Double Balloon Enteroscopy Melbourne
Double Balloon Enteroscopy (DBE) is a specialised procedure used to examine and treat conditions within the small intestine, an area not accessible by standard endoscopy or colonoscopy.
Dr Walid Abu Shawish has dedicated training in advanced small bowel endoscopy, including therapeutic DBE.
What is Double Balloon Enteroscopy?
DBE uses a long endoscope and two balloon-controlled overtubes that allow deep advancement through the small bowel while maintaining excellent visualisation.
DBE can diagnose and treat:
Unexplained gastrointestinal bleeding
Small bowel polyps
Crohn’s disease involvement
Strictures or narrowing
Small bowel tumours
Abnormalities found on capsule endoscopy
Angiodysplasia
Who Might Benefit From DBE?
Your doctor may refer you for DBE if you have:
Bleeding detected by capsule endoscopy
Suspected small bowel inflammation or Crohn’s disease
Suspected tumours or subepithelial lesions
What to Expect During the Procedure
Depending on the location of the suspected issue, it can be performed from:
The mouth (anterograde)
The colon (retrograde)
Procedure features:
Careful, step-wise advancement using balloon control
Removal or treatment of bleeding lesions
Biopsy of abnormal areas
Dilation of strictures where appropriate
Duration varies depending on complexity
Benefits of DBE
Enables diagnosis of conditions unreachable by standard scopes
Treats bleeding without the need for surgery
Allows targeted biopsies throughout the small bowel
Essential for managing obscure bleeding
After Your DBE
A detailed explanation of findings will be provided, including:
Whether treatment was performed
Results of biopsies
Recommendations for follow-up or additional imaging
Ongoing management plan
Book an Appointment
For evaluation and management of small bowel bleeding or suspected small bowel disease, please book an appointment with
Dr Walid Abu Shawish, Gastroenterologist & Advanced Endoscopist.

