Utility of Double Balloon Endoscopy for the Diagnosis and Treatment of Stomach and Small Intestine Disorders in Patients with Gastric Bypass

摘要: The double balloon endoscope was initially devised for the endoscopic evaluation of small bowel diseases. However, indications its use have increased patients with altered gastrointestinal anatomy after surgery because controlled capacity to reach bypassed organs. One these situations includes Roux-en-Y gastric bypass, one most common surgical techniques performed morbid obesity. In such patients, stomach is inaccessible by conventional upper endoscopy, and pathological changes are unknown in a long-term period. Aside from therapeutic procedures like hemostasis polypectomy, development accessories allows performance other procedures, as percutaneous gastrostomy retrograde cholangiopancreatography, patients.