[Clinical application of single-balloon enteroscopy in children with small intestinal bleeding]

Yan-Hong Luo1, Jie-Yu You, Li Liu

  • 1Department of Gastroenterology, Children's Hospital of Hunan Province, Changsha 410007, China. mfxgz123@163.com.

Insights

Single-balloon enteroscopy (SBE) is a safe and effective diagnostic tool for pediatric small intestinal bleeding. This minimally invasive procedure accurately identifies various small bowel diseases in children.

Area of Science:

  • Pediatric Gastroenterology
  • Minimally Invasive Procedures
  • Diagnostic Imaging

Context:

  • Small intestinal bleeding (SIB) in children presents diagnostic challenges.
  • Endoscopic evaluation is crucial for identifying the source of bleeding.
  • Single-balloon enteroscopy offers a less invasive approach to visualize the small bowel.

Purpose:

  • To evaluate the diagnostic accuracy and safety of single-balloon enteroscopy (SBE) in pediatric patients with suspected small intestinal bleeding.
  • To determine the types of small bowel pathologies identifiable by SBE in this population.

Summary:

  • Seventy children (4-13 years) with suspected SIB underwent SBE under general anesthesia.
  • SBE successfully diagnosed small bowel disease in 58 (83%) children.
  • Identified pathologies included non-specific inflammation, allergic purpura, Crohn's disease, Meckel's diverticulum, and Peutz-Jeghers syndrome.

Impact:

  • SBE demonstrates high diagnostic yield for pediatric SIB.
  • The procedure is safe and effective, aiding in timely diagnosis and management.
  • This technique enhances the ability to diagnose obscure gastrointestinal bleeding in children.
Abstract