BACKGROUND/AIMS: This study aimed to investigate the feasibility, efficiency, and clinical significance of examining the total gastrointestinal (GI) tract by consecutive bidirectional double-balloon enteroscopy (DBE) within 1 day in patients with suspected small-bowel bleeding. MATERIALS AND METHODS: From January 2016 to January 2018, the clinical and endoscopic data of 41 patients with suspected small-bowel bleeding undergoing DBE aimed at inspecting the total GI tract within 1 day. RESULTS: A success rate of 87.8% (36/41) for examining the total GI tract with no adverse event was achieved by consecutive bidirectional DBE performed within 1 day. The total examination time was 140.61±36.41 (range, 82-270) minutes. Positive or negative findings of bleeding were detected in 51.2% (21/41) and 48.8% (20/41) patients, respectively. Single bleeding etiology with non-small-bowel lesions (NSBLs) or small-bowel lesions (SBLs) was detected in 12.2% (5/41) and 26.8% (11/41) of patients, respectively. Dual bleeding etiologies, including NSBLs and SBLs, were detected in 12.2% (5/41) of patients. A re-bleeding rate of positive or negative findings was different (4.8% vs. 40.0%; p<0.05). CONCLUSION: Consecutive bidirectional DBE within 1 day can achieve complete vision of the total GI tract with a considerable success rate and high safety. This strategy may provide an option for detecting bleeding etiology throughout the GI tract. A negative finding with this method cannot absolutely exclude missed bleeding etiology and re-bleeding.
BACKGROUND/AIMS: This study aimed to investigate the feasibility, efficiency, and clinical significance of examining the total gastrointestinal (GI) tract by consecutive bidirectional double-balloon enteroscopy (DBE) within 1 day in patients with suspected small-bowel bleeding. MATERIALS AND METHODS: From January 2016 to January 2018, the clinical and endoscopic data of 41 patients with suspected small-bowel bleeding undergoing DBE aimed at inspecting the total GI tract within 1 day. RESULTS: A success rate of 87.8% (36/41) for examining the total GI tract with no adverse event was achieved by consecutive bidirectional DBE performed within 1 day. The total examination time was 140.61±36.41 (range, 82-270) minutes. Positive or negative findings of bleeding were detected in 51.2% (21/41) and 48.8% (20/41) patients, respectively. Single bleeding etiology with non-small-bowel lesions (NSBLs) or small-bowel lesions (SBLs) was detected in 12.2% (5/41) and 26.8% (11/41) of patients, respectively. Dual bleeding etiologies, including NSBLs and SBLs, were detected in 12.2% (5/41) of patients. A re-bleeding rate of positive or negative findings was different (4.8% vs. 40.0%; p<0.05). CONCLUSION: Consecutive bidirectional DBE within 1 day can achieve complete vision of the total GI tract with a considerable success rate and high safety. This strategy may provide an option for detecting bleeding etiology throughout the GI tract. A negative finding with this method cannot absolutely exclude missed bleeding etiology and re-bleeding.
Authors: Christopher W Teshima; Huseyin Aktas; Henk R van Buuren; Ernst J Kuipers; Peter B Mensink Journal: Scand J Gastroenterol Date: 2010-10-06 Impact factor: 2.423
Authors: Marco Pennazio; Cristiano Spada; Rami Eliakim; Martin Keuchel; Andrea May; Chris J Mulder; Emanuele Rondonotti; Samuel N Adler; Joerg Albert; Peter Baltes; Federico Barbaro; Christophe Cellier; Jean Pierre Charton; Michel Delvaux; Edward J Despott; Dirk Domagk; Amir Klein; Mark McAlindon; Bruno Rosa; Georgina Rowse; David S Sanders; Jean Christophe Saurin; Reena Sidhu; Jean-Marc Dumonceau; Cesare Hassan; Ian M Gralnek Journal: Endoscopy Date: 2015-03-31 Impact factor: 10.093
Authors: Andrea May; Michael Färber; Insa Aschmoneit; Jürgen Pohl; Hendrik Manner; Erich Lotterer; Oliver Möschler; Johannes Kunz; Liebwin Gossner; Klaus Mönkemüller; Christian Ell Journal: Am J Gastroenterol Date: 2010-01-05 Impact factor: 10.864
Authors: R Marmo; G Rotondano; T Casetti; G Manes; F Chilovi; T Sprujevnik; M A Bianco; M L Brancaccio; V Imbesi; S Benvenuti; M Pennazio Journal: Endoscopy Date: 2009-07-08 Impact factor: 10.093