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Coordination and nursing care of pediatric patients undergoing double balloon enteroscopy
Jie Wu1, Cui-Fang Zheng, Ying Huang
1Department of Gastroenterology, Children's Hospital of Fudan University, Shanghai 201102, China.
Insights
Double-balloon enteroscopy (DBE) is effective for diagnosing pediatric small intestinal diseases, with a 75.7% positive diagnosis rate. Skilled nursing care is crucial for successful procedures and patient comfort.
Area of Science:
- Pediatric Gastroenterology
- Endoscopy
Background:
- Small intestinal diseases in children present diagnostic challenges.
- Double-balloon enteroscopy (DBE) offers a potential solution for visualizing and treating these conditions.
Purpose of the Study:
- To evaluate the safety and efficacy of DBE in pediatric patients.
- To outline essential nursing care protocols for DBE procedures in children.
Main Methods:
- Retrospective review of 37 pediatric patients undergoing DBE between December 2006 and July 2010.
- Analysis of diagnostic yield and procedure-related complications.
- Focus on retrograde, antegrade, and combined DBE approaches.
Main Results:
- DBE achieved a positive diagnosis in 75.7% of patients (28 out of 37).
- No serious procedure-related complications were reported.
- Effective bowel preparation and skilled nursing care improved procedure efficiency and patient experience.
Conclusions:
- DBE is a valuable diagnostic and therapeutic tool for pediatric small bowel diseases.
- Comprehensive nursing care is vital for optimizing DBE outcomes in children.
Aim:
To review safety, efficacy, and proper nursing care of double-balloon enteroscopy (DBE) in pediatric patients with small intestinal disease.
Methods:
Our study included 37 patients with abdominal pain, diarrhea, passage of blood in the stools, and other symptoms, who underwent DBE from December 2006 to July 2010. DBE was retrograde in 36 procedures, antegrade in six, and from both ends in five. The diagnostic significance and salient points in nursing care are discussed in this article.
Results:
At least one lesion was discovered in 28 out of 37 patients, which yielded a positive diagnosis in 75.7% of cases. Good bowel preparation and skilled nursing care not only shortened the procedure time, but could also alleviate patient discomfort and enhance the quality of examination. No serious procedure-related complications were observed in any cases.
Conclusion:
DBE is a new modality of endoscopic procedure that improves the standard of diagnosis and treatment of small bowel diseases in children. Good nursing care is essential to the successful execution of the procedure.
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