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We agreed with Dr Matsushita's opinion that snare polypectomy could be a therapeutic option in addition to surgical resection in our reported case. With the advent of double balloon enteroscopy, endoscopists are now allowed to undertake all endoscopic procedures in the field of conventional endoscopy. A recent editorial from Dewitt1 asks, “Is there anything now we can't do?” with double balloon enteroscopy. We would ask, “Is there anything now we can do”?
We encountered the case in our early experience of double balloon enteroscopy, and only a diagnostic endoscope was available in Taiwan. Because of our limited experience in the use of double balloon enteroscopy and the lack of suitable haemostasis equipment, a discussion with the patient was held and it was determined that he preferred the option of surgical resection of the polyp.
At present, we are capable of diagnosing various small intestinal diseases with the use of double balloon enteroscopy. However, we still need more experience to improve our technique for treating the lesions found and managing the associated complications. More studies are required to show the effectiveness and safety of therapeutic double balloon enteroscopy compared with traditional methods.