Endoscopic therapy using balloon-assisted enteroscopy for pancreatic diseases with altered gastrointestinal anatomy

Abstract

The endoscopic approach to pancreatobiliary disease with postoperative intestinal reconstruction has become practical with balloon-assisted enteroscopy (BAE). BAE interventions are considered first-line treatment for biliary disease, yet it is difficult for pancreatic diseases (especially pancreatic jejunal anastomosis), so mainly EUS interventions are reported. Recently, new double balloon enteroscopy (DBE) and single balloon enteroscopy (SBE) treatments have been reported.

This article reviews DBE treatment of pancreatic diseases, especially pancreaticoje-junal anastomotic stenosis in postoperative cases with reconstructed anatomy.