Endoscopy 2008; 40(2): 156-160
DOI: 10.1055/s-2007-966994

© Georg Thieme Verlag KG Stuttgart · New York

Consensus report of the 2nd International Conference on Double Balloon Endoscopy

J.  Pohl1 , J.  M.  Blancas2 , D.  Cave3 , K.  Y.  Choi4 , M.  Delvaux5 , C.  Ell1 , G.  Gay5 , M.  A.  J.  M.  Jacobs6 , N.  Marcon7 , T.  Matsui8 , A.  May1 , C.  J.  J.  Mulder6 , M.  Pennazio9 , E.  Perez-Cuadrado10 , K.  Sugano11 , P.  Vilmann12 , H.  Yamamoto11 , T.  Yano11 , J.  J.  Zhong13
  • 1Department of Internal Medicine II, Dr. Horst Schmidt Kliniken, Wiesbaden, Germany
  • 2Specialities Hospital CMN XXI, IMSS, Mexico City, Mexico
  • 3Department of Gastroenterology, University of Massachusetts, Worcester, USA
  • 4Catholic University of Korea, Department of Gastroenterology, Inchon, Korea
  • 5CHU de Nancy, Vandoeuvre les Nancy, France
  • 6Department of Gastroenterology, VU University Medical Center, Amsterdam, The Netherlands
  • 7Cardinal Carter South Wing, St Michael’s Hospital, Toronto, Ontario, Canada
  • 8Department of Gastroenterology, Fukuoka University Chikushi Hospital, Fukuoka, Japan
  • 9Division of Gastroenterology 2, San Giovanni AS Hospital, Turin, Italy
  • 10Small Bowel Unit, Hospital Morales Meseguer, Murcia, Spain
  • 11Department of Internal Medicine, Jichi Medical University, Tochigi, Japan
  • 12Copenhagen County University Hospitals, Hellerup, Denmark
  • 13Shanghai Rui Jin Hospital, Shanghai, China
Further Information

Publication History

submitted 4 July 2007

accepted after revision 27 September 2007

Publication Date:
06 February 2008 (online)


In the past 6 years new techniques have expanded the endoscopic evaluation of the small bowel up to total enteroscopy. In 2001, video capsule endoscopy (VCE) was approved by the FDA for the evaluation of small-bowel diseases. VCE can provide an endoscopic view of most of the small intestinal mucosa, but the diagnosis depends on the analysis of recorded images, and neither biopsy nor endoscopic treatment can be performed. The latter has become possible with double balloon endoscopy (DBE), which was first described by Yamamoto and colleagues in 2001 [1] and enables complete enteroscopy to be carried out. Additional applications of potential clinical use include difficult colonoscopies and access to the pancreatic and biliary tract in patients with altered postoperative anatomy. Within a short time period several feasibility studies, including data on diagnostic and therapeutic yield of DBE, have been published. Here we report the consensus on the current status of DBE that was developed during the 2nd International Conference on DBE in Berlin, 14 - 15 June 2007, which was sponsored by Fujinon. The paper does not fulfill the formal criteria for a consensus, but may be regarded as a guide to the clinical application of DBE techniques based on published evidence, as well as on the personal opinions and experiences of the participants. Moreover, it also shows that many clinically relevant questions need to be addressed by further studies. The new development of single balloon enteroscopy has not been included in the conference, as only preliminary data existed in abstract form (DDW 2007), reporting about feasibility and comparative data between both techniques are missing.


J. Pohl, MD, PhD

Dr. Horst Schmidt Klinik
Internal Medicine II

Ludwig-Erhard-Str. 100
65199 Wiesbaden

Fax: +49-611-432418

Email: [email protected]