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Clinical Safety and Utility of Pediatric Balloon-assisted Enteroscopy: A Multicenter Prospective Study in Japan

Shin-Ichiro Hagiwara1, Takahiro Kudo2, Fumihiko Kakuta3

  • 1Division of General Pediatrics, Saitama Children's Medical Center, Saitama, Saitama Prefecture.

Journal of Pediatric Gastroenterology and Nutrition
|November 17, 2018
PubMed

Insights

Balloon-assisted enteroscopy (BAE) is feasible in pediatric patients across multiple Japanese hospitals. This multicenter study confirms the efficacy of BAE for diagnosing gastrointestinal issues in children.

Area of Science:

  • Pediatric Gastroenterology
  • Endoscopy
  • Medical Devices

Background:

  • Balloon-assisted enteroscopy (BAE) benefits in pediatric patients are increasingly recognized.
  • Previous BAE data in children primarily comes from single-institution experiences.
  • Multi-institutional validation is crucial for establishing pediatric BAE feasibility.

Purpose of the Study:

  • To evaluate the feasibility and efficacy of pediatric balloon-assisted enteroscopy (BAE).
  • To assess BAE performance across multiple tertiary referral centers in Japan.
  • To document diagnostic yield and safety of BAE in pediatric patients.

Main Methods:

  • Prospective, multi-institutional observational study.
  • Inclusion of pediatric patients (<18 years) undergoing BAE (double-balloon or single-balloon).
  • Data collection via standardized questionnaire from April 2014 to March 2017.

Main Results:

  • 79 pediatric patients (96 procedures) were enrolled.
  • BAE was performed via antegrade and retrograde routes, with the youngest patient aged 1.6 years.
  • Overall diagnostic yield for rectal bleeding and abdominal pain was 48%; severe adverse events occurred in 2 patients (hemorrhage, pancreatitis).

Conclusions:

  • This study confirms the efficacy of balloon-assisted enteroscopy in pediatric patients.
  • BAE is a feasible and valuable diagnostic tool in pediatric gastroenterology.
  • Multi-center data supports the broader application of BAE in pediatric care.
Abstract

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