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Application of double-balloon enteroscopy in jejunal diverticular bleeding
Tsung-Hsing Chen1, Cheng-Tang Chiu, Wei-Pin Lin
1Department of Gastroenterology and Hepatology, Linkou Chang Gung Memorial Hospital, Chang Gung University College of Medicine, No. 5, Fu-Hsin St., Kwei-Shan, Taoyuan 333, Taiwan.
World Journal of Gastroenterology
|November 25, 2010
Summary
Double-balloon enteroscopy (DBE) effectively diagnoses and treats bleeding from jejunal diverticula. This endoscopic approach offers a safe and successful therapeutic option for managing obscure gastrointestinal bleeding.
Area of Science:
- Gastroenterology
- Endoscopy
- Digestive Diseases
Background:
- Jejunal diverticula are a rare cause of obscure gastrointestinal bleeding.
- Diagnosis and management can be challenging due to their location.
- Endoscopic interventions are increasingly explored for such conditions.
Purpose of the Study:
- To evaluate the efficacy of double-balloon enteroscopy (DBE) for diagnosing and treating jejunal diverticular bleeding.
- To assess the safety and success rates of endoscopic therapy in these patients.
Main Methods:
- A retrospective review of 10 patients with jejunal diverticular bleeding who underwent DBE between January 2004 and September 2009.
- Patients presented with symptoms including melena, hematochezia, anemia, and dizziness.
- Diagnostic findings and therapeutic interventions (e.g., epinephrine injection, hemoclip deployment) were recorded.
Main Results:
- DBE identified bleeding sources in jejunal diverticula in all 10 patients.
- Endoscopic therapy was successful in most cases, with some requiring repeat procedures or surgical intervention.
- Mean follow-up was 14.7 months, indicating sustained efficacy.
Conclusions:
- Double-balloon enteroscopy (DBE) is a safe and effective endoscopic modality for the diagnosis and treatment of jejunal diverticular bleeding.
- It provides a valuable therapeutic option for obscure gastrointestinal bleeding originating from jejunal diverticula.
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