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Double balloon enteroscopy: is it efficacious and safe in a community setting?
S A Sorser1, A Watson, R M Gamarra
1Department of Gastroenterology, Providence Hospital, Southfield, MI, USA - douglas.adler@hsc.utah.edu.
Minerva Gastroenterologica E Dietologica
|July 9, 2013
Summary
Double balloon enteroscopy (DBE) is safe and effective in community hospitals, matching tertiary center outcomes for diagnosing and treating small bowel conditions like bleeding and Crohn's disease.
Area of Science:
- Gastroenterology
- Endoscopy
- Digestive Diseases
Background:
- Double balloon enteroscopy (DBE) is primarily utilized in specialized centers.
- Limited data exists on DBE's effectiveness and safety in community hospital settings.
Purpose of the Study:
- To evaluate the efficacy, complications, and outcomes of DBE performed in a community hospital.
- To compare community-based DBE results with those from tertiary referral centers.
Main Methods:
- Retrospective analysis of 88 DBE procedures on 66 patients from March 2007 to January 2011.
- Indications included anemia, GI bleeding, small bowel IBD, and stricture dilation.
- Video-capsule endoscopy (VCE) preceded DBE in 43 patients.
Main Results:
- DBE procedures (antegrade and retrograde) were performed with mean times of 107.4 and 100.7 minutes, respectively.
- Therapeutic interventions included electrocautery (30.3%), biopsy (25.8%), and dilation (6.1%).
- VCE findings were confirmed in 74.4% of cases, with DBE identifying additional pathology in 3 instances.
Conclusions:
- DBE is a safe and effective endoscopic procedure in the community setting.
- Outcomes, yield, and complication rates are comparable to tertiary care centers.
- Community hospital DBE supports diagnosis and therapeutic interventions for small bowel disorders.
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