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Related Concept Videos

Endoscopic Procedures V: ERCP01:26

Endoscopic Procedures V: ERCP

Endoscopic Retrograde Cholangiopancreatography (ERCP) is a diagnostic procedure that combines endoscopy and fluoroscopy to diagnose and treat conditions related to the bile ducts, pancreatic ducts, and gallbladder. This procedure is beneficial for identifying and addressing blockages, gallstones, strictures, and tumors within the biliary or pancreatic systems. ERCP is both diagnostic and therapeutic, offering the ability to visualize and treat identified problems in one session.
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Related Experiment Video

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Structured Approach to Colonoscopy Technique Optimization: A Single-Center Experience with Novice Endoscopists
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Double balloon enteroscopy in the old: experience from China.

Qiong He1, Qiang Zhang, Jian-Dong Li

  • 1Guangdong Provincial Key Laboratory of Gastroenterology, Nanfang Hospital, Southern Medical University, Guangzhou 510515, Guangdong Province, China.

World Journal of Gastroenterology
|June 22, 2012
PubMed
Summary

Double balloon enteroscopy (DBE) is a safe and effective diagnostic tool for elderly patients with suspected small intestine diseases. This study found DBE has a good detection rate and diagnostic yield in the aged population.

Keywords:
Capsule endoscopyDouble balloon enteroscopyMultiple systematic diseasesSmall bowel diseases

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Area of Science:

  • Gastroenterology
  • Endoscopy
  • Geriatric Medicine

Background:

  • Double balloon enteroscopy (DBE) has emerged as a significant advancement in gastrointestinal diagnostics over the past decade.
  • Its application in evaluating small intestine diseases, particularly in the elderly, requires specific safety and efficacy assessments.

Purpose of the Study:

  • To assess the safety, efficacy, and management strategies of double balloon enteroscopy (DBE) in elderly individuals (≥ 65 years) with suspected small intestine diseases.
  • To determine the diagnostic yield and detection rate of DBE in this specific demographic.

Main Methods:

  • A retrospective analysis was conducted on patients aged 65 years and older who underwent DBE examinations between January 2003 and July 2011.
  • Data collected included patient demographics, indications for DBE, symptom duration, co-existing age-related diseases, and procedural outcomes, including complications and diagnostic findings.

Main Results:

  • Fifty-nine elderly patients were analyzed, with a mean age of 69.63 years. Common indications included melena/hematochezia and abdominal pain.
  • No severe complications were observed during or after DBE. The detection rate for small bowel pathologies was 68.6%, with a diagnostic yield of 60.8%.
  • Significant changes in systolic and diastolic blood pressure were noted post-DBE (P < 0.01 and P < 0.05, respectively).

Conclusions:

  • Double balloon enteroscopy (DBE) is a safe and effective endoscopic procedure for examining the small intestine in the elderly population.
  • Advanced age itself is not a contraindication for DBE; however, thorough pre-procedural preparation is crucial for elderly patients, especially those with comorbidities like cardiopulmonary disorders.