ASGE DDW Videos from Around the World | 2022-HEAT IT: THERMAL THERAPY WITH A HEATER PROBE THROUGH DOUBLE BALLOON ENTEROSCOPY IN ALTERED BOWEL ANATOMY

HEAT IT: THERMAL THERAPY WITH A HEATER PROBE THROUGH DOUBLE BALLOON ENTEROSCOPY IN ALTERED BOWEL ANATOMY

Video Transcription

Video Summary

This video discusses a case of thermal therapy using a heater probe through a double balloon and neuroscopy in a patient with altered bowel anatomy. The patient was a 68-year-old female with a history of gastric bypass and small bowel obstructions. She presented with symptoms of nausea, vomiting, and melena. Despite various medical tests, the source of the bleeding could not be identified. A video capsule endoscopy revealed a bleeding in the proximal small bowel, and the patient underwent a double balloon endoscopy to treat the bleeding. Using a double enteroscopy method, the duodenal ulcer causing the bleeding was identified and treated with thermal therapy using a heater probe. This technique allows for endoscopic hemostasis in patients with altered bowel anatomy and should be considered as a non-surgical option for gastrointestinal bleeding.

Keywords

thermal therapy

heater probe

double balloon

neuroscopy

altered bowel anatomy