Diagnostic Enteroscopy
Diagnostic Enteroscopy is a specialized endoscopic procedure that allows a gastroenterologist to examine the small intestine—an area not easily accessible by standard endoscopy or colonoscopy. It involves the use of a long, flexible tube called an enteroscope, equipped with a camera and light, to visualize the small bowel in detail.
Depending on the method and indication, different types of enteroscopy may be performed, including push enteroscopy, balloon-assisted enteroscopy (single or double balloon), and spiral enteroscopy.
Why is it done?
Diagnostic enteroscopy is used to investigate unexplained symptoms or conditions affecting the small intestine, such as:
- Unexplained gastrointestinal bleeding
- Chronic iron-deficiency anemia
- Suspected small bowel tumors or polyps
- Crohn’s disease and other inflammatory conditions
- Abnormal findings on imaging or capsule endoscopy
What can it detect?
- Sources of bleeding in the small intestine
- Small bowel tumors or cancers
- Ulcers or erosions
- Vascular lesions (like angiodysplasia)
- Strictures or narrowing
- Inflammatory or infectious conditions
Is it safe?
Yes, enteroscopy is a safe and effective procedure, though it may take longer than standard endoscopy. It is performed under sedation or anesthesia to ensure patient comfort.
Preparation:
- You will need to fast for at least 6–8 hours before the procedure.
- Additional bowel preparation may be required, depending on the approach.
- Inform your doctor about any medications, especially blood thinners, and your full medical history.
After the procedure:
- Most patients experience minimal discomfort.
- You may feel bloated or gassy for a short period.
- You’ll be monitored post-procedure and can usually go home the same day.
- Your doctor will discuss initial findings and plan further care based on biopsy or visual results.
Enteroscopy plays a crucial role in the early detection and treatment of small bowel disorders, providing valuable insights when other tests are inconclusive.