Complications Associated With Double Balloon Enteroscopy at Nine US Centers

Gerson, Lauren B.; Tokar, Jeffrey L.; Chiorean, Michael; Lo, Simon K.; Decker, G. Anton; Cave, David R.; BouHaidar, Doumit; Mishkin, Daniel S.; Dye, Charles; Haluszka, Oleh; Leighton, Jonathan A.; Zfass, Alvin M.; Semrad, Carol E.

doi:10.1016/j.cgh.2009.07.005

Cited by 141 publications

(94 citation statements)

References 25 publications

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Section: Device-assisted Enteroscopymentioning

confidence: 99%

“…The overall risk of haemorrhage associated with double balloon enteroscopy has been estimated at 0.2%, 195 and rises to 3.3% if polypectomy is performed. 195 Spiral enteroscopy has not been associated with a risk of clinically significant haemorrhage. 196 Double balloon enteroscopy is associated with a perforation rate of 0.1-0.4% 195 197 and this rises to 1.5% if polypectomy is performed 197 and 3% in patients with an altered surgical anatomy.…”

Section: Device-assisted Enteroscopymentioning

confidence: 99%

“…196 Double balloon enteroscopy is associated with a perforation rate of 0.1-0.4% 195 197 and this rises to 1.5% if polypectomy is performed 197 and 3% in patients with an altered surgical anatomy. 195 There have been no studies examining the risks of enteroscopy in patients taking APA or anticoagulants.…”

Section: Device-assisted Enteroscopymentioning

confidence: 99%

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Endoscopy in patients on antiplatelet or anticoagulant therapy, including direct oral anticoagulants: British Society of Gastroenterology (BSG) and European Society of Gastrointestinal Endoscopy (ESGE) guidelines

Vanbiervliet²,

et al. 2017

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Section: Device-assisted Enteroscopymentioning

confidence: 99%

Section: Device-assisted Enteroscopymentioning

confidence: 99%

See 1 more Smart Citation

Endoscopy in patients on antiplatelet or anticoagulant therapy, including direct oral anticoagulants: British Society of Gastroenterology (BSG) and European Society of Gastrointestinal Endoscopy (ESGE) guidelines

Vanbiervliet²,

et al. 2017

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“…Complications are discussed in detail in Section 7.2; the risk of complication has been reported to be higher in patients with active Crohn's disease. In a recent report on the USA experience, with 2254 DBE examinations to date, the complication rate was 10 times higher than that of colonoscopy [84]. Perforations were more common in patients with altered surgical anatomy and two occurred during retrograde DBE in patients with Crohn's disease who had ulceration at the ileoanal or ileocolonic anastomosis [84].…”

Section: Dae In Patients Withmentioning

confidence: 99%

Role of small-bowel endoscopy in the management of patients with inflammatory bowel disease: an international OMED–ECCO consensus

Bourreille¹,

Ignjatovic²,

Aabakken³

et al. 2009

Endoscopy

303

185

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“…In our study SBT is 11% and 18.18% of SBT patients presented with OGIB. Gerson et al showed 0.6% major complication rate for diagnostic DBE and 0.5% in therapeutic DBE 18 . Mensink et al found 0.8% major complication rate for diagnostic DBE and 4.3% in therapeutic DBE 19 .…”

Section: Resultsmentioning

confidence: 99%

Double balloon enteroscopy: Bangladesh experience

Nath¹,

Dhar²,

Uddin³

et al. 2014

Bangladesh Med Res Counc Bull

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Double balloon enteroscopy (DBE) is a newly developed endoscopic modality for diagnosis and treatment of small bowel disorders. The aim of this study was to evaluate the diagnostic and therapeutic impact of DBE in patient with suspected small bowel disease. This was a prospective study. Sixty one double balloon enteroscopy procedures (30 antegrade 31 retrograde) were done in thirty six patients(20M/16F, mean age 40±12.5 range 16-65 years ) at gastroenterology department, Sir Salimullah Medical College, Dhaka between October 2011 and September 2012. Indications for DBE included chronic abdominal pain 14(38.9%), obscure GI bleeding 11(30.56%), Small bowel obstruction 05(13.89%), and chronic diarrhea 06(16.67%). The morphologic findings were ulcerations 13(36.11%), growth 03(8.33%), vascular ectasia 03(8.33%) and polyp 01(2.78%). Therapeutic interventions were performed in one patient only. No serious complications were observed. Diagnostic yields in case of chronic abdominal pain, chronic diarrhea, obscure GI bleeding and small bowel obstruction were 50%, 66%, 63% and 40% respectively. The findings were adenocarcinoma 04(11%), lymphoma 03(8.4%), tuberculosis 03(8.4%), non specific findings 05(13.9%), IPSID 01(2.8%), crohn's disease 01(2.8%), vascular ectasia 03(8.33%) and normal 16(44.44%). DBE is well tolerated, feasible and useful technique for the diagnosis as well as treatment of small intestinal disorders.

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Complications Associated With Double Balloon Enteroscopy at Nine US Centers

Cited by 141 publications

References 25 publications

Endoscopy in patients on antiplatelet or anticoagulant therapy, including direct oral anticoagulants: British Society of Gastroenterology (BSG) and European Society of Gastrointestinal Endoscopy (ESGE) guidelines

Endoscopy in patients on antiplatelet or anticoagulant therapy, including direct oral anticoagulants: British Society of Gastroenterology (BSG) and European Society of Gastrointestinal Endoscopy (ESGE) guidelines

Role of small-bowel endoscopy in the management of patients with inflammatory bowel disease: an international OMED–ECCO consensus

Double balloon enteroscopy: Bangladesh experience

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