Applications

1206 – Single Balloon Enteroscopy System for Obscure GI Bleeding (Small Bowel)

Find out about the service or technology in this application and the medical condition it addresses. You can also view the application documents, the deadlines for providing consultation input and the outcome of the application when the MSAC process is complete.

  • Status Complete
  • Type New application
  • Pre-PASC consultation -
  • Pre-MSAC consultation -
  • Outcome Supported

Application details

Reason for application

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Service or technology in this application

For single-balloon enteroscopy, a 200-centimetre-long flexible endoscope is fitted with an over-tube that slides over the endoscope. The tip of the over-tube has a balloon. When the balloon is blown up it anchors the over-tube within the small bowel and allows the endoscope to move deeper. Withdrawing the over-tube makes the bowel shorter and straighter, allowing the endoscope to move forward. With the balloon deflated, the over-tube can be inserted further and the endoscope advanced again. The enteroscope works the same as a standard endoscope, allowing the intestine to be fully viewed, inflated with air, rinsed with water, and perform biopsies or therapeutic procedures. Single-balloon enteroscopy can be performed by either the oral or anal route and needs the same preparation as standard endoscopy.

Medical condition this application addresses

The medical conditions most commonly diagnosed and managed by single-balloon enteroscopy are associated with bleeding that is either known or suspected to be coming from the small bowel and include blood vessel malformations, ulcers, polyps and tumours of the small bowel. Other less common diseases of the small bowel can also be diagnosed and/or managed using this procedure.

Meetings to consider this application

  • PASC meeting: 13 - 14 December 2012
  • ESC meeting: 10 - 11 October 2013
  • MSAC meeting: 28 - 29 November 2013