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

Chen, Honglei; Liu, Yanan; Fu, Liping; Lin, Xutao; Fan, Dejun; Li, Chujun

doi:10.1111/jpc.14153

Cited by 8 publications

(16 citation statements)

References 29 publications

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“…Data obtained from references. 15,28,29,31,32,35,50,52,54 children is associated with a higher percentage of small bowel lesions than in adults. 61,62 Therefore, the European Society for Pediatric Gastroenterology Hepatology and Nutrition guideline recommends searching for small bowel lesions by magnetic resonance enterography (MRE) or CE for the diagnosis of pediatric IBD.…”

Section: For Ibdmentioning

confidence: 99%

“…5D,E), and other lesions (11.8%). 2,14,[28][29][30][31][32]35,40,50,52,53 The diagnostic yield of BAE varies from report to report, and although most suggest a yield of 60-80%, 2,14,28,32,35,39,40,50 others have reported yields as low as 36% 15 and as high as 88% 30 (Table S1). In children, the most common causes of OGIB are congenital diseases such as Meckel's diverticulum, inflammatory diseases such as CD and immunoglobulin A vasculitis, and vascular lesions, while neoplastic diseases and drug-induced small bowel disorders are less common.…”

Section: Ogibmentioning

confidence: 99%

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Small bowel endoscopy for children: Collaboration of capsule endoscopy and device‐assisted enteroscopy

Iwama

Nambu

Nakayama

2023

Digestive Endoscopy

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Capsule endoscopy (CE) and balloon‐assisted enteroscopy (BAE) have become indispensable techniques for the diagnosis and management of small bowel disease in both adult and pediatric cases. However, relevant differences exist in the indications between these cohorts, with body weight and age having particular relevance in decisions for the latter. Both CE and BAE are designed for adult physique and they were not widely used among children. In addition, the types of small intestinal diseases differ between adults and children, and consequently, the indications also differ between them. This review focuses on the issues relevant to pediatric cases and describes the practical application of endoscopy in clinical practice. In conclusion, although there are age and weight restrictions, both CE and BAE are safe and useful devices for use in children, and their indications for use in children are likely to expand in the future.

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Section: For Ibdmentioning

confidence: 99%

Section: Ogibmentioning

confidence: 99%

Small bowel endoscopy for children: Collaboration of capsule endoscopy and device‐assisted enteroscopy

Iwama

Nambu

Nakayama

2023

Digestive Endoscopy

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“…The ESGE and ECCO-ESGAR recommendations suggest that DAE techniques have similar efficiency and safety considerations and can be applied according to local availability and expertise [ 9 , 13 - 14 , 44 , 127 ]. Studies in pediatric patients support the safe use of balloon-assisted enteroscopy (BAE) in children, when clinically indicated [ 128 - 133 ]. Although the safety profile of NMSE requires further evaluation in routine clinical practice, it has been shown to be contraindicated in pediatric patients [ 134 ].…”

Section: Introductionmentioning

confidence: 99%

“…This was shown in another recent study, in which 16 of 61 children (26%) with non-specific symptoms were diagnosed with CD. Children with abdominal pain, diarrhea and/or SB obstruction had a 30% confirmation of CD after tissue sampling [ 128 ]. Similarly, SBE identified the presence of endoscopic findings in 60% of any suspected IBD cases and guided a diagnosis of CD in 8 of 14 (57%) pediatric patients [ 129 ].…”

Section: Introductionmentioning

confidence: 99%

The role of small-bowel endoscopy in inflammatory bowel disease: an updated review on the state-of-the-art in 2021

Skamnelos

Lazaridis²,

Vlachou³

et al. 2021

aog

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The impact of small-bowel (SB) capsule endoscopy and device-assisted enteroscopy on clinical practice, since their introduction 2 decades ago, has been remarkable. These disruptive technologies have transformed the investigation and management of SB pathology and now have a firmly established place in guidelines and clinical algorithms. Furthermore, recent years have witnessed innovations, driven by the demand of new goals in the management of inflammatory bowel disease (IBD), such as mucosal healing and evolving strategies based on tight monitoring and accelerated escalation of care. These developments in SB endoscopy have also been paralleled by refinement in dedicated radiological SB imaging technologies. This updated review highlights the current state of the art and more recent innovations with a focus on their role in IBD.

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“…Although small bowel is the most commonly affected site, CD can affect any part of the digestive tract. Double-balloon enteroscopy is useful in exploring small bowel lesions [4, 5]. The increasing use of double-balloon enteroscopy has enabled performing multiple small bowel biopsies for microscopic analysis.…”

Section: Introductionmentioning

confidence: 99%

Microscopic features of small bowel mucosa of patients with Crohn’s disease

Cui

et al. 2019

BMC Gastroenterol

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BackgroundDouble-balloon enteroscopy enables performing numerous small bowel biopsies for pathologic analysis. However, most histopathological characteristics of Crohn’s disease are non-specific characteristics. We aimed to explore the small bowel mucosal histopathologic characters of Crohn’s disease and identify some disease-specific changes.MethodsWe included 253 patients without tumors and grouped them into Crohn’s disease, suspected Crohn’s disease, and non-Crohn’s disease groups. These patients underwent double-balloon endoscopy examination and small bowel biopsy at Renji Hospital, Shanghai. All histopathological sections were reviewed, and > 20 histopathological parameters were assessed. Immunohistochemistry was conducted when necessary.ResultsThere were different forms of granulomatous lymphangitis on the small bowel mucosa in Crohn’s disease. They showed as various macrophages or epithelioid cells in the lumina of lymphatics or in the center of the villi with or without evident obstruction. These features were only observed in Crohn’s disease patients. Furthermore, they were correlated with granuloma and lymphangiectasia. Additionally, 15 other features showed significant differences among the three groups, and Crohn’s disease patients showed an average of almost seven histopathological characteristics.ConclusionsWe described the detailed morphologies of granulomatous lymphangitis on the small bowel mucosa and recommend it as a useful histopathological feature for the diagnosis of Crohn’s disease. In terms of specificity and sensitivity, it was superior to non-caseating epithelioid granuloma.

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

Abstract: DBE can be a useful diagnostic and therapeutic tool for small bowel disorders in children.

Cited by 8 publications

References 29 publications

Small bowel endoscopy for children: Collaboration of capsule endoscopy and device‐assisted enteroscopy

Small bowel endoscopy for children: Collaboration of capsule endoscopy and device‐assisted enteroscopy

The role of small-bowel endoscopy in inflammatory bowel disease: an updated review on the state-of-the-art in 2021

Microscopic features of small bowel mucosa of patients with Crohn’s disease

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