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Single‐balloon enteroscopy for small bowel diseases: Results from an initial experience at a single C hinese center
Author(s) -
Gong Wei,
Zhi Fa Chao,
Bai Yang,
Xiao Bing,
De Liu Si,
Xu Zhi Min,
Jiang Bo
Publication year - 2012
Publication title -
journal of digestive diseases
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.684
H-Index - 51
eISSN - 1751-2980
pISSN - 1751-2972
DOI - 10.1111/j.1751-2980.2012.00642.x
Subject(s) - medicine , anus , enteroscopy , abdominal pain , single center , endoscopy , gastroenterology , surgery
Objective This study aimed to evaluate the performance, diagnostic yield, and safety of single‐balloon enteroscopy ( SBE) at a C hinese tertiary‐care center. Methods A total of 67 patients with suspected small bowel diseases who underwent SBE via the oral and/or anal routes from J anuary 2009 to A ugust 2011 were retrospectively analyzed. Data were extracted from electronic clinical and endoscopy records. The indications, SBE procedure time, diagnostic yield and complications were summarized and evaluated. Results A total of 42 SBE procedures through the oral route and 38 via the anal route were performed in these 67 patients. Patients were referred mainly for obscure gastrointestinal bleeding ( OGIB ) (40.3%) and abdominal pain (29.8%). The mean procedure duration was 68.1 min from the oral cavity and 77.5 min from the anus. The estimated depth of insertion was 247.6 ± 80.3 cm from the oral cavity and 131.1 ± 68.7 cm from the anus. The overall significant diagnostic yield was 68.7%. In patients with OGIB and unexplained chronic abdominal pain, the diagnostic yield was 74.1% and 50.0%, respectively. There were no significant complications. Conclusion SBE appears to be a safe and effective method for the diagnosis and treatment of deep small bowel disease.