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Double Balloon Enteroscopy in a North American Setting: A Large Single Center 5-year Experience
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Gulseren Seven, Richard A. Kozarek, Andrew Ross, Shayan Irani, Michael Gluck, Drew Schembre, Johannes Koch, S. Ian Gan
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Intest Res 2013;11(1):34-40. Published online January 31, 2013
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DOI: https://doi.org/10.5217/ir.2013.11.1.34
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 Abstract
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- Background/Aims
Double balloon enteroscopy (DBE) allows both diagnosis and therapeutic maneuvers in the small bowel. Its use was pioneered in Europe and Asia but there remains a relative paucity of literature from North America. Our aim in this study was to determine diagnostic and therapeutic yield in a North American setting. Methods: A five-year retrospective analysis of all patients undergoing DBE at a single tertiary care North American hospital was performed. Results: Four-hundred fifty-seven procedures, 265 anterograde and 192 retrograde, were performed on 335 patients. The most common indications were obscure gastrointestinal bleeding, small bowel obstruction, and suspected masses and mucosal abnormalities. Total enteroscopy was achieved in 19 of the 89 patients who had both anterograde and retrograde procedures. Overall diagnostic yield in the determination of cause of symptoms or previous imaging was 52%. The most common causes of obscure bleeding were small bowel ulcers (10%), vascular lesions (25%) and neoplasms (10%). The most common causes of small bowel obstruction were strictures, some of which underwent dilation. Other therapeutic interventions included polypectomy, retrieval of retained capsules, stent retrievals and percutaneous enteral jejunostomy tube placement. Overall complication rates were very low (0.6%) and included medication reaction (n=1), scope dysfunction (n=1) and perforation (n=1). Conclusions: DBE can be performed safely and with good diagnostic yield in a single referral center in North America. (Intest Res 2013;11:34-40)
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Citations
Citations to this article as recorded by  - Device-assisted enteroscopy in the UK: description of a large tertiary case series under conscious sedation
Vijay Pattni, David J Tate, Ana Terlevich, Peter Marden, Steve Hughes
Frontline Gastroenterology.2018; 9(2): 122. CrossRef - Clinical outcome after enteroscopy for small bowel angioectasia bleeding: A Korean Associateion for the Study of Intestinal Disease (KASID) multiceter study
Seong Ran Jeon, Jeong‐Sik Byeon, Hyun Joo Jang, Soo Jung Park, Jong Pil Im, Eun Ran Kim, Ja Seol Koo, Bong Min Ko, Dong Kyung Chang, Jin‐Oh Kim, Su Yeon Park
Journal of Gastroenterology and Hepatology.2017; 32(2): 388. CrossRef - Exploring the Small Bowel: Update on Deep Enteroscopy
Brian P. Riff, Christopher J. DiMaio
Current Gastroenterology Reports.2016;[Epub] CrossRef - Capsule Endoscopy for Portal Hypertensive Enteropathy
Seong Ran Jeon, Jin-Oh Kim
Gastroenterology Research and Practice.2016; 2016: 1. CrossRef - The Role of Dynamic Contrast-enhanced Multidetector-row Computed Tomography in Diagnosis of Obscure Gastrointestinal Bleeding
Jee Hyun Kim, Jong Pil Im
The Korean Journal of Gastroenterology.2016; 67(4): 165. CrossRef - Current status and future perspectives of capsule endoscopy
Hyun Joo Song, Ki-Nam Shim
Intestinal Research.2016; 14(1): 21. CrossRef - Double-Balloon Enteroscopy in Elderly Patients: Is It Safe and Useful?
Dae Han Choi, Seong Ran Jeon, Jin-Oh Kim, Hyun Gun Kim, Tae Hee Lee, Woong Cheul Lee, Byung Soo Kang, Jun-Hyung Cho, Yunho Jung, Wan Jung Kim, Bong Min Ko, Joo Young Cho, Joon Seong Lee, Moon Sung Lee
Intestinal Research.2014; 12(4): 313. CrossRef
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