Carbon dioxide insufflation safety in double‐balloon enteroscopy: An experimental animal study

Soria, Federico; López-Albors, O.; Morcillo, Esther; Martín, Carolina Ocete; Sarriá, Ricardo; Esteban, Pilar; Carballo, Fernando; Pérez-Cuadrado, Enrique; Sánchez, Francisco; Latorre, Rafael

doi:10.1111/j.1443-1661.2012.01320.x

Cited by 6 publications

(6 citation statements)

References 23 publications

(48 reference statements)

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“…These findings were confirmed by Wang et al, but not for the DBE procedure [25]. This was especially interesting because all existing randomized controlled trials have favored CO 2 insufflation [16,17] and its benefit has also been confirmed in an animal experimental set-up [36]. When retracting the endoscope during the push-and-pull-procedure, loop-formation and trapped insufflation gas are considered to be responsible for discomfort and pain.…”

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confidence: 85%

CO2 insufflation during single-balloon enteroscopy: a multicenter randomized controlled trial

et al. 2013

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confidence: 85%

CO2 insufflation during single-balloon enteroscopy: a multicenter randomized controlled trial

et al. 2013

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“…The use of an additional cannula system and CO 2 instead of indoor air has also shown to increase the technical achievement rate with DBE, and decompress air during the examination in order to make deep intubation [ 16 , 17 ]. New indications associated with DBE have begun to evolve in clinical practice.…”

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confidence: 99%

Diagnostic and Therapeutic Capability of Double-Balloon Enteroscopy in Clinical Practice

Akyüz

2016

Clin Endosc

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Advances in technology have facilitated the common use of small-bowel imaging. Intraoperative enteroscopy was the gold standard method for small-bowel imaging. However, noninvasive capsule endoscopy and invasive balloon enteroscopy are currently the main endoscopic procedures that are routinely used for small-bowel pathologies, and the indications for both techniques are similar. Although obstruction is a contraindication for capsule endoscopy, it is not considered to be problematic for double-balloon enteroscopy. The most important advantage of double-balloon enteroscopy is the applicability of therapeutic interventions during the procedure; however, double-balloon enteroscopy has certain advantages as well as disadvantages.

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“…Soria et al reported that CO 2 insufflation improved intubation depth during double-balloon enteroscopy in the experimental animal study. 16 This meta-analysis showed that CO 2 insufflation improves intubation depth for oral enteroscopy. It is worth noting that this meta-analysis also demonstrates heterogeneity of intubation depth for oral enteroscopy.…”

Section: Discussionmentioning

confidence: 96%

Effects of carbon dioxide insufflation in balloon‐assisted enteroscopy: A systematic review and meta‐analysis

et al. 2016

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Background and aim: The efficacy of CO 2 insufflation during balloon-assisted enteroscopy remains controversial. This study aimed to perform a systematic review with meta-analysis of randomized controlled trials (RCTs) in which CO 2 insufflation was compared with air insufflation in balloon-assisted enteroscopy. Methods: PubMed, the Cochrane library, and the Igaku-Chuo-Zasshi database were searched to identify RCTs eligible for inclusion in the systematic review. Data from the eligible studies were combined to calculate the pooled odds ratios (ORs) or weighted mean differences (WMDs) with 95% confidence intervals (CIs). Results: Four RCTs (461 patients) were identified. Compared with air insufflation, CO 2 insufflation significantly increased intubation depth of oral enteroscopy (WMD: 55.2, 95% CI: 10.77-99.65, p ¼ 0.015). However, there was significant heterogeneity. The intubation depth of anal enteroscopy showed no significant difference between the CO 2 group and the air group. CO 2 insufflation significantly reduced abdominal pain compared with air insufflation (WMD: À2.463, 95% CI: À4.452 to À0.474, p ¼ 0.015), without significant heterogeneity. The PaCO 2 or end-tidal CO 2 level showed no significant difference between the CO 2 group and air group. Conclusions: Compared with air insufflation, CO 2 insufflation during balloon-assisted enteroscopy caused less postprocedural pain without CO 2 retention.

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Carbon dioxide insufflation safety in double‐balloon enteroscopy: An experimental animal study

Abstract: The use of CO(2) for insufflation during DBE was safe and no complications associated with CO(2) were observed. In addition, the use of CO(2) offers benefits over the use of room air for insufflation during DBE.

Cited by 6 publications

References 23 publications

CO2 insufflation during single-balloon enteroscopy: a multicenter randomized controlled trial

CO2 insufflation during single-balloon enteroscopy: a multicenter randomized controlled trial

Diagnostic and Therapeutic Capability of Double-Balloon Enteroscopy in Clinical Practice

Effects of carbon dioxide insufflation in balloon‐assisted enteroscopy: A systematic review and meta‐analysis

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