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Double balloon enteroscopy: Bangladesh experience.
N C Nath1, S C Dhar, A F M H Uddin
1Department of Gastroenterology, Sir Salimullah Medical College and Mitford Hospital, Dhaka. nikhilnath65@yahoo.com
Bangladesh Medical Research Council Bulletin
|June 30, 2015
Summary
Double balloon enteroscopy (DBE) is a safe and effective endoscopic tool for diagnosing and treating small bowel diseases. This study shows DBE has a good diagnostic yield for conditions like obscure GI bleeding and chronic abdominal pain.
Area of Science:
- Gastroenterology
- Endoscopy
- Small Bowel Disorders
Background:
- Small bowel diseases present diagnostic challenges.
- Double balloon enteroscopy (DBE) is an advanced endoscopic technique for small bowel examination.
Purpose of the Study:
- To evaluate the diagnostic and therapeutic impact of DBE in patients with suspected small bowel disease.
Main Methods:
- A prospective study involving 61 DBE procedures (30 antegrade, 31 retrograde) in 36 patients.
- Indications included chronic abdominal pain, obscure GI bleeding, small bowel obstruction, and chronic diarrhea.
Main Results:
- Diagnostic yields varied by indication: chronic abdominal pain (50%), chronic diarrhea (66%), obscure GI bleeding (63%), and small bowel obstruction (40%).
- Morphologic findings included ulcerations, growth, vascular ectasia, and polyps. Specific diagnoses identified were adenocarcinoma, lymphoma, tuberculosis, IPSID, Crohn's disease, and vascular ectasia.
- Therapeutic intervention was performed in one patient; no serious complications were observed.
Conclusions:
- DBE is a well-tolerated, feasible, and useful technique for diagnosing and treating small intestinal disorders.
- DBE offers significant diagnostic value for various small bowel pathologies.
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