Re: Anyone Familiar W/new Double Balloon Endoscopy??
I wouldn't count out the pillcam just yet. In fact, capsule endoscopy and double-balloon endoscopy are and should remain
complimentary diagnostic tools. There are many clients who just would not be able to tolerate the lengthy DBE procedure, sedation, or lying prone for an hour or more. These people would benefit from capsule endoscopy as a frontline diagnostic tool for small bowel disorders. On the other hand, some patients should not have capsule endoscopy, for example if they have a pacemaker, swallowing disorders, known strictures, etc. Patient selection is very important before any of these procedures are performed. My facility has seen that performing capsule endoscopy before DBE helps with patient selection. Also, keep in mind that reimbursement for DBE is not very good-comparable to that for a colonoscopy, but it may take much longer.
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