THE STANDARD TECHNIQUE AND SOLUTIONS FOR DIFFICULT SITUATIONS IN DOUBLE BALLOON ENDOSCOPY

Abstract

Double balloon endoscopy has been broadly accepted for patients with small bowel disease, patients with surgically altered intestines, and patients in whom conventional colonoscopy was unsuccessful. However, we often encounter difficult situations and incomplete insertion of the double balloon endoscope in cases with abdominal adhesion due to prior laparotomy. Heavy-handed maneuvers of the scope may lead to severe adverse events. On the other hand, several tips and knacks that endoscopists do not know can overcome these difficulties. Here, we describe the essential technique and several tips when difficult situations are encountered during double balloon endoscopy.