Secrets for Small Bowel Dilation and Stenting

Stricture is one of the important pathological conditions in the small intestine that may require urgent and adequate treatments. Strictures of the small bowel can be induced by various kinds of diseases. One of the most important factors for the choice of treatment of the stricture of the small bowel is to determine whether neoplasm is involved in the stricture. Endoscopic observation as well as biopsy sampling is very helpful regarding the choice of treatment for the strictures in the small bowel. Development of double‐balloon enteroscopy (DBE) followed by single‐balloon enteroscopy (SBE) revolutionized the management of small intestinal diseases. It enabled not only endoscopic examination but also endoscopic treatment such as balloon dilation and stent placement for the strictures of the small intestine. In this lecture, practical application and secrets in endoscopic dilation and stenting using DBE will be explained.