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Clinical utility of double-balloon enteroscopy in children: A single-centre experience in South China

Honglei Chen1, Yanan Liu1, Liping Fu1

  • 1Department of Gastrointestinal Endoscopy, Guangdong Provincial Key Laboratory of Colorectal and Pelvic Floor Diseases, Sixth Affiliated Hospital of Sun Yat-sen University, Guangzhou, China.

Journal of Paediatrics and Child Health
|August 2, 2018
PubMed

Insights

Double-balloon enteroscopy (DBE) is safe and effective for diagnosing and treating pediatric small bowel disorders. This study found DBE useful for indications like gastrointestinal bleeding and abdominal pain in children.

Area of Science:

  • Pediatric Gastroenterology
  • Endoscopic Procedures
  • Small Bowel Diseases

Background:

  • Double-balloon enteroscopy (DBE) is recognized for evaluating and treating small bowel conditions.
  • Clinical data on the use of DBE in pediatric populations are limited.
  • Understanding the indications, findings, and safety of pediatric DBE is crucial.

Purpose of the Study:

  • To investigate the clinical utility and safety of double-balloon enteroscopy (DBE) in children.
  • To identify common indications and findings associated with DBE in pediatric patients.
  • To assess the therapeutic potential and complication rate of DBE in this age group.

Main Methods:

  • Retrospective analysis of 72 double-balloon enteroscopy (DBE) procedures performed on 61 children (aged 6-14 years).
  • Procedures were conducted between April 2013 and December 2017.
  • Data collected included indications, findings, therapeutic interventions, and safety outcomes.

Main Results:

  • The most frequent indications for DBE were occult gastrointestinal bleeding and abdominal pain.
  • A high rate of abnormal findings (77.5%) was observed, with non-specific enteritis and Crohn's disease being common diagnoses.
  • Eight children benefited from therapeutic enteroscopy, and no serious complications were reported.

Conclusions:

  • Double-balloon enteroscopy (DBE) is a valuable diagnostic and therapeutic modality for pediatric small bowel disorders.
  • DBE demonstrates a favorable safety profile in children.
  • Further research can expand the application of DBE in pediatric gastroenterology.
Abstract

Keywords:
childrendiagnosisdouble-balloon enteroscopysmall bowel diseasetreatment

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