Double-Balloon Endoscopy Theory and Practice
Endoscopic access to the small intestine has for a long time presented a challenge to physicians. Although capsule endoscopy can provide an endoscopic image from the entire small intestine, neither biopsy nor endoscopic treatment can be performed with it.
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Double-Balloon Endoscopy Theory and Practice
K. Sugan0 (Editor in Chief) H. Yamamoto, H. Kita (E~s.)
Double-Balloon Endoscopy Theory and Practice With 109 Figures, Mostly in Color
Q - Springer
Kentaro Sugano, M.D., Ph.D. Professor, Department of Internal Medicine Division of Gastroenterology, Jichi Medical University 3311-1 Yakushiji, Shimotsuke, Tochigi 329-0498, Japan Hironori Yamamoto, M.D., Ph.D. Associate Professor, Department of Internal Medicine Division of Gastroenterology, Jichi Medical University 3311-1 Yakushiji, Shimotsuke, Tochigi 329-0498, Japan Hiroto Kita, M.D., Ph.D. Assistant Professor, Department of Internal Medicine Division of Gastroenterology, Jichi Medical University 3311-1 Yakushiji, Shimotsuke, Tochigi 329-0498, Japan
Library of Congress Control Number: 2006928615 ISBN10 4-431-30204-4 Springer-Verlag Tokyo Berlin Heidelberg New York ISBN13 978-4-431-30204-5 Springer-Verlag Tokyo Berlin Heidelberg New York Printed on acid-free paper
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©Kentaro Sugano, Hironori Yamamoto, Hiroto Kita 2006 Printed in Japan This English translation is based on the Japanese original K. Sugano, H. Yamamoto, H. Kita: Double-Balloon Endoscopy Published by Nankodo Co., Ltd. ©2005 Kentaro Sugano, Hironori Yamamoto, Hiroto Kita Typesetting, printing and binding: Kato Bunmeisha, Japan
Preface
The double-balloon endoscope came about as the combined result of a brilliant idea and tenacious effort by Hironori Yamamoto, an associate professor in our department. The first clinical application of the double-balloon method was made for diagnosis of hemangioma in the small intestine of a patient with Maffucci’s syndrome, as described in this book. Dr. Yamamoto attached a handmade balloon to an upper gastrointestinal endoscope and manually inflated and deflated the balloon, with a sphygmomanometer monitoring the pressure. The maneuverability and the time required for examination appeared to be similar to those in the procedure using a conventional enteroscope, although I was impressed by the fact that double-balloon endoscopy actually revealed hemangioma previously suspected by contrast radiogram, validating the concept of the double-balloon method. However, there were various problems
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