Dr Shamsher Singh Chauhan

Enteroscopy for Small Bowel Diseases

Enteroscopy is an advanced endoscopic technique used to diagnose and treat small bowel diseases. Given the small intestine's complex anatomy and deep location, specialized enteroscopy methods such as double-balloon enteroscopy (DBE), single-balloon enteroscopy (SBE), and spiral enteroscopy allow detailed visualization and intervention.

Indications for Enteroscopy

Obscure Gastrointestinal Bleeding (OGIB): Evaluation of iron-deficiency anemia and overt bleeding suspected to originate from the small bowel (e.g., angioectasias, ulcers).

Small Bowel Tumors: Diagnosis and biopsy of benign or malignant tumors, such as adenomas, lymphomas, or carcinoid tumors.

Inflammatory Bowel Disease (IBD): Assessment of Crohn’s disease for mucosal inflammation, ulcers, or strictures.

Celiac Disease: Evaluation of refractory cases or complications like lymphoma or ulcerative jejunitis.

Small Bowel Polyps: Particularly in hereditary polyposis syndromes (e.g., Peutz-Jeghers syndrome).

Foreign Body Retrieval or Stricture Dilation: Treatment of strictures, stenoses, or removal of retained foreign objects.

Advantages

  • Direct visualization and targeted biopsy or treatment.
  • Therapeutic interventions, such as polypectomy, hemostasis, or stricture dilation, can be performed.
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