Monday, June 7, 2010

Double Balloon Endoscopy -Indications and after procedure

With DBE it is possible to:

Examine parts of the small bowel that are usually difficult to reach
Diagnose and assess smalAl bowel diseases and disorders
Investigate the small bowel when X-rays, barium follow through, enteroclysis, CT or MRI scans show abnormalities
Evaluate the effects of medication on the small bowel e.g. for disorders such as Coeliac or Crohn's disease
Tattoo the small bowel to help localise lesions for surgery when these need to be removed
Perform therapy (treatment)

Treatment or therapy using DBE for a number of conditions is available (unlike capsule endoscopy):

Bleeding from small bowel angioectasias or AV malformations
Removal of foreign objects (e.g. retained capsules) or polyps especially for patients with polyposis syndromes (e.g. Peutz-Jeghers Syndrome or Juvenile Polyposis)
Dilatation of strictures (or stenoses) causing obstruction due to Crohn's disease, surgery or medication (such as NSAIDs)
Placing of feeding tubes (direct jejunostomy)
Tissue biopsies can be taken to help make a diagnosis

Double Balloon Endoscopy - After Procedure

Prior to the procedure:

Patients need to fast 6 hours for an oral (through the mouth) procedure
If a rectal (through the colon) procedure is needed, bowel preparation is usually required
Iron tablets and aspirin should be stopped for 1 week

Following the procedure:

Patients recover in a comfortable environment and are generally discharged to home the same day.

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