Double-balloon enteroscopy-assisted dilatation avoids surgery for small bowel strictures: A systematic review

Figure 1 Study results. This flowchart summarizes the study results with the outcomes of the patients that were dilated.

Figure 2 Suggested approach to small bowel. This algorithm proposes a standardized approach to small bowel strictures, taking into account the known risk factors previously demonstrated in literature.

Figure 3 Double-balloon enteroscopy -assisted balloon dilatation. An example of a successful double-balloon enteroscopy (DBE)-assisted balloon dilatation is presented. A: shows the endoscopic image of a benign small bowel stricture in one of our patients. This patient was known with Crohn’s disease and had had prior small bowel surgery. She presented with obstructive symptoms and a fibrotic stricture at the side of the anastomosis. B: The stricture was dilated with DBE-assisted balloon dilation; C: Shows the anastomotic stricture after successful dilatation. This picture reveals the surgical staples at the anastomosis and there were no signs of active Crohn’s disease.