Therapeutic uses of double-balloon enteroscopy

Gastrointestinal Endoscopy Clinics of North America
Simon K Lo, Shahab Mehdizadeh

Abstract

In spite of initial skepticism toward the practicability of double-balloon enteroscopy, this technology will become an integral part of endoscopy and is likely to find expanded applications in the future. One strong reason to support this technique is the capacity to deliver endoscopic therapies, and thereby minimize aggressive surgical options. With increasing acceptance of capsule endoscopy by the medical community, more small-bowel lesions will be found and more directed endoscopic interventions will be needed. Like many new procedures, reimbursement issues will possibly prevent it from gaining well-deserved popularity. Unlike other common endoscopies, double-balloon enteroscopy is an expensive procedure. It requires fluoroscopy, extended anesthesia support, long procedure time, significant capital investment, and a team of threeor four people (endoscopist, anesthesiologist, nurse). Gastroenterologists and their patients will have to work together to convince insurance carriers that this isa valuable and cost-effective technology worthy of appropriate reimbursement.

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Citations

Oct 5, 2012·Journal of Gastroenterology and Hepatology·Jeong-Sik ByeonSimon K Lo
Jan 19, 2010·Digestive Endoscopy : Official Journal of the Japan Gastroenterological Endoscopy Society·Taiji AkamatsuEiji Tanaka
Sep 21, 2010·BMC Gastroenterology·Peter T KalogerinisAlexandros G Georgakilas
Feb 22, 2011·Digestive and Liver Disease : Official Journal of the Italian Society of Gastroenterology and the Italian Association for the Study of the Liver·Franco CoppolaSerafino Recchia
Apr 27, 2010·Clinical Gastroenterology and Hepatology : the Official Clinical Practice Journal of the American Gastroenterological Association·Joel R JudahJonathan M Buscaglia
Jun 9, 2009·Gastroenterología y hepatología·Josep M BordasAlfredo Mata
Nov 26, 2008·Gastrointestinal Endoscopy·William A Ross
Feb 26, 2008·Gastrointestinal Endoscopy·UNKNOWN ASGE PRACTICE MANAGEMENT COMMITTEE
Oct 3, 2007·Gastrointestinal Endoscopy·Enrique Pérez-CuadradoHacibe Hallal
Oct 3, 2007·Gastrointestinal Endoscopy·Ying-kit Leung
Oct 3, 2007·Gastrointestinal Endoscopy·Jeong Sik Byeon
Mar 27, 2007·Gastrointestinal Endoscopy·Shahab MehdizadehSimon K Lo
Aug 26, 2015·The American Journal of Gastroenterology·Lauren B GersonJonathan A Leighton
Nov 23, 2006·Diseases of the Colon and Rectum·Perry J PickhardtCharles P Heise
Mar 6, 2007·The American Journal of Gastroenterology·Simon K Lo
Mar 6, 2009·Journal of Clinical Gastroenterology·Do Hoon KimJin-Ho Kim
Oct 1, 2007·Expert Review of Gastroenterology & Hepatology·Laurel R Fisher

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