BACKGROUND: Limited data are available on the clinical impact of single balloon enteroscopy. AIMS: To evaluate the diagnostic and therapeutic yield of single balloon enteroscopy in patients with suspected small bowel disease. METHODS: Data on patients with suspected small bowel disease based on non-invasive imaging, who were subjected sequentially to enteroscopy were prospectively collected. RESULTS: 131 procedures were performed in 111 patients. The mean procedure time was 61±33min for the oral approach, and 78±41min for the anal approach. The mean insertion depth was 223±93cm beyond the ligament of Treitz, and 96±56 beyond the ileo-cecal valve. A diagnosis suspected with prior small bowel tests was confirmed in 82 patients, confidently excluded in 20, while in 9 the suspected area was not reached. Total enteroscopy was deemed clinically unnecessary in 94 patients; when total enteroscopy was attempted, it was achieved in 8 out 17 patients. Endoscopic therapeutic interventions were performed in 39 patients, medical treatment was started in 30, whereas 18 underwent to surgery. No major complications were registered. CONCLUSIONS: This study shows that single balloon enteroscopy appears to be an helpful and safe procedure with a high clinical impact, especially when it is placed in decision-making as a third level examination.
BACKGROUND: Limited data are available on the clinical impact of single balloon enteroscopy. AIMS: To evaluate the diagnostic and therapeutic yield of single balloon enteroscopy in patients with suspected small bowel disease. METHODS: Data on patients with suspected small bowel disease based on non-invasive imaging, who were subjected sequentially to enteroscopy were prospectively collected. RESULTS: 131 procedures were performed in 111 patients. The mean procedure time was 61±33min for the oral approach, and 78±41min for the anal approach. The mean insertion depth was 223±93cm beyond the ligament of Treitz, and 96±56 beyond the ileo-cecal valve. A diagnosis suspected with prior small bowel tests was confirmed in 82 patients, confidently excluded in 20, while in 9 the suspected area was not reached. Total enteroscopy was deemed clinically unnecessary in 94 patients; when total enteroscopy was attempted, it was achieved in 8 out 17 patients. Endoscopic therapeutic interventions were performed in 39 patients, medical treatment was started in 30, whereas 18 underwent to surgery. No major complications were registered. CONCLUSIONS: This study shows that single balloon enteroscopy appears to be an helpful and safe procedure with a high clinical impact, especially when it is placed in decision-making as a third level examination.
Authors: Jennifer M Kolb; Kathryn Friedman Flack; Prapti Chatterjee-Murphy; Jay Desai; Lars C Wallentin; Michael Ezekowitz; Stuart Connolly; Paul Reilly; Martina Brueckmann; John Ilgenfritz; James Aisenberg Journal: Dig Dis Sci Date: 2018-03-27 Impact factor: 3.199
Authors: Marianny Sulbaran; Eduardo de Moura; Wanderley Bernardo; Cintia Morais; Joel Oliveira; Leonardo Bustamante-Lopez; Paulo Sakai; Klaus Mönkemüller; Adriana Safatle-Ribeiro Journal: Endosc Int Open Date: 2016-01-11
Authors: Margarida Marques; João Santos-Antunes; Rosa Coelho; Hélder Cardoso; Filipe Vilas Boas; Armando Ribeiro; Guilherme Macedo Journal: Endosc Int Open Date: 2017-02
Authors: Amine Benmassaoud; Mark Solomon Sasson; Jean Caroll Pamphile; Myriam Martel; Peter L Lakatos; Alan N Barkun; Constantine Soulellis; Talat Bessissow Journal: J Can Assoc Gastroenterol Date: 2018-03-27