Abstract
Balloon endoscopy (BES) have enabled an endoscopic approach to entire small bowel. Recently, the single balloon endoscopy (SBE) has been released. In this system, a balloon is attached to the only splinting tube, but not to the scope itself. The SBE is inserted as ; first, insert the scope deeply and grasp the intestine by angulating the bending section. Then, deflate the balloon on the distal end of the splinting tube, advance the splinting tube, and inflate the balloon. Then, withdraw both the scope and the splinting tube while releasing the angulation to shorten the gut. Repeat these steps. We are able to perform SBE using the one-person insertion method. In this procedure, hold the scope's control section with the left hand, and hold the scope and splinting tube with the right hand. Insert the scope by manipulating it with the right hand. The splinting tube has a tab so that the tube can be easily held and inserted. With each stroke, 0.3% crystal violet staining is used to mark the point that had been reached. This staining is helpful for marking. Carbon dioxide insufflation instead of room air is helpful for better insertion length and avoiding abdominal distention. Even one-way entire enteroscopy by retrograde insertion is possible in some cases. The SBE is useful for the diagnosis and endoscopic treatment for small bowel diseases.
