Complications of double balloon enteroscopy: a multicenter survey

Mensink, Peter; Haringsma, Jelle; Kucharzik, Torsten; Cellier, Christophe; Pérez-Cuadrado, Enrique; Mönkemüller, Klaus; Gasbarrini, Antonio; Kaffes, Arthur J.; Nakamura, Kazuhiko; Yen, Hsu‐Heng; Yamamoto, Hironori

doi:10.1055/s-2007-966444

Cited by 340 publications

(280 citation statements)

References 20 publications

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“…Whether these patients required hospitalization is not stated. The multicenter questionnaire survey by Mensink et al identified 6 cases of pancreatitis in 1728 diagnostic procedures (0.3%) and 1 case of pancreatitis after DBE-assisted ERCP in a patient with a Roux-en-Y reconstruction [16] . Several possibilities should be considered when trying to explain the difference between post-DBE pancreatitis rates in the present study and the previously published studies.…”

Section: Discussionmentioning

confidence: 99%

“…DBE plays an important role in the diagnosis and treatment of obscure gastrointestinal bleeding [3][4][5][6] , Crohn's disease [7][8][9][10] , celiac disease [11,12] , polyposis syndromes [13] and small bowel tumors. In the series published to date, complications solely related to the diagnostic procedure are rare [14][15][16][17][18] . A recent retrospective multicenter survey indicates a complication rate of 0.8% in diagnostic procedures [16] .…”

Section: Introductionmentioning

confidence: 99%

“…In the series published to date, complications solely related to the diagnostic procedure are rare [14][15][16][17][18] . A recent retrospective multicenter survey indicates a complication rate of 0.8% in diagnostic procedures [16] . In that study, pancreatitis occurred in six of 2362 (0.3%) procedures and contributed to 46% of all complications after diagnostic DBE.…”

Section: Introductionmentioning

confidence: 99%

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Double balloon endoscopy associated pancreatitis: A description of six cases

Jarbandhan

Weyenberg²,

Veer

et al. 2008

WJG

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INTRODUCTIONSince its introduction in 2001 by Yamamoto [1] , double balloon endoscopy (DBE) has revolutionized both diagnostic and therapeutic small bowel endoscopy [2] . This technique allows (intervention) endoscopy of the complete small bowel (often in two sessions) with the possibility of carrying out interventions; e.g. mucosal biopsy, argon plasma coagulation, snare polypectomy, injection therapy, tattooing, foreign body extraction and balloon dilatation. DBE plays an important role in the diagnosis and treatment of obscure gastrointestinal bleeding [3][4][5][6] , Crohn's disease [7][8][9][10] , celiac disease [11,12] , polyposis syndromes [13] and small bowel tumors. In the series published to date, complications solely related to the diagnostic procedure are rare [14][15][16][17][18] . A recent retrospective multicenter survey indicates a complication rate of 0.8% in diagnostic procedures [16] . In that study, pancreatitis occurred in six of 2362 (0.3%) procedures and contributed to 46% of all complications after diagnostic DBE. Another recent study showed that an asymptomatic rise of serum amylase and lipase levels after antegrade DBE is frequently encountered [19] . Nevertheless, only a few patients develop the clinical picture of post-DBE pancreatitis. The reason for this remains unknown.This article presents an analysis of all DBE-related cases of pancreatitis identified prospectively from a recorded DBE-complication database of 603 procedures in a single center. RESULTS: This is the largest single-center study reporting on post-DBE pancreatitis prospectively. Six patients (1.0%) developed post-DBE pancreatitis, all after antegrade DBE. There was no association with gender, duration of the procedure or type of endoscope. The mean age was 51.9 years (range 25-78). Four patients had severe pancreatitis. Of these, two had inflammatory signs in the body-tail region, one had pancreatitis in the tail region, and the total pancreas was involved in one. MATERIALS AND METHODS From CONCLUSION:The incidence of post-DBE pancreatitis in our series is higher than previously reported. We found no relation with DBE-endoscope type. The inflammatory changes occurred in the body-tail region of the pancreas, suggesting that post-DBE pancreatitis is caused by repetitive mechanical strain on the pancreas.

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Section: Discussionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

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Double balloon endoscopy associated pancreatitis: A description of six cases

Jarbandhan

Weyenberg²,

Veer

et al. 2008

WJG

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“…12 However, there is an increased risk of perforation with balloon dilatation, especially in the cases with acute inflammation. 12,13 In our case, we only used the over tube to gently dilate the stricture in order to minimize the risk of perforation. Retrograde enteroscopy may offer an alternative option for the removal of retained capsule.…”

Section: Discussionmentioning

confidence: 99%

Retained capsule endoscopy causing intestinal obstruction—Endoscopic retrieval by retrograde single-balloon enteroscopy

Xin

Liao²,

Du³

et al. 2012

jig

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“…The AEs rate is higher for therapeutic (4.3%) than for diagnostic DBE (0.8%). The rate of bleeding or perforation may be as high as 10.8% for patients undergoing polypectomy during DBE [67,68].…”

Section: Enteroscopymentioning

confidence: 99%

Emergencies after endoscopic procedures

Rolanda

Caetano

Dinis-Ribeiro

2013

Best Practice & Research Clinical Gastroenterology

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Keywords:GI endoscopy adverse events GI emergencies Bleeding Haemorrhage Perforation Infection Embolization Diagnosis and management of severe complications a b s t r a c t Endoscopy adverse events (AEs), or complications, are a rising concern on the quality of endoscopic care, given the technical advances and the crescent complexity of therapeutic procedures, over the entire gastrointestinal and bilio-pancreatic tract. In a small percentage, not established, there can be real emergency conditions, as perforation, severe bleeding, embolization or infection. Distinct variables interfere in its occurrence, although, the awareness of the operator for their potential, early recognition, and local organized facilities for immediate handling, makes all the difference in the subsequent outcome. This review outlines general AEs' frequencies, important predisposing factors and putative prophylactic measures for specific procedures (from conventional endoscopy to endoscopic cholangio-pancreatography and ultrasonography), with comprehensive approaches to the management of emergent bleeding and perforation.

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Complications of double balloon enteroscopy: a multicenter survey

Cited by 340 publications

References 20 publications

Double balloon endoscopy associated pancreatitis: A description of six cases

Double balloon endoscopy associated pancreatitis: A description of six cases

Retained capsule endoscopy causing intestinal obstruction—Endoscopic retrieval by retrograde single-balloon enteroscopy

Emergencies after endoscopic procedures

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