ et al. Clinical outcome after enteroscopy for small bowel angioectasia bleeding: A Korean Associateion for the Study of Intestinal Disease (KASID) multiceter study. Journal of gastroenterology and hepatology 2017; 32: 388-394
52. Lara LF, Bloomfeld RS, Pineau BC. The rate of lesions found within reach of esophagogastroduodenoscopy during push enteroscopy depends on the type of obscure gastrointestinal bleeding. Endoscopy 2005; 37: 745-750
53. Ponte A, Perez-Cuadrado Robles E, Pinho R et al. High short-term rebleeding rate in patients undergoing a second endoscopic therapy for small-bowel angioectasias after recurrent bleeding. Revista espanola de enfermedades digestivas : organo oficial de la Sociedad Espanola de Patologia Digestiva 2018; 110: 88-93
54. Vakil N, Huilgol V, Khan I. Effect of push enteroscopy on transfusion requirements and quality of life in patients with unexplained gastrointestinal bleeding. The American journal of gastroenterology 1997; 92: 425-428
55. Williamson JB, Judah JR, Gaidos JK et al. Prospective evaluation of the long-term outcomes after deep small-bowel spiral enteroscopy in patients with obscure GI bleeding. Gastrointestinal endoscopy 2012; 76: 771-778
56. Jackson CS GL. Management of gastrointestinal angiodysplastic lesions (GIADs): a systematic review and meta-analysis. The American journal of gastroenterology 2014; 109: 474-483
57. Romagnuolo J, Brock AS, Ranney N. Is Endoscopic Therapy Effective for Angioectasia in Obscure Gastrointestinal Bleeding?: A Systematic Review of the Literature. Journal of clinical gastroenterology 2015; 49: 823-830
58. Yamamoto H, Ogata H, Matsumoto T et al. Clinical Practice Guideline for Enteroscopy. Digestive endoscopy : official journal of the Japan Gastroenterological Endoscopy Society 2017; 29: 519-546
59. Pinho R, Mascarenhas-Saraiva M, Mao-de-Ferro S et al. Multicenter survey on the use of device-assisted enteroscopy in Portugal. United European gastroenterology journal 2016; 4: 264-274
60. May A, Friesing-Sosnik T, Manner H et al. Long-term outcome after argon plasma coagulation of small-bowel lesions using double-balloon enteroscopy in patients with mid-gastrointestinal bleeding. Endoscopy 2011; 43: 759-765
61. Dulic-Lakovic E, Dulic M, Hubner D et al. Bleeding Dieulafoy lesions of the small bowel: a systematic study on the epidemiology and efficacy of enteroscopic treatment. Gastrointestinal endoscopy 2011; 74: 573-580
62. Pérez-Cuadrado-Robles E PG, Moreels TG, Zamora-Nava LE, Blanco Velasco G, Esteban Delgado P, Samaha E, Hernández-Mondragón OV, Rahmi G, Cellier C. A comprehensive systematic review and meta-analysis of risk factors for rebleeding following device-assisted enteroscopy therapy of small-bowel vascular lesions. Revista espanola de enfermedades digestivas : organo oficial de la Sociedad Espanola de Patologia Digestiva 2020; In press:
63. Otani K, Watanabe T, Shimada S et al. Clinical Utility of Capsule Endoscopy and Double-Balloon Enteroscopy in the Management of Obscure Gastrointestinal Bleeding. Digestion 2018; 97: 52-58
64. Holleran G, Valerii G, Tortora A et al. The use of single balloon enteroscopy in Crohn's disease and its impact on clinical outcome. Scand J Gastroenterol 2018; 53: 925-929
65. Yen HH, Chang CW, Chou JW et al. Balloon-Assisted Enteroscopy and Capsule Endoscopy in Suspected Small Bowel Crohn's Disease. Clin Endosc 2017; 50: 417-423
66. Takenaka K, Ohtsuka K, Kitazume Y et al. Comparison of magnetic resonance and balloon enteroscopic examination of the small intestine in patients with Crohn's disease. Gastroenterology 2014; 147: 334-342.e333
67. Navaneethan U LV, Njei B, Shen B. Endoscopic balloon dilation in the management of strictures in Crohn's disease: a systematic review and meta-analysis of non-randomized trials. Surg Endosc 2016; 30: 5434-5443
68. Lopes S R-PE, Andrade P, Afonso J, Baron TH, Magro F, Macedo G. Endoscopic balloon dilation of Crohn's disease strictures-safety, efficacy and clinical impact. World journal of gastroenterology : WJG 2017; 23: 7397-7406
69. Hirai F, Andoh A, Ueno F et al. Efficacy of Endoscopic Balloon Dilation for Small Bowel Strictures in Patients With Crohn's Disease: A Nationwide, Multi-centre, Open-label, Prospective Cohort Study. Journal of Crohn's & colitis 2018; 12: 394-401
70. Arulanandan A, Dulai PS, Singh S et al. Systematic review: Safety of balloon assisted enteroscopy in Crohn's disease. World journal of gastroenterology : WJG 2016; 22: 8999-9011
71. Bourreille A, Ignjatovic A, Aabakken L et al. Role of small-bowel endoscopy in the management of patients with inflammatory bowel disease: an international OMED-ECCO consensus. Endoscopy 2009; 41: 618-637
72. Riff BP, DiMaio CJ. Exploring the Small Bowel: Update on Deep Enteroscopy. Curr Gastroenterol Rep 2016; 18: 28
73. Kim M, Jang HJ. The role of small bowel endoscopy in small bowel Crohn's disease: when and how? Intest Res 2016; 14: 211-217
74. Ching HL, McAlindon ME, Sidhu R. An update on small bowel endoscopy. Curr Opin Gastroenterol 2017; 33: 181-188
75. Tun GS, Rattehalli D, Sanders DS et al. Clinical utility of double-balloon enteroscopy in suspected Crohn's disease: a single-centre experience. European journal of gastroenterology & hepatology 2016; 28: 820-825
76. Baars JE, Theyventhiran R, Aepli P et al. Double-balloon enteroscopy-assisted dilatation avoids surgery for small bowel strictures: A systematic review. World journal of gastroenterology : WJG 2017; 23: 8073-8081
77. Sunada K SS, Nagayama M, Yano T, Takezawa T, Ino Y, Sakamoto H, Miura Y, Hayashi Y, Sato H, Lefor AK, Yamamoto H. Long-term Outcomes in Patients with Small Intestinal Strictures Secondary to Crohn's Disease After Double-balloon Endoscopy-assisted Balloon Dilation. Inflamm Bowel Dis 2016; 22: 380-386
78. Rondonotti E, Spada C, Adler S et al. Small-bowel capsule endoscopy and device-assisted enteroscopy for diagnosis and treatment of small-bowel disorders: European Society of Gastrointestinal Endoscopy (ESGE) Technical Review. Endoscopy 2018; 50: 423-446
79. Rondonotti E, Pennazio M, Toth E et al. Small-bowel neoplasms in patients undergoing video capsule endoscopy: a multicenter European study. Endoscopy 2008; 40: 488-495
80. Bilimoria KY BD, Wayne JD, Ko CY, Bennett CL, Talamonti MS. Small bowel cancer in the United States: changes in epidemiology, treatment, and survival over the last 20 years. Ann Surg 2009; 249: 63-71
81. Zouhairi ME, Venner A, Charabaty A et al. Small bowel adenocarcinoma. Curr Treat Options Oncol 2008; 9: 388-399
82. Mitsui K, Tanaka S, Yamamoto H et al. Role of double-balloon endoscopy in the diagnosis of small-bowel tumors: the first Japanese multicenter study. Gastrointest Endosc 2009; 70: 498-504
83. Robles EP, Delgado PE, Conesa PB et al. Role of double-balloon enteroscopy in malignant small bowel tumors. World J Gastrointest Endosc 2015; 7: 652-658
84. Sulbaran M, de Moura E, Bernardo W et al. Overtube-assisted enteroscopy and capsule endoscopy for the diagnosis of small-bowel polyps and tumors: a systematic review and meta-analysis. Endosc Int Open 2016; 4: E151-163
85. Honda W, Ohmiya N, Hirooka Y et al. Enteroscopic and radiologic diagnoses, treatment, and prognoses of small-bowel tumors. Gastrointestinal endoscopy 2012; 76: 344-354
86. Lee BI, Choi H, Choi KY et al. Clinical characteristics of small bowel tumors diagnosed by double-balloon endoscopy: KASID multi-center study. Digestive diseases and sciences 2011; 56: 2920-2927
87. Chen WG, Shan GD, Zhang H et al. Double-balloon enteroscopy in small bowel diseases: Eight years single-center experience in China. Medicine (Baltimore) 2016; 95: e5104
88. He Q, Bai Y, Zhi FC et al. Double-balloon enteroscopy for mesenchymal tumors of small bowel: nine years' experience. World journal of gastroenterology : WJG 2013; 19: 1820-1826
89. Imaoka H, Higaki N, Kumagi T et al. Characteristics of small bowel tumors detected by double balloon endoscopy. Digestive diseases and sciences 2011; 56: 2366-2371
90. Almeida N, Figueiredo P, Lopes S et al. Double-balloon enteroscopy and small bowel tumors: a South-European single-center experience. Digestive diseases and sciences 2009; 54: 1520-1524
91. Cardoso H, Rodrigues JT, Marques M et al. Malignant Small Bowel Tumors: Diagnosis, Management and Prognosis. Acta Med Port 2015; 28: 448-456
92. Nakano A, Nakamura M, Watanabe O et al. Endoscopic Characteristics, Risk Grade, and Prognostic Prediction in Gastrointestinal Stromal Tumors of the Small Bowel. Digestion 2017; 95: 122-131
93. Mitsui K, Tanaka S, Yamamoto H et al. Role of double-balloon endoscopy in the diagnosis of small-bowel tumors: the first Japanese multicenter study. Gastrointestinal endoscopy 2009; 70: 498-504
94. Gangi A, Siegel E, Barmparas G et al. Multifocality in Small Bowel Neuroendocrine Tumors. J Gastrointest Surg 2018; 22: 303-309
95. Ross AS, Semrad C, Waxman I et al. Enteral stent placement by double balloon enteroscopy for palliation of malignant small bowel obstruction. Gastrointestinal endoscopy 2006; 64: 835-837
96. Hayashi Y, Yamamoto H, Kita H et al. Education and imaging. Gastrointestinal: metallic stent for an obstructing jejunal cancer. Journal of gastroenterology and hepatology 2006; 21: 1861
97. Kida A, Matsuda K, Noda Y. Endoscopic metallic stenting by double-balloon enteroscopy and its overtube for malignant gastrointestinal obstruction as palliative treatment. Digestive endoscopy : official journal of the Japan Gastroenterological Endoscopy Society 2013; 25: 552-553
98. Espinel J, Pinedo E. A simplified method for stent placement in the distal duodenum: Enteroscopy overtube. World J Gastrointest Endosc 2011; 3: 225-227
99. Nakamura M, Ohmiya N, Hirooka Y et al. Endoscopic diagnosis of follicular lymphoma with small-bowel involvement using video capsule endoscopy and double-balloon endoscopy: a case series. Endoscopy 2013; 45: 67-70
100. Schulmann K, Hollerbach S, Kraus K et al. Feasibility and diagnostic utility of video capsule endoscopy for the detection of small bowel polyps in patients with hereditary polyposis syndromes. The American journal of gastroenterology 2005; 100: 27-37
101. Rahmi G, Samaha E, Lorenceau-Savale C et al. Small bowel polypectomy by double balloon enteroscopy: Correlation with prior capsule endoscopy. World J Gastrointest Endosc 2013; 5: 219-225
102. Goverde A, Korsse SE, Wagner A et al. Small-bowel Surveillance in Patients With Peutz-Jeghers Syndrome: Comparing Magnetic Resonance Enteroclysis and Double Balloon Enteroscopy. Journal of clinical gastroenterology 2017; 51: e27-e33
103. Ohmiya N, Nakamura M, Takenaka H et al. Management of small-bowel polyps in Peutz-Jeghers syndrome by using enteroclysis, double-balloon enteroscopy, and videocapsule endoscopy. Gastrointestinal endoscopy 2010; 72: 1209-1216
104. Torroni F, Romeo E, Rea F et al. Conservative approach in Peutz-Jeghers syndrome: Single-balloon enteroscopy and small bowel polypectomy. World J Gastrointest Endosc 2014; 6: 318-323
105. Beggs AD LA, Vasen HF, Moslein G, Alonso A, Aretz S, Bertario L, Blanco I, Bülow S, Burn J, Capella G, Colas C, Friedl W, Møller P, Hes FJ, Järvinen H, Mecklin JP, Nagengast FM, Parc Y, Phillips RK, Hyer W, Ponz de Leon M, Renkonen-Sinisalo L, Sampson JR, Stormorken A, Tejpar S, Thomas HJ, Wijnen JT, Clark SK, Hodgson SV. Peutz-Jeghers syndrome: a systematic review and recommendations for management. Gut 2010; 2010: 975-986
106. Sakamoto H, Yamamoto H, Hayashi Y et al. Nonsurgical management of small-bowel polyps in Peutz-Jeghers syndrome with extensive polypectomy by using double-balloon endoscopy. Gastrointestinal endoscopy 2011; 74: 328-333
107. Serrano M, Mao-de-Ferro S, Pinho R et al. Double-balloon enteroscopy in the management of patients with Peutz-Jeghers syndrome: a retrospective cohort multicenter study. Revista espanola de enfermedades digestivas : organo oficial de la Sociedad Espanola de Patologia Digestiva 2013; 105: 594-599
108. Wang YX, Bian J, Zhu HY et al. The role of double-balloon enteroscopy in reducing the maximum size of polyps in patients with Peutz-Jeghers syndrome: 12-year experience. J Dig Dis 2019; 20: 415-420
109. Gao H, van Lier MG, Poley JW et al. Endoscopic therapy of small-bowel polyps by double-balloon enteroscopy in patients with Peutz-Jeghers syndrome. Gastrointestinal endoscopy 2010; 71: 768-773
110. Belsha D, Urs A, Attard T et al. Effectiveness of Double-balloon Enteroscopy-facilitated Polypectomy in Pediatric Patients With Peutz-Jeghers Syndrome. J Pediatr Gastroenterol Nutr 2017; 65: 500-502
111. Sulbaran M, Campos FG, Ribeiro U, Jr. et al. Risk factors for advanced duodenal and ampullary adenomatosis in familial adenomatous polyposis: a prospective, single-center study. Endosc Int Open 2018; 6: E531-e540
112. Tescher P, Macrae FA, Speer T et al. Surveillance of FAP: a prospective blinded comparison of capsule endoscopy and other GI imaging to detect small bowel polyps. Hered Cancer Clin Pract 2010; 8: 3
113. Matsumoto T, Esaki M, Yanaru-Fujisawa R et al. Small-intestinal involvement in familial adenomatous polyposis: evaluation by double-balloon endoscopy and intraoperative enteroscopy. Gastrointestinal endoscopy 2008; 68: 911-919
114. Alderlieste YA, Rauws EA, Mathus-Vliegen EM et al. Prospective enteroscopic evaluation of jejunal polyposis in patients with familial adenomatous polyposis and advanced duodenal polyposis. Fam Cancer 2013; 12: 51-56
115. Kav T, Sokmensuer C, Sivri B. Enteroscopic findings of Celiac Disease and their correlation with mucosal histopathologic changes. Comput Biol Med 2015; 65: 315-319
116. Malamut G CC. Refractory coeliac disease. Curr Opin Oncol 2013; 25: 445-451
117. Elli L, Casazza G, Locatelli M et al. Use of enteroscopy for the detection of malignant and premalignant lesions of the small bowel in complicated celiac disease: a meta-analysis. Gastrointestinal endoscopy 2017; 86: 264-273.e261
118. Hadithi M, Al-toma A, Oudejans J et al. The value of double-balloon enteroscopy in patients with refractory celiac disease. The American journal of gastroenterology 2007; 102: 987-996
119. Tomba C, Sidhu R, Sanders DS et al. Celiac Disease and Double-Balloon Enteroscopy: What Can We Achieve?: The Experience of 2 European Tertiary Referral Centers. Journal of clinical gastroenterology 2016; 50: 313-317
120. Perez-Cuadrado E, Mas P, Hallal H et al. Double-balloon enteroscopy: a descriptive study of 50 explorations. Revista espanola de enfermedades digestivas : organo oficial de la Sociedad Espanola de Patologia Digestiva 2006; 98: 73-81
121. Nath NC, Dhar SC, Uddin AF et al. Double balloon enteroscopy: Bangladesh experience. Bangladesh Med Res Counc Bull 2013; 39: 116-119
122. Diaz Alcazar MDM, Martin-Lagos Maldonado A, Roa Colomo A et al. Enteroscopic diagnosis of intestinal malabsorption of a rare etiology: diaphragm disease. Revista espanola de enfermedades digestivas : organo oficial de la Sociedad Espanola de Patologia Digestiva 2020; 112:
123. Yu H, Song H, Cai J. Laparoscopic treatment of hemorrhagic Meckel diverticulum after diagnosis with wireless capsule endoscopy and double-balloon enteroscopy. Revista espanola de enfermedades digestivas : organo oficial de la Sociedad Espanola de Patologia Digestiva 2017; 109: 315
124. Keren D, Madi H, Matter I et al. Feasibility and Importance of Enteroscopy after Gastric Bypass. Obes Surg 2017; 27: 1309-1315
125. Mitsui K, Fujimori S, Tanaka S et al. Retrieval of Retained Capsule Endoscopy at Small Bowel Stricture by Double-Balloon Endoscopy Significantly Decreases Surgical Treatment. Journal of clinical gastroenterology 2016; 50: 141-146
126. Shiotsuki K IK, Hotta K. Small bowel obstruction by massive impacted diospyrobezoars relieved by endoscopic lithotripsy with a polypectomy snare using double balloon endoscopy. . Digestive endoscopy : official journal of the Japan Gastroenterological Endoscopy Society 2019; 31:
127. Monkemuller K, Zabielski M, Poppen D et al. Endoscopic removal of an impacted root canal needle in the jejunum using double-balloon enteroscopy. Gastrointestinal endoscopy 2011; 73: 844-846
128. Neumann H, Fry LC, Rickes S et al. A 'double-balloon enteroscopy worth the money': endoscopic removal of a coin lodged in the small bowel. Dig Dis 2008; 26: 388-389
129. Jeon SR, Kim JO, Kim HG et al. Migrated anchoring gastric band removed by double-balloon enteroscopy. Gastrointestinal endoscopy 2011; 74: 225-227
130. Murino A, Koukias N, Gaeta L et al. Emergency double-balloon enteroscopy for retrieval of an ingested dental-bridge, partially embedded within the wall of the jejunum. Dig Liver Dis 2018; 50: 516
131. Gutierrez JP, Wilcox CM, Monkemuller K. Endoscopic removal of a migrated duodenal stent into the ileum using double-balloon enteroscopy. Gastrointestinal endoscopy 2015; 81: 1033; discussion 1034
132. Nishimura N, Yamamoto H, Yano T et al. Balloon dilation when using double-balloon enteroscopy for small-bowel strictures associated with ischemic enteritis. Gastrointestinal endoscopy 2011; 74: 1157-1161
133. Hayashi Y YH, Taguchi H, Sunada K, Miyata T, Yano T, Arashiro M, Sugano K. Nonsteroidal anti-inflammatory drug-induced small-bowel lesions identified by double-balloon endoscopy: endoscopic features of the lesions and endoscopic treatments for diaphragm disease. J Gastroenterol 2009; 44: 57-63
134. Nakahara K, Okuse C, Matsumoto N et al. Enteral metallic stenting by balloon enteroscopy for obstruction of surgically reconstructed intestine. World journal of gastroenterology : WJG 2015; 21: 7589-7593
135. Popa D, Ramesh J, Peter S et al. Small Bowel Stent-in-Stent Placement for Malignant Small Bowel Obstruction Using a Balloon-Assisted Overtube Technique. Clin Endosc 2014; 47: 108-111
136. Perez-Cuadrado E, Carballo F, Latorre R et al. An endoscopic technique for treating symptomatic distal jejunum obstruction by leaving the overtube in place. Revista espanola de enfermedades digestivas : organo oficial de la Sociedad Espanola de Patologia Digestiva 2013; 105: 107-109
137. Bernardes C, Pinho R, Rodrigues A et al. Direct percutaneous endoscopic jejunostomy using single-balloon enteroscopy without fluoroscopy: a case series. Revista espanola de enfermedades digestivas : organo oficial de la Sociedad Espanola de Patologia Digestiva 2017; 109: 679-683
138. Miura Y, Yamamoto H, Sunada K et al. Reduction of ileoileal intussusception by using double-balloon endoscopy in Peutz-Jeghers syndrome (with video). Gastrointestinal endoscopy 2010; 72: 658-659
139. Pinho R. The Vanishing Frontiers of Therapeutic Enteroscopy. GE Port J Gastroenterol 2015; 22: 133-134
Related articles

Letter

Blue rubber bleb nevus syndrome

DOI: 10.17235/reed.2023.9913/2023

Letter

An unusual cause of abdominal pain in an older female

DOI: 10.17235/reed.2023.9898/2023

Digestive Diseases Image

Enteroenteric intussusception caused by a small bowel metastatic cutaneous melanoma

DOI: 10.17235/reed.2023.9876/2023

Letter

Capsule endoscopy diagnosis of gastrointestinal melanoma

DOI: 10.17235/reed.2023.9803/2023

Letter

Isolated Jejunal Crohn's Disease: a challenging diagnosis

DOI: 10.17235/reed.2022.9423/2022

Digestive Diseases Image

Whipple’s disease – A typical endoscopic finding of a rare disease

DOI: 10.17235/reed.2022.9338/2022

Letter

A rare cause of obscure gastrointestinal bleeding

DOI: 10.17235/reed.2022.9156/2022

Letter

Primary intestinal melanoma?

DOI: 10.17235/reed.2022.8944/2022

Digestive Diseases Image

Ileal neuroendocrine tumor as an uncommon cause of obscure gastrointestinal bleeding

DOI: 10.17235/reed.2022.8641/2022

Digestive Diseases Image

Duodenal-type follicular lymphoma: a silent tumor

DOI: 10.17235/reed.2021.8149/2021

Letter

Bochdalek hernia: use of capsule endoscopy

DOI: 10.17235/reed.2021.7760/2020

Editorial

Leading in turbulent times with the aim to serve

DOI: 10.17235/reed.2020.7684/2020

Review

Advanced therapy by device-assisted enteroscopy

DOI: 10.17235/reed.2020.6971/2020

Digestive Diseases Image

Gastrointestinal and renal involvement in systemic vasculitis

DOI: 10.17235/reed.2020.6965/2020

Editorial

Does it matter how long the small bowel is?

DOI: 10.17235/reed.2020.6980/2020

Special Article

Quality indicators in enteroscopy. Enteroscopy procedure

DOI: 10.17235/reed.2020.6946/2020

Review

Device-assisted enteroscopy training. A rapid review

DOI: 10.17235/reed.2020.6923/2020

Digestive Diseases Image

Enteroscopy in the diagnosis of melanoma metastases

DOI: 10.17235/reed.2020.6820/2019

Digestive Diseases Image

Enteroscopic diagnosis of intestinal malabsorption of a rare etiology: diaphragm disease

DOI: 10.17235/reed.2020.6723/2019

Digestive Diseases Image

Jejunal schwannoma detected by video capsule endoscopy

DOI: 10.17235/reed.2020.6474/2019

Digestive Diseases Image

Capsule endoscopy, a useful tool for the diagnosis of a tapeworm infection

DOI: 10.17235/reed.2019.6346/2019

Letter

Use of patency capsule in daily practice

DOI: 10.17235/reed.2019.5952/2018

Digestive Diseases Image

Metastasis of dermatofibrosarcoma diagnosed by capsule endoscopy

DOI: 10.17235/reed.2018.4900/2017

Letter to the Editor

Symptomatic retention of the Agile® patency capsule

DOI: 10.17235/reed.2017.4691/2016

Letter to the Editor

Whipple’s disease under the vision of capsule endoscopy

DOI: 10.17235/reed.2016.4362/2016

Letter to the Editor

Asymptomatic bronchial aspiration of capsule endoscope: a significant complication

DOI: 10.17235/reed.2016.4363/2016

Case Report

Atypical diagnosis diagnosis by endoscopic capsule: Whipple´s disease

DOI: 10.17235/reed.2015.3718/2015

Citation tools
Pérez-Cuadrado Robles E, Pinho R, González-Suárez B, Mão-de-Ferro S, Chagas C, Esteban Delgado P, et all. Small bowel enteroscopy – A joint clinical guideline by the Spanish and Portuguese small-bowel study groups. 7020/2020


Download to a citation manager

Download the citation for this article by clicking on one of the following citation managers:

Metrics
This article has received 1484 visits.
This article has been downloaded 381 times.

Statistics from Dimensions


Statistics from Plum Analytics

Publication history

Received: 29/02/2020

Accepted: 06/03/2020

Online First: 18/03/2020

Published: 07/04/2020

Article revision time: 4 days

Article Online First time: 18 days

Article editing time: 38 days


Share
This article hasn't been rated yet.
Reader rating:
Valora este artículo:




Asociación Española de Ecografía Digestiva Sociedad Española de Endoscopia Digestiva Sociedad Española de Patología Digestiva
The Spanish Journal of Gastroenterology is the official organ of the Sociedad Española de Patología Digestiva, the Sociedad Española de Endoscopia Digestiva and the Asociación Española de Ecografía Digestiva
Cookie policy Privacy Policy Legal Notice © Copyright 2023 y Creative Commons. The Spanish Journal of Gastroenterology