Double Balloon Enteroscopy Capsule Endoscopy

Double Balloon Enteroscopy (DBE) and Capsule Endoscopy

**1. Double Balloon Enteroscopy (DBE)**

Technique:

• DBE is an advanced endoscopic procedure that allows deep intubation of the small intestine.

• Uses an enteroscope with two balloons—one on the scope and another on an overtube.

• The balloons inflate and deflate in sequence to grip and shorten the small intestine, allowing stepwise advancement.

• Can be performed via oral (antegrade) or anal (retrograde) routes, depending on the lesion location.

• Allows real-time therapeutic interventions such as biopsies, polyp removal, dilation of strictures, and treatment of bleeding.

Indications:

• Unexplained gastrointestinal (GI) bleeding (occult or overt).

• Suspected or confirmed small bowel tumors.

• Crohn’s disease with suspected small bowel involvement.

• Small bowel polyps (e.g., Peutz-Jeghers syndrome).

• Chronic diarrhea of unknown origin.

• Strictures or obstructions requiring dilation.

• Retrieval of foreign bodies.

• Follow-up after abnormal findings on capsule endoscopy.

**2. Capsule Endoscopy**

Technique:

• A patient swallows a small, wireless video capsule with a built-in camera, light source, and transmitter.

• The capsule travels through the digestive tract, capturing images of the small intestine.

• Images are transmitted to a recorder worn by the patient and later analyzed.

• The capsule is excreted naturally without intervention.

• Provides a non-invasive, full-length visualization of the small intestine.

Indications:

• Evaluation of obscure GI bleeding.

• Diagnosis of small bowel tumors.

• Assessment of Crohn’s disease extent and severity.

• Investigation of unexplained iron-deficiency anemia.

• Screening for polyposis syndromes (e.g., Peutz-Jeghers).

• Celiac disease with atypical presentation.

• Monitoring small bowel lesions in chronic GI conditions.

Need Expert Medical Guidance for Double Balloon Enteroscopy Capsule Endoscopy?

Consult University Gold Medalist Dr. Ankita Gupta at Gastro Liver Endoscopy Centre, Greater Kailash-I, New Delhi for customized diagnostic evaluations.