Small-bowel endoscopy

K. Mönkemüller; M. Bellutti; P. Malfertheiner

doi:10.1055/s-2007-966927

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Endoscopy 2007; 39(11): 978-985
DOI: 10.1055/s-2007-966927

DDW Highlights

Small-bowel endoscopy

K. Mönkemüller¹ , M. Bellutti¹ , P. Malfertheiner¹

¹Department of Gastroenterology, Hepatology and Infectious Diseases, Otto-von-Guericke University, Magdeburg, Germany

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Publication Date:
10 October 2007 (online)

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Introduction

Capsule endoscopy and double-balloon enteroscopy (DBE) have become the methods of choice for evaluation of small-bowel disorders. The number of abstracts presented at this year’s Digestive Disease Week (DDW) is testament to the fact that there is still considerable ongoing research interest in the field of small-bowel endoscopic methods. A total of 135 scientific contributions evaluating capsule endoscopy or DBE were presented this year, 71 of which concerned capsule endoscopy and 53 DBE, with 11 presentations comparing the two techniques. Furthermore, other data have shown that these endoscopic methods can also be used for diseases outside the small bowel: capsule endoscopy is being investigated as a potential method to screen for Barrett’s esophagus and esophageal varices and to evaluate the colon; and DBE has been found to be useful for examining the colon in patients with previously failed colonoscopy, for the placement of a gastrostomy in patients undergoing bariatric surgery, and for performing endoscopic retrograde cholangiopancreatography (ERCP) in patients with a Roux-en-Y anastomosis ([Fig. 1]). In this review we will summarize the research presented at this year’s DDW, focusing on diseases of the small bowel.

Fig. 1 Endoscopic retrograde cholangiopancreatography was performed using double-balloon enteroscopy (DBE) in a patient with a Roux-en-Y anastomosis. A 7-Fr plastic stent was then inserted into the hepaticojejunostomy opening to treat a distal common bile duct stenosis.

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K. Mönkemüller, MD

Department of Gastroenterology, Hepatology and Infectious Diseases

Otto-von-Guericke University

Leipziger Strasse 44

39120 Magdeburg

Germany

Fax: +49-391-6713105

Email: Klaus.Moenkemueller@medizin.uni-magdeburg.de