"Double balloon endoscopy/enteroscopy (DBE) is a non-surgical approach that provides access to the entire inner mucosal surface of the small in testine for endoscopic visual examination, biopsy and treatment. DBE is being heralded as a breakthrough technology because accessing the deep small intestine endoscopically has largely been unsuccessful by conventional approaches. [The objective of this report is] to review the safety, efficacy and effectiveness of DBE and examine the potential social, fiscal and economic impact should it become a publicly funded health service in Alberta"--Page 1.

"Double balloon endoscopy/enteroscopy (DBE) is a non-surgical approach that provides access to the entire inner mucosal surface of the small in testine for endoscopic visual examination, biopsy and treatment. DBE is being heralded as a breakthrough technology because accessing the deep small intestine endoscopically has largely been unsuccessful by conventional approaches. [The objective of this report is] to review the safety, efficacy and effectiveness of DBE and examine the potential social, fiscal and economic impact should it become a publicly funded health service in Alberta"--P.1.

Endoscopic access to the small intestine has long presented a challenge to physicians. This book describes the principles, insertion technique, and clinical applications of double-balloon endoscopy, which will become the gold standard of enteroscopy and which may well eliminate the need for intraoperative enteroscopy in many patients. Leading the way to a new approach, this book provides an invaluable source of reference for all practitioners working in the field.

This volume reviews the history of endoscopy to diagnose small bowel disorders, places other diagnostic modalities into perspective, and defines the role of capsule endoscopy and per overtube assisted and retrograde enteroscopy in disorders as disparate as gluten sensitive enteropathy, small bowel neoplasms, and inflammatory bowel disease. The book further details the nonoperative approach to NSAID strictures, foreign body retrieval (to include impacted capsule endoscopes), and the diagnosis and treatment of chronically bleeding angiodysplastic lesions. The text is also richly illustrated with over 150 images and includes online video segments. Written by experts in the field, Endoscopy in Small Bowel Disorders is a valuable resource for medical and surgical residents, gastroenterologists in training and practice, therapeutic endoscopists, and general and colorectal surgeons.​

The purpose of this book is to improve diagnostic yields of capsule endoscopy and double-balloon endoscopy, because those procedures can depict nonspecific findings that may not lead to a proper diagnosis. Another reason for the publication was recognition of the difficulty in distinguishing enteroscopic findings of ulcerative colitis from those of Crohn’s disease. From a practical point of view, it is important to observe endoscopic pictures first, then to compare the images of other modalities, and finally to compare macroscopic pictures of resected specimens. For that reason, a large number of well-depicted examples of small intestinal lesions were assembled to clarify differences among small intestinal lesions that appear to exhibit similar findings and morphologies. Comparisons with radiographic findings comprise another important element in diagnosis. There are limitations in endoscopic observations of gross lesions of the small intestine, with its many convolutions. In Japan, many institutions still practice double-contrast imaging, which provides beautiful results. Because a single disorder may exhibit variations, this volume includes multiple depictions of the same disorders. Also included are lesions in active and inactive phases, as both appearances are highly likely to be encountered simultaneously in clinical practice. The number of illustrated findings therefore has been limited to strictly selected cases.

Wireless capsule cndoscopy closes the endoscopic gap between push enteroscopy and ileal intubation at colonoscopy and enables physicians to directly view the entire small intestine. This second issue of the Gastrointestinal Clinics of North America devoted to this topic includes the newest innovations in just the two years since the first issue published. Specific focus is on PillCam endoscopy and double balloon enteropathy. The Guest Editor, Dr. Jamie Barkin, has selected expert authors who have a wealth of experience with this major innovation in gastrointestinal endoscopy. Couple this with the first edition, published in 2004, and there are no other publications that more thoroughly discuss this technology!