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Double-balloon enteroscopy in the evaluation of small bowel disorders in pediatric patients
Ruizhe Shen1, Bo Sun, Biao Gong
1Department of Gastroenterology, Rui Jin Hospital, Shanghai Jiao Tong University School of Medicine, Shanghai, China.
Insights
Double-balloon enteroscopy (DBE) is a safe and effective tool for diagnosing and managing pediatric small intestinal diseases. This procedure offers high diagnostic yield and therapeutic impact in children with suspected gastrointestinal disorders.
Area of Science:
- Pediatric Gastroenterology
- Endoscopic Procedures
- Small Intestine Disorders
Background:
- Investigating indications, clinical utility, feasibility, and safety of double-balloon enteroscopy (DBE).
- Focus on diagnosis and management of small intestinal diseases in pediatric patients.
Purpose of the Study:
- To evaluate the effectiveness of DBE in pediatric patients with suspected small bowel disorders.
- Assessing diagnostic yield, safety, and impact on patient management.
Main Methods:
- Retrospective analysis of pediatric patients (<18 years) undergoing DBE.
- Data collected included demographics, clinical information, procedural details, and outcomes.
- Study period: May 2003 to June 2008 at Shanghai Rui Jin Hospital.
Main Results:
- 35 DBEs performed on 30 children (mean age 13 years).
- Indications: obscure GI bleeding (22), abdominal pain (4), diarrhea (3), obstruction (1).
- Pathological findings in 96.7% (29/30) of patients; management altered in 90% with positive findings. Procedure successful with no serious complications.
Conclusions:
- DBE is feasible and safe for pediatric patients.
- DBE demonstrates high diagnostic yield and therapeutic impact.
- Effective in diagnosis and management of small bowel disorders in selected pediatric cases.
Background:
The aim of the present study was to investigate the indications, clinical utility, feasibility and safety of double-balloon enteroscopy (DBE) in the diagnosis and management of small intestinal diseases in pediatric patients.
Methods:
This is a retrospective analysis of pediatric patients younger than 18 years referred to Shanghai Rui Jin Hospital from May 2003 to June 2008 for investigation of suspected small bowel disorders. Demographic, clinical, procedural and outcome data were collected for analysis.
Results:
A total of 35 DBE were carried out in 30 children with a mean age of 13 years. Indications for DBE were obscure gastrointestinal (GI) bleeding (n = 22), chronic abdominal pain (n = 4), chronic diarrhea (n = 3), and incomplete small bowel obstruction (n = 1). DBE evidenced pathological findings in 29 patients (96.7%). DBE altered management in 90% of patients with positive findings. Follow up was obtained on all patients with a mean (range) of 40 months (14-75 months). The procedure was successful in all patients and there were no serious complications related to sedation.
Conclusion:
DBE is feasible and safe and has a high diagnostic yield and therapeutic impact on the diagnosis and management of small bowel disorders in selected pediatric patients.
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