Small-bowel endoscopy

Introduction

The past decade has seen a revolution in small-bowel endoscopy. The significant advance in diagnostic ability introduced by capsule endoscopy has prompted interest in further improvements in diagnostic capability, as well as new methods to treat the lesions identified. Capsule endoscopy was quickly followed by double-balloon enteroscopy (DBE), which offered new therapeutic options. Technical progress has continued to be rapid, such that we now have the so-called device-assisted enteroscopy (DAE), which includes DBE, single-balloon enteroscopy (SBE), and spiral enteroscopy, through which diagnostic and therapeutic interventions are available.

A total of 112 scientific contributions on small-bowel endoscopy were presented at Digestive Disease Week this year (DDW 2010; 1 – 5 May, New Orleans, Louisiana, USA). Although this volume of work testifies to the fact that researchers’ interest in small-bowel endoscopy is high, very few prospective studies were presented. Obscure gastrointestinal bleeding (OGIB) remains the most consolidated indication for small-bowel endoscopy. For other indications, the level of evidence is lower, reflecting the paucity of randomized controlled trials (RCTs). Various reports addressed technical aspects of small-bowel endoscopy and innovations, the remote manipulation of wireless capsule endoscopes being one of the most exciting ongoing lines of research.

References

• 1 Teshima C W, Kuipers E J, van Zanten S V, Mensink P. Double balloon enteroscopy and capsule endoscopy for obscure gastrointestinal bleeding: an updated meta-analysis.  Gastrointest Endosc. 2010;  71 AB249
• 2 Van Weyenberg S J, Van Turenhout S T, Jacobs M A. et al . Continuation of anticoagulant therapy in patients with overt obscure gastrointestinal bleeding increases the yield of video capsule endoscopy.  Gastrointest Endosc. 2010;  71 AB364
• 3 Lorenceau-Savale C, Landman C, Edery J. et al . Diagnostic yield and predictive factors of wireless capsule endoscopy (WCE) in premenopausal and postmenopausal women with obscure gastrointestinal bleeding (OGIB).  Gastrointest Endosc. 2010;  71 AB374
• 4 Lai L H, Wong R M, Tsoi K K. et al . Negative capsule endoscopy (CE) predicts low rebleeding rate and mortality in obscure gastrointestinal bleeding (OGIB): results from long-term follow-up.  Gastroenterology. 2010;  138 S668
• 5 Partridge B J, Heller S J, Tokar J L. et al . The diagnostic yield of device-assisted enteroscopy for acute middle gastrointestinal bleeding.  Gastrointest Endosc. 2010;  71 AB372
• 6 Shishido T, Oka S, Tanaka S. et al . Clinical outcome of patients who have undergone total enteroscopy for obscure gastrointestinal bleeding.  Gastrointest Endosc. 2010;  71 AB353
• 7 Gerson L B, Newsom S, Semrad C. et al . Risk factors for recurrent bleeding and/or anemia post-double balloon enteroscopy.  Gastroenterology. 2010;  138 S362
• 8 Gerson L B, Newsom S, Semrad C E. Costs associated with outcomes post-double balloon enteroscopy.  Gastrointest Endosc. 2010;  71 AB365
• 9 Aggarwal V, Day A S, Connor S J. et al . Capsule endoscopy findings in small bowel Crohn’s disease patients in clinical remission: correlation with the Crohn’s disease activity index, faecal calprotectin and S100a12.  Gastroenterology. 2010;  138 S114
• 10 Yamagami H, Hosomi S, Takatsuka M. et al . Clinical utility of double-balloon endoscopy in the treatment of small-bowel strictures in inflammatory bowel disease.  Gastrointest Endosc. 2010;  71 AB375
• 11 Pasha S F, Fujii L L, Sharma V K. et al . Incidence, management and outcomes of small bowel (SB) neoplasms in a cohort of 2000 patients undergoing video capsule endoscopy (CE): a single center experience.  Gastrointest Endosc. 2010;  71 AB373
• 12 Pioche M, Filoche B, Jacob P. et al . Randomized prospective comparison of the diagnostic yield of PillCam SB2 and Mirocam videocapsules in patients with obscure digestive bleeding.  Gastrointest Endosc. 2010;  71 AB123
• 13 Morita E, Ohtsuka N, Murano M. et al . A new slenderized self-propelling capsule endoscope enabled observation of porcine’s intestine.  Gastrointest Endosc. 2010;  71 AB143
• 14 Swain P, Mosse C A, Volke F. et al . In vivo studies of the potential and limitations of remote control of functional wireless capsule endoscopes with rare earth magnetic inclusions in an extra-corporeal magnetic field.  Gastrointest Endosc. 2010;  71 AB123
• 15 Fernandez-Urien I, Borobio E, Elizalde I. et al . Erythomycin administration in hospitalized patients undergoing capsule endoscopy: a prospective and randomized controlled trial.  Gastrointest Endosc. 2010;  71 AB123
• 16 Efthymiou M, Desmond P, Taylor A C. Single balloon enteroscopy versus double balloon enteroscopy, preliminary results of a randomized controlled trial.  Gastrointest Endosc. 2010;  71 AB122
• 17 Gallegos-Orozco J F, Yadav A, Ruff K C. et al . Predictors of successful retrograde double balloon enteroscopy (DBE).  Gastrointest Endosc. 2010;  71 AB375
• 18 Basseri R J, Bucobo J C, Boulay B R. et al . Incidence and imaging characteristics of post-double balloon enteroscopy pancreatitis (post-DBEp).  Gastrointest Endosc. 2010;  71 AB369
• 19 Aktas H, Mensink P, Biermann K. et al . Additional yield of histological sampling in patients with suspected small bowel pathology during balloon assisted enteroscopy.  Gastrointest Endosc. 2010;  71 AB378
• 20 Shah R J, Smolkin M, Ross A S. et al . A multi-center, US experience of single balloon, double balloon, and rotational overtube enteroscopy-assisted ERCP in long limb surgical bypass patients.  Gastrointest Endosc. 2010;  71 AB134

Additional References: Bleeding and anemia

• 21 Abdelaal U M, Morita E, Nouda S. et al . New scoring system for mucosal lesions of portal hypertensive enteropathy detected by capsule endoscopy: prospective study.  Gastrointest Endosc. 2010;  71 AB367
• 22 Clark M E, Binmoeller K F, Allen M. et al . The utility of inpatient small bowel capsule endoscopy studies in patients hospitalized with obscure-overt gastrointestinal bleeding.  Gastroenterology. 2010;  138 S667
• 23 Dunbar K B, Lennon A M, Okolo P I. et al . Spiral enteroscopy vs. small bowel enteroscopy for the evaluation of obscure GI bleeding.  Gastrointest Endosc. 2010;  71 AB370
• 24 Efthymiou M, Taylor A C, Chen R. et al . The predictive value of FOBT before capsule endoscopy for obscure gastrointestinal bleeding.  Gastrointest Endosc. 2010;  71 AB379
• 25 Fedorov E, Ivanova E V, Yudin O I. et al . The benefits of balloon-assisted enteroscopy in patients with intestinal bleeding: from precise diagnosis to reasonable treatment.  Gastrointest Endosc. 2010;  71 AB374
• 26 Jeon S R, Kim J O, Kim H G. et al . The incidence and characteristics of obscure gastrointestinal bleeding lesions within reach of conventional endoscope.  Gastrointest Endosc. 2010;  71 AB356
• 27 Johnson H P, Gilliam J H, Conway J. et al . Comparative sensitivity of magnetic resonance enterography versus capsule endoscopy and double balloon enteroscopy in evaluating obscure gastrointestinal bleeding.  Gastrointest Endosc. 2010;  71 AB355
• 28 Maeda M, Kanke K, Sasai T. et al . Association of Helicobacter Pylori infection with enteritis in patients with obscure gastrointestinal bleeding using capsule endoscopy.  Gastrointest Endosc. 2010;  71 AB378
• 29 Matsumura T, Arai M, Suzuki T. et al . Negative capsule endoscopy on management of the patients with obscure gastrointestinal bleeding is strongly related to anti-platelet agents therapy.  Gastroenterology. 2010;  138 S362
• 30 Parikh D A, Mittal M, Mann S K. et al . Utilization and efficacy of video capsule endoscopy in the evaluation of anemia: influence of the severity of anemia on diagnostic yield.  Gastroenterology. 2010;  138 S668
• 31 Riccioni M E, Cianci R, Urgesi R. et al . Evaluation of angiodysplasias in patients in oral anticoagulant therapy by capsule endoscopy.  Gastrointest Endosc. 2010;  71 AB320
• 32 Riccioni M E, Urgesi R, Spada C. et al . Is negative capsule endoscopy in patients with obscure gastrointestinal bleeding reliable? Long-term follow-up and outcome in single centre large series.  Gastrointest Endosc. 2010;  71 AB207
• 33 Ridtitid W, Treeprasertsuk S, Kongkam P. et al . Urgent double balloon enteroscopy in patients with overt obscure gastrointestinal bleeding.  Gastrointest Endosc. 2010;  71 AB365
• 34 Yamada A, Watabe H, Isomura Y. et al . Urgent capsule endoscopy for the diagnosis of obscure-overt gastrointestinal bleeding.  Gastrointest Endosc. 2010;  71 AB366
• 35 Yadav A, Ruff K C, Gallegos-Orozco J F. et al . Clinical outcomes after double balloon enteroscopy (DBE) for obscure GI bleeding (OGIB) in patients with documented follow-up.  Gastrointest Endosc. 2010;  71 AB251

Additional References: Inflammatory bowel diseases

• 36 Girgis H Z, Dassopoulos T, Mullin G E. et al . Computer automated severity assessment of Crohn’s disease (CD) lesions in wireless capsule endoscopy (CE) images.  Gastroenterology. 2010;  138 S667
• 37 Jensen M D, Nathan T, Kjeldsen J. Inter-observer agreement for detection of small bowel Crohn’s disease with capsule endoscopy.  Gastroenterology. 2010;  138 S524
• 38 Moy L C, Greifer M K, Levine J J. Small intestinal transit time in children with Crohn’s disease.  Gastrointest Endosc. 2010;  71 AB257
• 39 Moy L C, Levine J J. Delayed intestinal motility by capsule endoscopy as sign of Crohn’s disease.  Gastrointest Endosc. 2010;  71 AB256
• 40 Petruzziello C, Onali S, Calabrese E. et al . Diagnostic role of capsule endoscopy in patients with symptoms highly compatible with Crohn’s disease.  Gastroenterology. 2010;  138 S525
• 41 Safatle-Ribeiro A V, Vidolin E, Oliveira L B. et al . Double balloon endoscopy enhances the management of pediatric patients with Crohn’s disease.  Gastrointest Endosc. 2010;  71 AB376
• 42 Watanabe K, Sogawa M, Hosomi S. et al . Clinical impact of retrograde deep insertion of single balloon endoscopy for patients with Crohn’s disease at times of conventional colonoscopy on outpatients.  Gastrointest Endosc. 2010;  71 AB204
• 43 Watanabe O, Ando T, Ishiguro K. et al . Recurrence of ulcers after small bowel resection in patients with Crohn’s disease: efficacy of infliximab as assessed by double-balloon endoscopy.  Gastrointest Endosc. 2010;  71 AB376
• 44 Watanabe O, Ando T, Ishiguro K. et al . Symptoms in patients with Crohn’s disease are related to the presence of strictures rather than to that of active ulcers in the small bowel by the examination of double-balloon enteroscopy.  Gastrointest Endosc. 2010;  71 AB375

Additional References: Tumors

• 45 Gonçalves A R, Macedo T C, Velosa J. Small bowel tumors. A not so rare diagnosis.  Gastroenterology. 2010;  138 S661
• 46 Ohmiya N, Nakamura M, Takenaka H. et al . Management of small bowel polyps in Peutz-Jeghers syndrome by using fluoroscopic enteroclysis, double-balloon endoscopy, and videocapsule endoscopy.  Gastrointest Endosc. 2010;  71 AB373
• 47 Partridge B J, Heller S J, Tokar J L. et al . Small bowel cancers diagnosed at a referral center for device-assisted enteroscopy: a five year experience.  Gastrointest Endosc. 2010;  71 AB372
• 48 Riccioni M E, Urgesi R, Spada C. et al . Increased diagnostic yield of small bowel tumors with Pillcam: the role of capsule endoscopy in diagnosis and treatment of gastrointestinal stromal tumours (GIST). Italian single-centre experience.  Gastroenterology. 2010;  138 S670
• 49 Zagorowicz E, Wronska E, Pietrzak A. et al . Small bowel neoplasms detected and missed by capsule. A single centre experience.  Gastrointest Endosc. 2010;  71 AB376

Additional References: Innovations, new capsules

• 50 Endo Y, Nakano T, Takahashi H. Newly developed a training model for balloon endoscopy.  Gastrointest Endosc. 2010;  71 AB270
• 51 Ohta H, Sato Y, Tanaka S. et al . Capsule endoscopy for the whole of the gastrointestinal tract using extracorporeal magnetic navigation.  Gastrointest Endosc. 2010;  71 AB238
• 52 Montane R, Fyock C J, Wagh M S. Development of a novel robotic suction enteroscope: a pilot study.  Gastrointest Endosc. 2010;  71 AB353

Additional References: Technical aspects of small-bowel endoscopy

• 53 Abdelaal U M, Morita E, Nouda S. et al . New method for better detection and visualization of vascular and non-vascular lesions of small bowel by using blue mode viewing: capsule endoscopy study.  Gastrointest Endosc. 2010;  71 AB367
• 54 Blanco D A, Solomon A B, Sockolow R E. Safety of the agile patency system in children.  Gastrointest Endosc. 2010;  71 AB258
• 55 Buscaglia J M, Richards R J, Judah J R. et al . Prospective evaluation of the reproducibility of capsule endoscopy findings at the time of deep spiral small bowel enteroscopy.  Gastrointest Endosc. 2010;  71 AB377
• 56 Chandrasekhara V, Dunbar K B, Dongen M V. et al . Determination of competency for wireless capsule endoscopy in digestive healthcare practitioners.  Gastrointest Endosc. 2010;  71 AB371
• 57 Chun H J, Kim E S, Lee K G. et al . Why not coffee enema for bowel preparation of capsule endoscopy?.  Gastrointest Endosc. 2010;  71 AB153
• 58 de Silva P S, Baldwin L, Miao Y M. Failure of patency capsules – a district general hospital experience in the UK.  Gastroenterology. 2010;  138 S670
• 59 Dedeu Cusco J M, Ibañez I A, Bessa X. et al . Influence of simeticone and metoclopramide administration for capsule endoscopy preparation.  Gastroenterology. 2010;  138 S670
• 60 Despott E J, Hughes S, Deo A. et al . First report of the UK multi-centre DBE registry: broadening the international deep enteroscopy experience.  Gastrointest Endosc. 2010;  71 AB366
• 61 Despott E J, Hughes S, Marden P. et al . Spinning through the small bowel: first report of the UK experience of spiral enteroscopy.  Gastrointest Endosc. 2010;  71 AB366
• 62 Fernandez-Urien I, Borobio E, Elizalde I. et al . Can endoscopists predict incompete capsule endoscopy of the small bowel? a multivariate analysis.  Gastrointest Endosc. 2010;  71 AB372
• 63 Gupta T, Ibrahim M, Deviere J M. et al . Is Fujinon intelligent color enhancement (FICE) assisted capsule endoscopy (CE) helpful for analyzing obscure GI bleeding (OGIB)?.  Gastroenterology. 2010;  138 S667
• 64 Hyatt B J, Finkelberg D, Tsai E. et al . Clinical experience with the patency capsule: a single center retrospective review.  Gastroenterology. 2010;  138 S670
• 65 Kopacova M, Rejchrt S, Tacheci I. et al . No influence of learning curve on increased amylase and lipase and/or acute pancreatitis after oral double balloon enteroscopy. A single-centre prospective study on 138 consecutive procedures.  Gastrointest Endosc. 2010;  71 AB149
• 66 Kuramoto T, Morita E, Kakimoto K. et al . Reduction of gastrointestinal transit time with mosapride citrate on capsule endoscopy.  Gastrointest Endosc. 2010;  71 AB365
• 67 Lam T T, Keegan A D. Chewing gum shortens small bowel but not gastric transit time during capsule endoscopy.  Gastroenterology. 2010;  138 S669
• 68 Lee H S, Lee K G, Kim J. et al . Comparison of Pillcam SB and SB2. Study of normally positioned ampulla of vater detection.  Gastrointest Endosc. 2010;  71 AB370
• 69 Lennon A M, Khashab M, Dunbar K B. et al . Spiral enteroscopy is superior to single balloon enteroscopy by depth of insertion.  Gastrointest Endosc. 2010;  71 AB364
• 70 Mukherjee R, Sheikh M, Rubin M. et al . Evaluation of gastric and small bowel transit time by video capsule endoscopy.  Gastrointest Endosc. 2010;  71 AB373
• 71 Nouda S, Morita S, Kuramoto T. et al . Usefulness of polyethylene glycol solution for bowel preparation before capsule endoscopy in patients with obscure gastrointestinal bleeding.  Gastrointest Endosc. 2010;  71 AB367
• 72 Rey J F, Seitz U. How to improve video capsule image visibility?.  Gastroenterology. 2010;  138 S669
• 73 Robinson C, Condon D S, Jackson C S. et al . Inpatient versus outpatient capsule endoscopy: is there a difference?.  Gastroenterology. 2010;  138 S668
• 74 Ruff K C, Yadav A, Gallegos-Orozco J F. et al . A new validated model for predicting minimum required depth of insertion at double balloon enteroscopy (DBE) based on lesion localization at capsule endoscopy (CE).  Gastrointest Endosc. 2010;  71 AB123
• 75 Sanaka M R, Vannoy S, Kosuru B P. et al . Antegrade enteroscopy is more effective than retrograde enteroscopy in the evaluation and management of patients with suspected small bowel disease.  Gastrointest Endosc. 2010;  71 AB369
• 76 Sanaka M R, Vannoy S, Yerneni H. et al . Efficacy of morning versus afternoon small bowel enteroscopy: does timing matter?.  Gastrointest Endosc. 2010;  71 AB368
• 77 Sanaka M R, Vannoy S, Yerneni H. et al . Single balloon enteroscopy system might be more efficient among three available enteroscopy systems for evaluation and management of suspected small bowel disease.  Gastrointest Endosc. 2010;  71 AB368
• 78 Shibuya T, Osada T, Mori H. et al . The origin of hyperamylasaemia associated with peroral double-balloon endoscopy.  Gastrointest Endosc. 2010;  71 AB376
• 79 Shiotani A, Nishi R, Honda R. et al . Evaluation of quick view of Rapid^® 5 access for examination of video capsule endoscopies.  Gastroenterology. 2010;  138 S671
• 80 Takeda T, Shibuya T, Mori H. et al . The relationship between bed rest and completion rate of small-bowel examination in patients undergoing capsule endoscopy.  Gastrointest Endosc. 2010;  71 AB380
• 81 Theodoropoulos I, Papamichael K, Archavlis E J. et al . Intestinal preparation with simethicone plus polyethlene glycol versus polyethlene glycol for small bowel capsule endoscopy.  Gastroenterology. 2010;  138 S667
• 82 Westerhof J, Koornstra J J, Weersma R K. Does small bowel transit time influences the diagnostic yield of capsule endoscopy?.  Gastroenterology. 2010;  138 S668
• 83 Yadav A, Heigh R I, Hara A K. et al . Comparison of the patency capsule to radiological investigations in evaluating patients with known or suspected intestinal strictures and/or obstruction prior to capsule endoscopy: a large single US center experience.  Gastrointest Endosc. 2010;  71 AB373
• 84 Yague A S, Elena A C, Méndez-Sánchez I M. et al . Identification of colon images with a real time viewer is effective to decrease capsule endoscopy studies duration.  Gastrointest Endosc. 2010;  71 AB323

Additional References: Miscellaneous topics

• 85 Anusionwu C C, Bari K, Agrawal S. et al . Predictors of diagnostic yield of video capsule endoscopy in Southwest Ohio veteran population.  Gastrointest Endosc. 2010;  71 AB318
• 86 Bucobo J C, Jamil L H, Lo S K. Spectrum of therapeutic applications of ERCP in patients following roux-en-y gastric bypass (RYGB) using a double balloon enteroscope (DBE).  Gastrointest Endosc. 2010;  71 AB226
• 87 Chtourou L, Bejou B, Airinei G. et al . Small bowel injury in patients receiving low-dose, long term aspirin treatment: a case control study.  Gastroenterology. 2010;  138 S669
• 88 Ciaccio E J, Tennyson C A, Lewis S K. et al . Distinguishing patients with celiac disease by quantitative analysis of videocapsule endoscopy images.  Gastroenterology. 2010;  138 S510
• 89 Costea F, Seidman E G. Survey on the value of capsule endoscopy in clinical practice: the referring gastroenterologist’s perspective.  Gastrointest Endosc. 2010;  71 AB245
• 90 Endo Y, Takahashi H, Nakano T. Capsule endoscopy for hemodialysis patients.  Gastrointest Endosc. 2010;  71 AB378
• 91 Gajendran M, Wiesen A, Gelrud A. Single balloon enteroscopy in an academic center: single operator two year experience.  Gastrointest Endosc. 2010;  71 AB322
• 92 Haber G B, Vadada D, Satchi M. et al . A comparison of capsule endoscopy and double balloon enteroscopy in evaluating small bowel pathology: a single center retrospective study.  Gastrointest Endosc. 2010;  71 AB209
• 93 Hosono K, Endo H, Uchiyama T. et al . Capsule endoscopy findings in the small intestine of HIV carrier.  Gastrointest Endosc. 2010;  71 AB370
• 94 Ibuka T, Araki H, Onogi F. et al . The current state of diagnosis and treatment with double balloon enteroscopy in patients small bowel diseases.  Gastrointest Endosc. 2010;  71 AB375
• 95 Kawamura T, Yasuda K, Uno K. et al . Clinical evaluation of endoscopic ultrasonography with single-balloon enteroscopy for diagnosis of small bowel diseases.  Gastrointest Endosc. 2010;  71 AB366
• 96 Kobayashi Y, Watabe H, Yamada A. et al . Diagnostic yield of capsule endoscopy for gastric diseases.  Gastrointest Endosc. 2010;  71 AB379
• 97 Kodama K, Ohtsuka K, Kashida H. et al . Therapeutic and diagnostic ERCP using the single balloon enteroscope in patients with reconstructed upper gastrointestinal tract.  Gastrointest Endosc. 2010;  71 AB349
• 98 Landaeta J L, Dias C M, Rodriguez M J. Preliminary experience single balloon enteroscopy in paediatrics.  Gastrointest Endosc. 2010;  71 AB368
• 99 Le D M, Jamil L H, Mann N K. et al . Predicting true polypoid/submucosal lesions in the small bowel based on an observer based probability method on wireless capsule enteroscopy.  Gastrointest Endosc. 2010;  71 AB378
• 100 Lee T, Kim J O, Kim H G. et al . Seven years’ experience with small bowel capsule endoscopy in a single center; comparison of its indications and diagnostic rates between first half and second half periods.  Gastrointest Endosc. 2010;  71 AB377
• 101 Lennon A M, Kapoor S, Singh V K. et al . Is spiral enteroscopy superior to single balloon assisted ERCP in patients with altered anatomy?.  Gastrointest Endosc. 2010;  71 AB231
• 102 Mann N K, Khungar V, Bradford K. et al . Diaphragm strictures (DBE): location, number and dose-relation to NSAID exposure as evaluated by double balloon enteroscopy (DBE).  Gastroenterology. 2010;  138 S363
• 103 Nguyen Y, Murad F, Mullady D. et al . Downstream revenue stream from resource intensive small bowel endoscopies (single balloon enteroscopy, spiral balloon enteroscopy, and wireless capsule endoscopy).  Gastrointest Endosc. 2010;  71 AB244
• 104 Nuutinen H N, Kolho K L, Salminen P. et al . Capsule endoscopy in pediatric patients: technique and results in our first 94 consecutive children (8 months to 16 years of age).  Gastrointest Endosc. 2010;  71 AB257
• 105 Okazaki H, Tominaga K, Nagami Y. et al . ERCP with the double balloon enteroscope in patients with billroth II gastrectomy or roux-en-y anastomosis.  Gastrointest Endosc. 2010;  71 AB232
• 106 Parikh D A, Mittal M, Mann S K. et al . Outcomes of video capsule endoscopy in patients with metabolic syndrome.  Gastroenterology. 2010;  138 S668
• 107 Patel N J, Chen C H. Clinical evaluation of single-balloon enteroscopy in the United States: endoscopic findings and interventions in sixty-nine cases.  Gastrointest Endosc. 2010;  71 AB379
• 108 Riccioni M E, Spada C, Cianci R. et al . Single-balloon push-and-pull enteroscopy system: does it work? a single-centre three-year-experience.  Gastrointest Endosc. 2010;  71 AB320
• 109 Shimatani M, Takaoka M, Matsushita M. et al . ERCP by short double balloon enteroscopy in patients with altered gastrointestinal anatomy.  Gastrointest Endosc. 2010;  71 AB162
• 110 Shiotani A, Nishi R, Honda K. et al . Small bowel injury with chronic antithrombotic therapy.  Gastroenterology. 2010;  138 S363
• 111 Takenaka H, Ohmiya N, Nakamura M. et al . Usefulness of double-balloon enteroscopy and videocapsule endoscopy for protein-losing enteropathy.  Gastrointest Endosc. 2010;  71 AB372
• 112 Witkin A S, Fenkel J M, Infantolino A. et al . Spiral enteroscopy in geriatric patients: retrospective review of a single-center experience.  Gastrointest Endosc. 2010;  71 AB371