Therapeutic Possibilities with DBE: A Focus on Accessories

Double balloon enteroscopy (DBE) allows the diagnosis and therapy of small-bowel lesions. Here, we present a spectrum of accessories that are needed to perform various treatment modalities, such as coagulation of angiodysplasias, polypectomy, mucosectomy, and dilation. The placement of metal stents in malignant stenoses has been reported in case reports. In addition, DBE may provide access to the hepatobiliary system in patients with a Roux-en-Y anastomosis. For this situation, specialized equipment has been developed to perform sphincterotomy, stone extraction, dilation of stenoses, and insertion of small-diameter plastic stents.