Enteroscopy 976 GASTROINTESTINAL ENDOSCOPY Volume 82, No.
Enteroscopy is also known as a: double balloon enteroscopy; double bubble; capsule enteroscopy; push-and-pull enteroscopy; The two types of enteroscopy are upper and lower.
A single balloon enteroscopy allows the gastroenterologist to see images of the patient’s small intestine, in real time. Device assisted enteroscopy involves the use of a tube over the enteroscope to aid the insertion. Balloon-assisted enteroscopy uses endoscopes equipped with balloons that inflate and deflate to pinch together the walls of the GI tract. The endoscope has another tube inside it that can be used to reach further into the small intestine. Single-balloon enteroscopy, such as DBE, allow the possibility of suction and flushing via the instrument channel, sampling biopsies, and therapeutic interventions such as argon plasma coagulation, injection, positioning of clips, polypectomy, dilation, and foreign-body extraction, even when inserted distally into the small intestine. For single balloon endoscopy, a 200 cm long flexible, fiberoptic, endoscope (a hose-like tube one centimeter in diameter with a light and a camera on the tip) is fitted with an equally long overtube that slides the full length of the endoscope. There are 2 types of balloon enteroscopies: upper GI balloon enteroscopy (antegrade) and lower GI balloon enteroscopy (retrograde).
Single balloon-assisted enteroscopy with your GHP physician is an outpatient procedure that takes approximately 60-75 minutes to complete. A single balloon enteroscopy allows the gastroenterologist to see images of the patient’s small intestine, in real time. To compare the different enteroscopy systems, within this review, 68 studies were analyzed and put into context. The overtube has a balloon on the tip that is used to anchor the overtube so that the endoscope can be advanced further into the small intestine. Push enteroscopy became established in the 1980s, but it only allows a limited depth of penetration into the small bowel.
Also, two types of balloons exist – single balloon and double balloon. Starting with the introduction of the double-balloon enteroscope in 2001, two more techniques have been successfully developed for small bowel investigation (single-balloon enteroscopy, spiral enteroscopy). On the tip of the overtube is a balloon that can be blown up and deflated. At this time, you will also meet with an anesthesiologist to discuss the sedation used for the procedure. Example: If your gastroenterologist used a single balloon enteroscopy procedure to visualize the small intestine through an antegrade approach, then you can use 44360 (Small intestinal endoscopy, enteroscopy beyond second portion of duodenum, not including ileum; diagnostic, with or without collection of specimen[s] by brushing or washing [separate procedure]) if your … A single balloon enteroscopy involves having a long endoscope (a hose-like tube with a light and a camera on the tip) that is fitted with a long overtube. The enteroscopy may be done as an inpatient or outpatient procedure.
All of these technologies are similar in that they rely on an overtube system to allow deeper endoscope insertion. Some enteroscopes have latex balloons in them and are used for double-balloon enteroscopy (DBE) or single-balloon enteroscopy (SBE). The balloons are used during the test to anchor the endoscope in the digestive tract.