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[Double balloon endoscopy in diagnosis of patients with obscure gastrointestinal bleeding]

Li-hua Chen1, Hai-jun Cao, Wen-guo Chen

  • 1Department of Gastroenterology, The First Affiliated Hospital, Zhejiang University School of Medicine, Hangzhou 310003, China.

Zhejiang Da Xue Xue Bao. Yi Xue Ban = Journal of Zhejiang University. Medical Sciences
|March 16, 2012
PubMed

Insights

Double balloon endoscopy (DBE) is a safe and effective tool for diagnosing obscure gastrointestinal bleeding (OGIB). This study found DBE successfully identified the source of bleeding in most patients, aiding diagnosis and treatment.

Area of Science:

  • Gastroenterology
  • Endoscopy
  • Diagnostic Imaging

Background:

  • Obscure gastrointestinal bleeding (OGIB) presents diagnostic challenges.
  • Accurate diagnosis is crucial for effective patient management.

Purpose of the Study:

  • To evaluate the diagnostic utility of double balloon endoscopy (DBE) in patients with OGIB.
  • To assess the safety and reliability of DBE for OGIB diagnosis.

Main Methods:

  • Retrospective analysis of 103 OGIB patients who underwent DBE.
  • Data collected from January 2007 to September 2010.
  • Evaluation of diagnostic yield and complication rates.

Main Results:

  • DBE was safely performed in all 103 patients.
  • Positive findings were observed in 64.1% of cases.
  • Small intestine tumors and angiodysplasia were common diagnoses; lesions were more frequent in the proximal small intestine.

Conclusions:

  • DBE is a safe, effective, and reliable endoscopic procedure for diagnosing OGIB.
  • DBE facilitates positive diagnosis in a significant majority of OGIB patients.
  • The findings support the use of DBE in the workup of obscure gastrointestinal bleeding.
Abstract

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