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Double balloon enteroscopy for pediatric inflammatory bowel disease

Keiichi Uchida1, Shigeyuki Yoshiyama, Mikihiro Inoue

  • 1Department of Gastrointestinal Surgery, Mie University Graduate School of Medicine, Tsu, Mie, Japan. ucchie@clin.medic.mie-u.ac.jp

Pediatrics International : Official Journal of the Japan Pediatric Society
|May 9, 2012
PubMed

Insights

Double balloon enteroscopy (DBE) is a safe and effective procedure for diagnosing pediatric inflammatory bowel disease (IBD). This study found DBE useful for accurate diagnosis in children with suspected Crohn's disease (CD).

Area of Science:

  • Pediatric Gastroenterology
  • Endoscopic Procedures
  • Inflammatory Bowel Disease

Background:

  • Inflammatory Bowel Disease (IBD) presents diagnostic challenges in pediatric patients.
  • Accurate diagnosis is crucial for effective IBD management in children.

Purpose of the Study:

  • To evaluate the efficacy and safety of double balloon enteroscopy (DBE) in pediatric patients with IBD.
  • To assess DBE's diagnostic yield in children with suspected or established Crohn's disease (CD).

Main Methods:

  • Retrospective review of 17 double balloon enteroscopy (DBE) procedures in 12 pediatric patients (ages 3-19) with IBD.
  • Procedures included oral, anal, and ileostomal approaches, with evaluation of sedation, efficacy, and safety.
  • Patients 15 years or younger received general anesthesia.

Main Results:

  • DBE achieved an accurate diagnosis in 88% of suspected Crohn's disease (CD) cases.
  • Procedure duration averaged 60 minutes, with acceptable tolerance and uneventful recovery in all patients.
  • No serious complications were reported during or after the DBE procedures.

Conclusions:

  • Double balloon enteroscopy (DBE) is a safe and effective diagnostic tool for pediatric inflammatory bowel disease (IBD).
  • DBE facilitates accurate diagnosis in children with suspected Crohn's disease (CD), supporting its use in this population.
Abstract

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