With DBE it is possible to: • Examine parts of the small bowel that are usually difficult to reach • Diagnose and assess small bowel diseases and disorders • Investigate the small bowel when X-rays, barium follow through, enteroclysis, CT or MRI scans show abnormalities • Evaluate the effects of medication on the small bowel e.g. for disorders such as Coeliac or Crohn's disease • Tattoo the small bowel to help localise lesions for surgery when these need to be removed • Perform therapy (treatment) Treatment or therapy using DBE for a number of conditions is available (unlike capsule endoscopy): • Bleeding from small bowel angioectasias or AV malformations • Removal of foreign objects (e.g. retained capsules) or polyps especially for patients with polyposis syndromes (e.g. Peutz-Jeghers Syndrome or Juvenile Polyposis) • Dilatation of strictures (or stenoses) causing obstruction due to Crohn's disease, surgery or medication (such as NSAIDs) • Placing of feeding tubes (direct jejunostomy) • Tissue biopsies can be taken to help make a diagnosis
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		The Wolfson Unit for Endoscopy St Mark's Hospital - Watford Road Harrow - London - HA1 3UJ United Kingdom