Enteroscopy – what is it?
Diagnosis of diseases of the small intestine is based on the use of a large number of modern examination methods, one of which is double balloon enteroscopy. This method consists in introducing into the lumen of the bowel special probe with two cylinders to control their volume. This innovation distinguishes this method from the common enteroscopy using a conventional endoscope or odnomernoi system. A similar survey shows people with suspected neoplastic or inflammatory lesions of the walls of the small intestine, as well as to expand its structures.
Before using a balloon or double balloon enteroscopy should consult with your doctor.
This method allows to assess the intestine for its entire length, and also to take a biopsy or, for example, to stop bleeding from a small vessel. The application of this method based on the use of a special endoscope with two cylinders on the end of the device.
The use of any method of diagnosis or treatment based on the developed list of indications and contraindications. The Murcia is recommended in the following situations:
- Suspected internal intestinal bleeding in a patient, without the possibility of detection by other methods.
- Diagnosis of benign and malignant tumors in the small intestine.
- The need for biopsy after application of videocapsule and identify pathological changes in the wall of the body.
- Confirmation of the diagnosis of Crohn’s disease.
- The removal of various foreign bodies or polyps.
The use of double balloon enteroscopy allows you to effectively and safely explore small intestine and to carry out all the necessary manipulations.
- Intolerance of General anesthesia or hypersensitivity to its components. This factor is very important, as double balloon enteroscopy is always done when using General anesthesia the type of anesthesia.
- Common adhesions in the lumen of the small intestine, or stenosis, can compromise the promotion of enteroscope.
If the patient has indications for the procedure and the absence of contraindications, the patient should prepare for the examination.
Preparation for the examination
The procedure of preparation for the use of double balloon enteroscopy depends on the method of its implementation: through the mouth or through the anus. In the first case, the patient must give up eating 12-15 hours before the survey, which will allow the small intestine completely emptied. In the study through the rectum refusal of food begins 24 hours before the survey. In this case, for emptying of the colon is additionally used or enema or drugs (Fortrans, etc.).
Before the examination of the small intestine is very important to properly prepare for the procedure using as therapy and medications aimed at bowel movements.
In case of a sick person aspirin or iron-containing medicines their need to cancel a few days before the procedure. Also recommended defoamer (Simethicone, etc.).
When conducting General anesthesia one carefully screened for contraindications to it, that allows to avoid development of serious complications of General anesthesia.
The results of the survey
The study doctor gets the opportunity to visually assess the changes that occur in the intestinal wall. With this objective, assess color of mucous membranes, changes in the villi, the diameter of the lumen, and the visibility of the submucosal blood vessels. Thanks to the good visibility it is possible to identify at an early stage of inflammatory changes in the wall, which is especially important for the diagnosis of Crohn’s disease, enteritis and other diseases.
Using double balloon enteroscopy detected a well-ulcer defects of mucous membrane, the sources of bleeding, as well as various tumors, both benign and malignant nature. The main advantage of this method is the ability to biopsy during the study, which consists in taking a small piece of mucous membrane for further morphological studies. Very often such a procedure allows to identify the tumor growth in its initial stages, contributing to the appointment of timely and rational treatment.
In addition, the detection of polyps, the endoscopist can easily remove them with additional material for morphological diagnosis. If detected the source of bleeding, possible coagulation to stop blood loss.
Double balloon enteroscopies survey is a modern method to identify diseases of the small intestine that does not require careful preparation of the patient. Such a survey has a high level of security, low risk of side effects and allows you to get a good picture of the wall of the small intestine. The latter allows you to put the diagnosis in the early stages of disease development.