BACKGROUND: Single-balloon enteroscopy (SBE) is a novel endoscopic technique designed to evaluate and treat small-bowel disease. Although there is substantial literature addressing double-balloon enteroscopy and its impact on the diagnosis and management of small-bowel disease, there are limited data available on the clinical utility of SBE. OBJECTIVES: To evaluate the clinical utility and diagnostic impact of SBE in a large cohort of patients at a single tertiary center. DESIGN: Single-center, retrospective study. SETTING: Digestive Disease Institute, Cleveland Clinic, Cleveland, Ohio. PATIENTS: A total of 161 patients were referred for SBE from January 2006 to August 2008. MAIN OUTCOME MEASUREMENTS: Demographic, clinical, procedural, and outcome data were collected and analyzed. RESULTS: A total of 161 patients underwent a total of 172 procedures. Antegrade and retrograde approaches were used in 83% and 17% of subjects, respectively. The average insertion depth using the antegrade approach was 132 cm beyond the ligament of Treitz (range 20-400 cm). The average insertion depth using the retrograde approach was 73 cm above the ileocecal valve (range 10-160 cm). The average procedure time was 40 minutes overall, 38 minutes (range 12-90) antegrade and 48 minutes (range 28-89) retrograde. Fluoroscopy was used in 20 cases (12%). Diagnostic yield was 58% (99/172); 42% (72/172) were therapeutic cases. There were no significant complications. LIMITATIONS: Single-center, retrospective study. CONCLUSIONS: SBE demonstrated a high diagnostic yield and frequently provided useful therapeutic intervention. It seems to be a safe and effective method for performing deep enteroscopy. Copyright 2010 American Society for Gastrointestinal Endoscopy. Published by Mosby, Inc. All rights reserved.
BACKGROUND: Single-balloon enteroscopy (SBE) is a novel endoscopic technique designed to evaluate and treat small-bowel disease. Although there is substantial literature addressing double-balloon enteroscopy and its impact on the diagnosis and management of small-bowel disease, there are limited data available on the clinical utility of SBE. OBJECTIVES: To evaluate the clinical utility and diagnostic impact of SBE in a large cohort of patients at a single tertiary center. DESIGN: Single-center, retrospective study. SETTING: Digestive Disease Institute, Cleveland Clinic, Cleveland, Ohio. PATIENTS: A total of 161 patients were referred for SBE from January 2006 to August 2008. MAIN OUTCOME MEASUREMENTS: Demographic, clinical, procedural, and outcome data were collected and analyzed. RESULTS: A total of 161 patients underwent a total of 172 procedures. Antegrade and retrograde approaches were used in 83% and 17% of subjects, respectively. The average insertion depth using the antegrade approach was 132 cm beyond the ligament of Treitz (range 20-400 cm). The average insertion depth using the retrograde approach was 73 cm above the ileocecal valve (range 10-160 cm). The average procedure time was 40 minutes overall, 38 minutes (range 12-90) antegrade and 48 minutes (range 28-89) retrograde. Fluoroscopy was used in 20 cases (12%). Diagnostic yield was 58% (99/172); 42% (72/172) were therapeutic cases. There were no significant complications. LIMITATIONS: Single-center, retrospective study. CONCLUSIONS: SBE demonstrated a high diagnostic yield and frequently provided useful therapeutic intervention. It seems to be a safe and effective method for performing deep enteroscopy. Copyright 2010 American Society for Gastrointestinal Endoscopy. Published by Mosby, Inc. All rights reserved.
Authors: Douglas Morgan; Bennie Upchurch; Peter Draganov; Kenneth F Binmoeller; Oleh Haluszka; Sreeni Jonnalagadda; Patrick Okolo; Ian Grimm; Joel Judah; Jeff Tokar; Michael Chiorean Journal: Gastrointest Endosc Date: 2010-09-25 Impact factor: 9.427
Authors: Jennifer X Cai; David L Diehl; Ralf Kiesslich; Andrew C Storm; Mohamad H El Zein; Alan H Tieu; Arthur Hoffman; Vikesh K Singh; Mouen A Khashab; Patrick I Okolo; Vivek Kumbhari Journal: Surg Endosc Date: 2016-12-30 Impact factor: 4.584
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