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Double balloon enteroscopy: A 7-year experience at a tertiary care Centre
Selçuk Dişibeyaz1, Nuretdin Suna1, Ufuk Barış Kuzu2
1Turkiye Yuksek Ihtisas Education and Research Hospital, Department of Gastroenterology, M.D.
European Journal of Internal Medicine
|June 25, 2016
Summary
Double Balloon Enteroscopy (DBE) is effective for diagnosing and treating small intestine issues. This study confirms its safety and high diagnostic and therapeutic efficacy in clinical practice.
Area of Science:
- Gastroenterology
- Endoscopy
- Small Intestine Disorders
Background:
- Double Balloon Enteroscopy (DBE) enables both investigation and therapeutic interventions for small intestinal conditions.
- Clinical practice of DBE procedures requires assessment of indications, diagnosis, interventions, and safety.
Purpose of the Study:
- To evaluate the indications, diagnostic yield, therapeutic interventions, and safety of Double Balloon Enteroscopy (DBE) in a clinical setting.
- To assess the overall efficacy and complication rates of DBE procedures.
Main Methods:
- Retrospective analysis of 372 Double Balloon Enteroscopy (DBE) procedures performed on 297 patients between October 2007 and December 2014.
- Data collected included indications, endoscopic findings, histopathology, interventions, and complications.
Main Results:
- Common indications for DBE included obscure GI bleeding (28.3%), iron deficiency anemia (17.5%), and abnormal imaging (13.8%).
- DBE yielded new diagnoses in 11.8% of cases and confirmed existing diagnoses in 16.2%. Therapeutic interventions were performed in 11% of cases.
- Most frequent findings were ulcers/inflammation (13%), polyposis (9.8%), and vascular pathologies (7.4%).
Conclusions:
- Double Balloon Enteroscopy (DBE) demonstrates high efficacy in diagnosing small intestinal disturbances.
- DBE is a safe and effective tool for both diagnostic and therapeutic interventions in the management of small bowel diseases.
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