Crohn’s Disease ‘Scope Series’: Double Balloon Endoscopy

Crohn’s Disease ‘Scope Series’: Double Balloon Endoscopy
Editor’s note: This is the third in a series of columns by Mary Horsley about IBD-related procedures. Part one and part two are also available. Continuing with my "Scope Series" theme, the next procedure I am writing about is a "double balloon endoscopy." To give you a little insight as to what the procedure entails, it is a more specific-type endoscopy, complete with anesthesia and preparation, as previously discussed for these scopes. Like other scopes, the endoscopy or colonoscopy, the dreaded food fasting is required. This is almost always required because food and waste block the scope view, and items in the bowel can be misdiagnosed as something worse. For the double balloon endoscopy (DBE), no dinner the night before and no liquid beyond midnight if you have the top-down procedure. If you are having the bottom-up, you will have to fast the whole day prior to make sure the scope can see far and clearly. Because there's much more area to be seen, this can take longer than the normal scopes. Rather than 15-20 minutes, it can take more than an hour. The DBE allows further investigation of the small bowel and colon, which often is unseen without a pill capsule endoscopy or DBE. These procedures are a major help in diagnosing hard-to-reach small bowel Crohn's disease. The DBE uses an inchworm-style movement, with two balloons creeping through to the small bowel. One scope tube expands into another, longer scope, allowing investigation of hard-to-reach areas. My specific inflammation and ulcers were right on the cusp between where the top-down and bottom-up could reach; it was small bowel Crohn's with hints of inflammat
Subscribe or to access all post and page content.

Leave a Comment

Your email address will not be published. Required fields are marked *