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Is Small-Bowel Radiography Necessary Before Double-Balloon Endoscopy?

Takayuki Matsumoto1, Motohiro Esaki, Shinichiro Yada, Yukihiko Jo, Tomohiko Moriyama and Mitsuo Iida

1 All authors: Department of Medicine and Clinical Science, Graduate School of Medical Sciences, Kyushu University, Maidashi 3-1-1, Higashi-ku, Fukuoka 812-8582, Japan.


Figure 1
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  		Fig. 1A —80-year-old woman with abdominal pain. Double-contrast small-bowel radiograph depicts circumferential and nodular defect with irregular contour in jejunum.

 

Figure 2
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  		Fig. 1B —80-year-old woman with abdominal pain. Double-balloon endoscopic image shows granular circumferential protrusion with narrowing in jejunum.

 

Figure 3
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  		Fig. 2A — 60-year-old man with obscure gastrointestinal bleeding. Biopsy specimens contained adenocarcinoma. Double-contrast small-bowel radiograph depicts thickened folds and diminutive protrusions in middle portion of small intestine.

 

Figure 4
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  		Fig. 2B — 60-year-old man with obscure gastrointestinal bleeding. Biopsy specimens contained adenocarcinoma. Double-balloon endoscopic image shows thickened folds in middle of small intestine. Biopsy revealed follicular lymphoma.

 

Figure 5
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  		Fig. 3A —Double-balloon endoscopy system. Photograph shows balloon controller, enteroscope, and overtube. Scope and overtube are connected to balloon controller.

 

Figure 6
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  		Fig. 3B —Double-balloon endoscopy system. Photograph shows two balloons at tips of enteroscope and overtube. During procedure, balloons are reciprocally inflated with air and attached to small-intestine wall.

 

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