Double Balloon Enteroscopy in a North American Setting: A Large Single Center 5-year Experience

usually with a bidirectional approach, and both tissue acquisition and therapy, including polypectomy, stricture dilation and cauterization, can be performed. Complication rates are reportedly low, and learning curves appear to indicate rapid proficiency. Pioneered in Japan and Europe, there are few North American studies of the utility and safety of DBE in the evaluation of small bowel disease. In this study, we present an overview of a five-year experience in DBE performed at a single North American center. The aim of the study was to determine the indications, diagnostic accuracy and complication rates of DBE in a tertiary/quaternary hospital setting.