Dr Fraser performs a number of different types of specialised endoscopic procedures. These are performed in state of the art endoscopy units in premier Edinburgh hospitals using the latest equipment and expertly trained nurses.

Double balloon enteroscopy

Double balloon enteroscopy (DBE) is a new endoscopic technique for examining the small bowel. Two inflatable balloons are used to help the enteroscope (a long, thin type of endoscope) travel through the small bowel. Abnormalities found at capsule endoscopy are often investigated by DBE. Depending on the indication, DBE may also offer patients an alternative to surgery.

With DBE it is possible to:

  • take tissue biopsies of abnormalities to make a diagnosis
  • treat bleeding from the small bowel (e.g. due to angioectasias or AV malformations)
  • dilate strictures or stenoses causing obstruction (e.g. due to Crohn's disease, NSAIDs or surgery)
  • remove polyps especially for patients with polyposis syndromes (e.g. Peutz-Jeghers Syndrome or Juvenile Polyposis Syndrome)
  • retrieve foreign objects (e.g. retained capsule endoscopes)
  • place feeding tubes (known as direct percutaneous endoscopic jejunostomy)

More information on DBE is available at www.doubleballoonenteroscopy.com

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