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Open-Access Single Balloon Enteroscopy: A Tertiary Care Experience.

Nathan Holman1, Kristin Wallace1, J Matthew Moore1

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Southern Medical Journal
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PubMed
Summary
This summary is machine-generated.

Single balloon enteroscopy (SBE) can be safely performed as an open-access procedure. This approach maintains diagnostic yield and therapeutic benefits comparable to traditional consultation-based SBE.

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Area of Science:

  • Gastroenterology
  • Endoscopy
  • Medical Procedures

Background:

  • Single balloon enteroscopy (SBE) is a valuable tool for small bowel examination.
  • Traditionally, SBE requires a formal gastroenterology consultation prior to the procedure.

Purpose of the Study:

  • To compare the outcomes of SBE performed via open-access versus traditional consultation pathways.
  • To evaluate diagnostic yield, therapeutic yield, procedural success, and adverse events.

Main Methods:

  • Retrospective analysis of 125 SBE procedures performed between April 2008 and January 2012.
  • Comparison of open-access cases (n=43) with consultation-based cases (n=82).
  • Evaluation of indications including anemia, gastrointestinal bleeding, and abdominal pain.

Main Results:

  • No significant difference in diagnostic yield (53% vs. 60%, P=0.501) or therapeutic yield (37% vs. 52%, P=0.11) between open-access and consultation groups.
  • Overall technical success rate was 91% with no difference between groups (P=0.27).
  • No major adverse events were reported in either group.

Conclusions:

  • Single balloon enteroscopy can be safely implemented as an open-access procedure.
  • Open-access SBE does not compromise patient safety or the diagnostic efficacy of the procedure.