Single balloon enteroscopy in children for evaluation of small bowel diseases in children: A large, tertiary center
Palle Manohar Reddy1, Sujay Kulkarni1, Zaheer Nabi1
1Consultant gastroenterologist, Asian institute of Gastroenterology, Hyderabad, India.
Insights
Single balloon enteroscopy (SBE) is a safe and effective tool for evaluating pediatric small bowel diseases. This study confirms its utility in children, showing a high diagnostic yield with no major adverse events.
Area of Science:
- Pediatric Gastroenterology
- Endoscopy
- Small Bowel Diseases
Background:
- Device-assisted enteroscopy is crucial for small bowel evaluation.
- Data on pediatric enteroscopy, specifically single balloon enteroscopy (SBE), is limited.
- Understanding SBE's safety and utility in children is essential.
Purpose of the Study:
- To evaluate the safety and diagnostic utility of single balloon enteroscopy (SBE) in pediatric patients.
- To assess the effectiveness of SBE in diagnosing and managing small bowel conditions in children.
Main Methods:
- Retrospective analysis of pediatric patients (≤18 years) who underwent SBE from November 2010 to July 2020.
- Assessment of safety, diagnostic yield, and therapeutic interventions performed during SBE procedures.
- Review of indications, procedure types (antegrade, retrograde, combined), and intubation depth.
Main Results:
- 189 SBE procedures were performed in 174 children, with common indications including chronic abdominal pain, GI bleeding, and diarrhea.
- A positive diagnostic finding was observed in 67.2% of cases, with ileal and jejunal ulcers being the most frequent findings.
- 18 therapeutic enteroscopic procedures were completed, and no major adverse events were reported.
Conclusions:
- Single balloon enteroscopy (SBE) is a safe and effective endoscopic procedure for evaluating and managing small bowel diseases in the pediatric population.
- SBE demonstrates a significant diagnostic yield and is well-tolerated in children.
- The findings support the use of SBE as a valuable tool in pediatric gastroenterology.
Background And Aim:
Device assisted enteroscopy is the cornerstone for small bowel evaluation. However, the data are limited in pediatric patients. In this study, we aim to evaluate the safety and utility of single balloon enteroscopy (SBE) in children.
Methods:
The data of children (≤18-years) who underwent SBE from November 2010 to July 2020 was analyzed, retrospectively. The safety and diagnostic yield of SBE were assessed.
Results:
189-SBE procedures (males 117, mean age 15.1 ± 2.76, range 3-18 years) were performed in 174-children. The indications for SBE were chronic abdominal pain in 119 (68.4%), gastrointestinal bleed 17 (9.8%), chronic diarrhea 17 (9.8%) and vomiting 13 (7.5%). Antegrade, retrograde and combined SBE were performed in 98 (51.8%), 77 (40.7%), 7 (3.7%) children, respectively. The mean length of small bowel intubation in antegrade and retrograde SBE groups were 168.9 ± 58.6 cm and 120.7 ± 52.1 cm, respectively. Overall, a positive finding was seen in 117 (67.2%) cases. The most common findings were ileal and jejunal ulcers with or without strictures in 76 (64.9%) children. A total of 18 therapeutic enteroscopic procedures were performed. There were no major adverse events.
Conclusion:
SBE is a safe and effective procedure for the evaluation and management of small bowel diseases in children.
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