First case of paralytic intestinal ileus after double balloon enteroscopy

Double balloon enteroscopy is a new method allowing the exploration of the whole intestine by the oral or anal route,1 with the possibility of endoscopic intervention. We describe here the first case of enduring paralytic ileus following this technique. A 47 old woman was referred to our unit for chronic and obscure undiagnosed gastrointestinal bleeding. Unremarkable conventional upper and lower endoscopies were performed twice. Small bowel follow through studies, abdominal computed tomography (CT), and pushed enteroscopy were also normal. A capsule enteroscopy was performed showing three angiodysplasias in the distal jejunum, all measuring 2–3 mm. To reach them, we performed a double balloon enteroscopy which showed two of the three lesions. Electrocoagulation with an argon plasma coagulator (50 W, 1.5 l/min) was performed …