Skip to main content

Abstract

Small-bowel endoscopy is a recent technique that has been recently introduced in pediatric gastroenterology practice. It allows to explore a region previously unreachable by standard digestive endoscopy. Small-bowel endoscopy consists of two different techniques: the wireless capsule endoscopy and the balloon-assisted enteroscopy; there is no evidence that one technique is better than another and their use, combined or alone, has permitted diagnostic and therapeutic advances in small-bowel disease such as inflammatory bowel diseases, obscure gastrointestinal bleeding, vascular malformations, and polyps. In Crohn’s disease, small-bowel endoscopy is fundamental to evaluate the extension and to stage of the disease, and to perform a therapeutic intervention avoiding surgery.

This is a preview of subscription content, log in via an institution to check access.

Access this chapter

Chapter
USD 29.95
Price excludes VAT (USA)
  • Available as PDF
  • Read on any device
  • Instant download
  • Own it forever
eBook
USD 39.99
Price excludes VAT (USA)
  • Available as EPUB and PDF
  • Read on any device
  • Instant download
  • Own it forever
Softcover Book
USD 54.99
Price excludes VAT (USA)
  • Compact, lightweight edition
  • Dispatched in 3 to 5 business days
  • Free shipping worldwide - see info
Hardcover Book
USD 54.99
Price excludes VAT (USA)
  • Durable hardcover edition
  • Dispatched in 3 to 5 business days
  • Free shipping worldwide - see info

Tax calculation will be finalised at checkout

Purchases are for personal use only

Institutional subscriptions

References

  1. Steiner SJ. Deeper and deeper into the pediatric small bowel. Gastrointest Endosc. 2012;75(1):95–7. https://doi.org/10.1016/j.gie.2011.08.048.

    Article  PubMed  Google Scholar 

  2. Barth BA, Channabasappa N. Single-balloon enteroscopy in children: initial experience at a pediatric center. J Pediatr Gastroenterol Nutr. 2010;51(5):680–4. https://doi.org/10.1097/MPG.0b013e3181e85b3d.

    Article  PubMed  Google Scholar 

  3. deRidder L, Tabbers MM, Escher JC. Small bowel endoscopy in children. Best Pract Res Clin Gastroenterol. 2012;26(3):337–45. https://doi.org/10.1016/j.bpg.2012.02.001.

    Article  CAS  Google Scholar 

  4. Chen WG, Shan GD, Zhang H, Yang M, L L, Yue M, et al. Double-balloon enteroscopy in small bowel diseases: eight years single-center experience in China. Medicine (Baltimore). 2016;95(42):e5104.

    Article  Google Scholar 

  5. ASGE Standards of Practice Committee, Khashab MA, Pasha SF, Muthusamy VR, Acosta RD, Bruining DH, Chandrasekhara V, et al. The role of deep enteroscopy in the management of small-bowel disorders. Gastrointest Endosc. 2015;82(4):600–7. https://doi.org/10.1016/j.gie.2015.06.046.

    Article  Google Scholar 

  6. Yokoyama K, Yano T, Kumagai H, Mizuta K, Ono S, Imagawa T, et al. Double-balloon enteroscopy for pediatric patients: evaluation of safety and efficacy in 257 cases. J Pediatr Gastroenterol Nutr. 2016;63(1):34–40. https://doi.org/10.1097/MPG.0000000000001048.

    Article  PubMed  Google Scholar 

  7. Cohen SA, Ephrath H, Lewis JD, Klevens A, Bergwerk A, Liu S, et al. Pediatric capsule endoscopy: review of the small bowel and patency capsules. J Pediatr Gastroenterol Nutr. 2012;54(3):409–13. https://doi.org/10.1097/MPG.0b013e31822c81fd.

    Article  PubMed  Google Scholar 

  8. Mishkin DS, Chuttani R, Croffie J, Disario J, Liu J, Shah R, et al. ASGE Technology Status Evaluation Report: wireless capsule endoscopy. Gastrointest Endosc. 2006;63(4):539–45.

    Article  Google Scholar 

  9. Koulaouzidis A, Iakovidis DK, Yung DE, Rondonotti E, Kopylov U, Plevris JN, et al. KID Project: an internet-based digital video atlas of capsule endoscopy for research purposes. Endosc Int Open. 2017;5(6):E477–83. https://doi.org/10.1055/s-0043-105488.

    Article  PubMed  PubMed Central  Google Scholar 

  10. Di Nardo G, Oliva S, Aloi M, Rossi P, Casciani E, Masselli G, et al. Usefulness of single-balloon enteroscopy in pediatric Crohn’s disease. Gastrointest Endosc. 2012;75(1):80–6. https://doi.org/10.1016/j.gie.2011.06.021.

    Article  PubMed  Google Scholar 

  11. Friedlander JA, Liu QY, Sahn B, Kooros K, Walsh CM, Kramer RE, et al. NASPGHAN Capsule Endoscopy Clinical Report. J Pediatr Gastroenterol Nutr. 2017;64(3):485–94. https://doi.org/10.1097/MPG.0000000000001413.

    Article  PubMed  Google Scholar 

  12. de’Angelis GL, Fornaroli F, de’Angelis N, Magiteri B, Bizzarri B. Wireless capsule endoscopy for pediatric small-bowel diseases. Am J Gastroenterol. 2007;102(8):1749–57.

    Article  Google Scholar 

  13. Di Nardo G, de Ridder L, Oliva S, Casciani E, Escher JC, Cucchiara S. Enteroscopy in paediatric Crohn’s disease. Dig Liver Dis. 2013;45(5):351–5. https://doi.org/10.1016/j.dld.2012.07.020.

    Article  PubMed  Google Scholar 

  14. Danialifar TF, Naon H, Liu QY. Comparison of diagnostic accuracy and concordance of video capsule endoscopy and double balloon enteroscopy in children. J Pediatr Gastroenterol Nutr. 2016;62(6):824–7. https://doi.org/10.1097/MPG.0000000000001066.

    Article  PubMed  Google Scholar 

  15. deRidder L, Mensink PB, Lequin MH, Aktas H, de Krijger RR, van der Woude CJ, et al. Single-balloon enteroscopy, magnetic resonance enterography, and abdominal US useful for evaluation of small-bowel disease in children with (suspected) Crohn’s disease. Gastrointest Endosc. 2012;75(1):87–94. https://doi.org/10.1016/j.gie.2011.07.036.

    Article  Google Scholar 

  16. Tringali A, Thomson M, Dumonceau JM, Tavares M, Tabbers MM, Furlano R, et al. Pediatric gastrointestinal endoscopy: European Society of Gastrointestinal Endoscopy (ESGE) and European Society for Paediatric Gastroenterology Hepatology and Nutrition (ESPGHAN) guideline executive summary. Endoscopy. 2017;49(1):83–91. https://doi.org/10.1055/s-0042-111002.

    Article  PubMed  Google Scholar 

  17. Rahman A, Ross A, Leighton JA, Schembre D, Gerson L, Lo SK, et al. Double-balloon enteroscopy in Crohn’s disease: findings and impact on management in a multicenter retrospective study. Gastrointest Endosc. 2015;82(1):102–7. https://doi.org/10.1016/j.gie.2014.12.039.

    Article  PubMed  Google Scholar 

  18. Di Nardo G, Oliva S, Ferrari F, Riccioni ME, Staiano A, Lombardi G, et al. Usefulness of wireless capsule endoscopy in paediatric inflammatory bowel disease. Dig Liver Dis. 2011;43(3):220–4. https://doi.org/10.1016/j.dld.2010.10.004.

    Article  PubMed  Google Scholar 

  19. Levine A, Koletzko S, Turner D, Escher JC, Cucchiara S, de Ridder L, et al. ESPGHAN revised porto criteria for the diagnosis of inflammatory bowel disease in children and adolescents. J Pediatr Gastroenterol Nutr. 2014;58(6):795–806. https://doi.org/10.1097/MPG.0000000000000239.

    Article  CAS  PubMed  Google Scholar 

  20. Uchida K, Yoshiyama S, Inoue M, Koike Y, Yasuda H, Fujikawa H, et al. Double balloon enteroscopy for pediatric inflammatory bowel disease. Pediatr Int. 2012;54(6):806–9. https://doi.org/10.1111/j.1442-200X.2012.03661.x.

    Article  PubMed  Google Scholar 

  21. Shen R, Sun B, Gong B, Zhang S, Cheng S. Double-balloon enteroscopy in the evaluation of small bowel disorders in pediatric patients. Dig Endosc. 2012;24(2):87–92. https://doi.org/10.1111/j.1443-1661.2011.01175.x; Epub 2011 Jul 13.

    Article  PubMed  Google Scholar 

  22. Jensen MK, Tipnis NA, Bajorunaite R, Sheth MK, Sato TT, Noel RJ. Capsule endoscopy performed across the pediatric age range: indications, incomplete studies, and utility in management of inflammatory bowel disease. Gastrointest Endosc. 2010;72(1):95–102. https://doi.org/10.1016/j.gie.2010.01.016.

    Article  PubMed  Google Scholar 

  23. Herle K, Jehangir S. Retained wireless capsule endoscope in a girl with suspected Crohn’s disease. APSP J Case Rep. 2016;7(4):27. https://doi.org/10.21699/ajcr.v7i4.466.

    Article  PubMed  PubMed Central  Google Scholar 

  24. Moreels TG, Di Nardo G. The next novelty in pediatric endoscopy: enteroscopy. J Pediatr Gastroenterol Nutr. 2014;58(2):141–2. https://doi.org/10.1097/MPG.0000000000000193.

    Article  PubMed  Google Scholar 

  25. Oliva S, Pennazio M, Cohen SA, Aloi M, Barabino A, Hassan C, et al. Capsule endoscopy followed by single balloon enteroscopy in children with obscure gastrointestinal bleeding: a combined approach. Dig Liver Dis. 2015;47(2):125–30. https://doi.org/10.1016/j.dld.2014.09.001.

    Article  PubMed  Google Scholar 

Download references

Author information

Authors and Affiliations

Authors

Corresponding author

Correspondence to Paolo Gandullia .

Editor information

Editors and Affiliations

Rights and permissions

Reprints and permissions

Copyright information

© 2018 Springer International Publishing AG, part of Springer Nature

About this chapter

Check for updates. Verify currency and authenticity via CrossMark

Cite this chapter

Gandullia, P., Bellini, T. (2018). Small-Bowel Endoscopy. In: Dall'Oglio, L., Romano, C. (eds) Endoscopy in Pediatric Inflammatory Bowel Disease. Springer, Cham. https://doi.org/10.1007/978-3-319-61249-2_7

Download citation

  • DOI: https://doi.org/10.1007/978-3-319-61249-2_7

  • Published:

  • Publisher Name: Springer, Cham

  • Print ISBN: 978-3-319-61248-5

  • Online ISBN: 978-3-319-61249-2

  • eBook Packages: MedicineMedicine (R0)

Publish with us

Policies and ethics