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Magnetized overtube in Double-Balloon Enteroscopy: a case report
Poster Abstract

Abstract Text

A patient with a recent ileocecal resection for ulcerations and substenosis—with histology showing aberrant lymphocytes but no definitive lymphoma—underwent antegrade double-balloon enteroscopy (DBE) to distinguish between intestinal lymphoma and refractory celiac disease. The examination revealed diffuse mucosal atrophy with scalloping, villous edema, and lymphangiectasia. In the distal jejunum/proximal ileum, a 10-cm circumferential ulcer with a necrotic base was identified, and targeted biopsies were obtained. To enhance scope stability and insertion depth, the overtube was magnetized to replicate the functionality of the recently CE-marked Endorail® system. It utilizes a balloon filled with ferromagnetic fluid that is anchored to the patient’s abdominal wall, allowing the scope to be guided along the device to overcome difficult bowel loops and achieve greater insertion depth.

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