Double Balloon Enteroscopy
|Application Name||Double Balloon Enteroscopy|
|Advisory Panels||A/Professor Donald Perry-Keene|
(Chair and MSAC member)
Dr Stephen Blamey
Dr David Gillespie
A/Professor Graham Newstead
(Royal Australian College of Surgeons nominee)
Dr Mark Appleyard
(Gastronenterological Society of Australia nominee)
Mr Barry Cahill
(Consumers' Health Forum of Australia nominee)
|Date Received by MSAC Secretariat||6 September 2005|
|Stage 1 - Eligibility||Eligible|
|Stage 2 - Assessment||Completed|
|Stage 3 - Formulation of Advice to the Minister||This assessment was considered by the MSAC at the 15 November 2006 meeting|
Double Balloon Enteroscopy (DBE) is a safe, minimally invasive technique for examining endoscopically the whole of the small intestine, allowing biopsy and certain therapeutic procedures at the same time. The most appropriate comparator is intraoperative enteroscopy.
While there is no direct comparative data, it is likely to be safer to perform than the alternative, intraoperative enteroscopy.
DBE is effective in allowing enteroscopic assessment and some treatment of the entire small intestine. Although more costly to Medicare than intraoperative enteroscopy, DBE is potentially cost saving for the entire health funding system.
MSAC recommends public funding for DBE for the diagnosis and treatment of patients with obscure gastrointestinal bleeding.
|Stage 4 - Decision||Endorsed by the Minister for Health and Ageing on 5 February 2007|
|Stage 5 - Implementation||Implemented|
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