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Safety of double-balloon enteroscopy in postoperative pediatric patients

Kohei Matsushita1, Mikihiro Inoue1, Yuka Nagano1

  • 1Department of Gastrointestinal and Pediatric Surgery, Mie University Graduate School of Medicine, Tsu, Japan.

Pediatrics International : Official Journal of the Japan Pediatric Society
|April 17, 2020
PubMed

Insights

Double-balloon enteroscopy (DBE) is safe for pediatric patients after surgery, though insertion can be more difficult due to adhesions. This endoscopic technique is effective for examining the small intestine in young patients.

Area of Science:

  • Pediatric Gastroenterology
  • Endoscopic Procedures

Background:

  • Double-balloon enteroscopy (DBE) is an advanced endoscopic technique.
  • Its utility in pediatric patients, particularly those with a history of surgery, requires further investigation.

Purpose of the Study:

  • To evaluate the efficacy and safety of double-balloon enteroscopy (DBE) in pediatric patients who have undergone surgery.
  • To compare outcomes between postoperative and nonoperative pediatric patients undergoing DBE.

Main Methods:

  • A retrospective analysis was conducted on pediatric patients (≤18 years) at Mie University Hospital.
  • Data from 11 postoperative children (20 procedures) and 29 nonoperative children (42 procedures) were analyzed.

Main Results:

  • DBE was performed via oral, anal, or stomal routes. Insertion difficulties were noted in some postoperative patients due to adhesions or inflammation (P=0.02).
  • Excluding cases of stenosis, the mean insertion length for transanal DBE was significantly shorter in postoperative patients (73.6 cm) compared to nonoperative patients (160.5 cm) (P<0.01).
  • No major complications were reported in either group.

Conclusions:

  • DBE can present insertion challenges in postoperative pediatric patients.
  • Despite potential difficulties, DBE is demonstrated to be a safe endoscopic procedure for this patient population.
Abstract

Keywords:
complicationdouble-balloon enteroscopypediatricpostoperative procedure

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