With DBE it is possible to:
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Examine
parts of the small bowel that are usually difficult to reach
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Diagnose
and assess smalAl bowel diseases and disorders
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Investigate
the small bowel when X-rays, barium follow through, enteroclysis, CT or MRI
scans show abnormalities
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Evaluate
the effects of medication on the small bowel e.g. for disorders such as
Coeliac or Crohn's disease
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Tattoo
the small bowel to help localise lesions for surgery when these need to be
removed
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Perform
therapy (treatment)
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Treatment or therapy using DBE for a
number of conditions is available (unlike capsule endoscopy):
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Bleeding
from small bowel angioectasias or AV malformations
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Removal
of foreign objects (e.g. retained capsules) or polyps especially for
patients with polyposis syndromes (e.g. Peutz-Jeghers Syndrome or Juvenile
Polyposis)
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Dilatation
of strictures (or stenoses) causing obstruction due to Crohn's disease,
surgery or medication (such as NSAIDs)
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Placing
of feeding tubes (direct jejunostomy)
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Tissue biopsies can be taken to help make a
diagnosis
Double Balloon Endoscopy - After Procedure
Prior to the procedure:
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Patients need to fast 6 hours for an
oral (through the mouth) procedure
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If a rectal (through the colon)
procedure is needed, bowel preparation is usually required
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Iron tablets and aspirin should be
stopped for 1 week
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Following the procedure:
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Patients recover in a comfortable
environment and are generally discharged to home the same day.
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