Abstract
The solitary polyps of the small intestine and polyps related to hereditary polyposis syndrome, including familial adenomatous polyposis and Peutz-Jeghers syndrome, can be managed endoscopically by using balloon-assisted enteroscopy.
The cylindrical distal attachment is useful for securing the endoscopic visual field and working space. Considering the risk of bleeding and perforation, strangulation treatment is acceptable for polyps that do not require confirmation of the pathological findings. For safe endoscopic treatment without complications, anatomical features of the small intestine should be well recognized.
Access this chapter
Tax calculation will be finalised at checkout
Purchases are for personal use only
Similar content being viewed by others
References
Hamada K, Takeuchi Y, Ishikawa H, Ezoe Y, Arao M, Suzuki S et al (2018) Safety of cold snare polypectomy for duodenal adenomas in familial adenomatous polyposis: a prospective exploratory study. Endoscopy 50(5):511–517
Binmoeller KF, Weilert F, Shah J, Bhat Y, Kane S (2012) “Underwater” EMR without submucosal injection for large sessile colorectal polyps (with video). Gastrointest Endosc 75(5):1086–1091
Miura Y, Shinozaki S, Hayashi Y, Sakamoto H, Lefor AK, Yamamoto H (2017) Duodenal endoscopic submucosal dissection is feasible using the pocket-creation method. Endoscopy 49(1):8–14
Iida M, Sakamoto H, Miura Y, Yano T, Hayashi Y, Lefor AK et al (2018) Jejunal endoscopic submucosal dissection is feasible using the pocket-creation method and balloon-assisted endoscopy. Endoscopy 50(9):931–932
Yano T, Nemoto D, Ono K, Miyata Y, Numao N, Iwashita C et al (2016) Gel immersion endoscopy: a novel method to secure the visual field during endoscopy in bleeding patients (with videos). Gastrointest Endosc 83(4):809–811
Takakura K, Kato T, Arihiro S, Miyazaki T, Arai Y, Nakao Y et al (2011) Selective ligation using a detachable snare for small-intestinal polyps in patients with Peutz-Jeghers syndrome. Endoscopy 43(Suppl 2):UCTN:E264-5
Yano T, Shinozaki S, Yamamoto H (2018) Crossed-clip strangulation for the management of small intestinal polyps in patients with Peutz-Jeghers syndrome. Dig Endosc 30(6):677
Miura Y, Yamamoto H, Sunada K, Yano T, Arashiro M, Miyata T et al (2010) Reduction of ileoileal intussusception by using double-balloon endoscopy in Peutz-Jeghers syndrome (with video). Gastrointest Endosc 72(3):658–659
Miyata T, Yamamoto H, Kita H, Yano T, Sunada K, Sekine Y et al (2004) A case of inflammatory fibroid polyp causing small-bowel intussusception in which retrograde double-balloon enteroscopy was useful for the preoperative diagnosis. Endoscopy 36(4):344–347
Matsumoto T, Esaki M, Yanaru-Fujisawa R, Moriyama T, Yada S, Nakamura S et al (2008) Small-intestinal involvement in familial adenomatous polyposis: evaluation by double-balloon endoscopy and intraoperative enteroscopy. Gastrointest Endosc 68(5):911–919
Hosoe N, Takabayashi K, Ogata H, Kanai T (2019) Capsule endoscopy for small-intestinal disorders: current status. Dig Endosc 31(5):498–507
Sekiya M, Sakamoto H, Yano T, Miyahara S, Nagayama M, Kobayashi Y, et al. (2020) Double-balloon endoscopy facilitates efficient endoscopic resection of duodenal and jejunal polyps in patients with familial adenomatous polyposis. Endoscopy. https://doi.org/10.1055/a-1189-9550. Online ahead of print.
Author information
Authors and Affiliations
Corresponding author
Editor information
Editors and Affiliations
Section Editor information
Rights and permissions
Copyright information
© 2022 Springer Nature Switzerland AG
About this entry
Cite this entry
Yano, T., Yamamoto, H. (2022). Enteroscopy: Techniques and Small Bowel Therapy. In: Testoni, P.A., Inoue, H., Wallace, M.B. (eds) Gastrointestinal and Pancreatico-Biliary Diseases: Advanced Diagnostic and Therapeutic Endoscopy. Springer, Cham. https://doi.org/10.1007/978-3-030-56993-8_16
Download citation
DOI: https://doi.org/10.1007/978-3-030-56993-8_16
Published:
Publisher Name: Springer, Cham
Print ISBN: 978-3-030-56992-1
Online ISBN: 978-3-030-56993-8
eBook Packages: MedicineReference Module Medicine