Korean experience with double balloon endoscopy: Korean Association for the Study of Intestinal Diseases multi-center study

Choi, Hwang; Choi, Kyung-Chul; Eun, Chang-Soo; Jang, Hyun-Joo; Park, Dong Il; Chang, Dong-Kyung; Kim, Jin–Oh; Ko, Bong-Min; Lee, Moon-Sung; Huh, Kyu-Chan; Han, Dongsoo; Byeon, Jeong‐Sik; Yang, Suk‐Kyun; Kim, Jin-Ho

doi:10.1016/j.gie.2007.06.048

Cited by 25 publications

(32 citation statements)

References 15 publications

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“…This was similar to observations made in Eastern countries 8,20,21,22. According to previous studies, the diagnostic yield of DBE is around 60% 7,13,23. However, in the present study, though there was no significant difference between the age groups, the diagnostic yield in the elderly group was greater than 90%.…”

Section: Discussionsupporting

confidence: 92%

“…DBE has become an important tool for the evaluation and management of small bowel diseases because it allows endoscopists to obtain biopsies of suspicious lesions, treat bleeding, and dilate small bowel strictures 1,2,3. According to previous studies, obscure gastrointestinal bleeding (OGIB) is the most common indication for DBE,4,5 and the diagnostic yield is 69.8-80.6% 6,7,8,9. The complication rate and therapeutic success rate are approximately 1-4% and 85-92%, respectively 5,7,10,11,12…”

Section: Introductionmentioning

confidence: 99%

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Double-Balloon Enteroscopy in Elderly Patients: Is It Safe and Useful?

et al. 2014

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Background/AimsProviders may be hesitant to perform double-balloon enteroscopy (DBE) in the elderly because the increased number of co-morbidities in this population poses a greater risk of complications resulting from sedation. There are limited data on the use of DBE in the elderly. Here, we assessed the safety and efficacy of DBE in the elderly compared to those in younger patients.MethodsWe retrospectively analyzed the medical records of 158 patients who underwent 218 DBEs. Patients were divided into an elderly group (age ≥65 years; mean 71.4±5.4; n=34; 41 DBEs) and a younger group (age <65 years; mean 39.5±13.5; n=124; 177 DBEs).ResultsIn both groups, the most common indication for DBE was obscure gastrointestinal bleeding. Mucosal lesions (33.3% vs. 60.9%; P=0.002) were the most common finding in both groups, followed by tumors (30.8% vs. 14.1%; P=0.036). The elderly were more likely to receive interventional therapy (51.3% vs. 23.5%; P=0.001). The diagnostic yield of DBE was slightly higher in the elderly group (92.3% vs. 86.5%; P=0.422), but was not statistically significant. The therapeutic success rate of DBE was 100% in the elderly group compared to 87.5% in the younger group (P=0.536). The overall DBE complication rate was 1.8% overall, and this rate did not differ significantly between the groups (2.6% vs. 1.7%; P=0.548).ConclusionsDBE is safe and effective in the elderly, and has a high diagnostic yield and high therapeutic success rate.

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Section: Discussionsupporting

confidence: 92%

Section: Introductionmentioning

confidence: 99%

Double-Balloon Enteroscopy in Elderly Patients: Is It Safe and Useful?

et al. 2014

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“…It is considered the gold standard for therapeutic intervention of many small bowel disorders in OGIB [49] . The diagnostic yield and treatment success of DBE for OGIB in published literature ranges from 60%-81% and 43%-84% respectively [10,[50][51][52][53][54][55][56][57][58][59][60] . The variation in diagnostic yield is a result of differences in DBE timing, inclusion criteria and definitions of a significant finding [61] .…”

Section: Capsule Endoscopymentioning

confidence: 99%

Evaluation and outcomes of patients with obscure gastrointestinal bleeding

Santhakumar

Liu

2014

WJGP

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Core tip: This article examines the role of current diagnostic modalities for the investigation of obscure gastrointestinal bleeding (OGIB) and outcomes in patients undergoing these investigations. Capsule endoscopy and double balloon enteroscopy remain the cornerstone of diagnostic and therapeutic management. The diagnostic and therapeutic capabilities of certain modalities are influenced by the nature of bleeding in OGIB. Longterm outcome data in patients with OGIB is limited but is most promising for capsule endoscopy.Santhakumar C, Liu K. Evaluation and outcomes of patients with obscure gastrointestinal bleeding. World J Gastrointest Pathophysiol 2014; 5(4

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“…Regarding the detection of tumors in the small bowel, the small intestinal tumor or polyp were detected in 6-10% 55. In a Korean study, 13.8% of DBE procedures revealed small intestinal tumors regardless the indications for procedure12 and 7-20% in other literatures 11. In a study focusing on OGIB,56 the diagnostic yield was 45% and small intestinal tumor was detected in 13%.…”

Section: How To Diagnose Small Intestinal Tumormentioning

confidence: 96%

Current Advance in Small Bowel Tumors

Cheung

Choi

2011

Clin Endosc

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Small intestinal tumors are difficult challenge to gastroenterologists. The difficulty in making a diagnosis of small intestinal tumor lies in the relative inaccessibility and absence of typical presentation. New endoscopic and radiologic technologies provide clear and fine anatomical visualization of the small bowel and are approved to improve the diagnostic sensitivity and accuracy. Patients at risk of small intestinal tumors might gain a benefit from proper surveillance with this new technology. Minimally invasive therapy is now available with advance of balloon assisted enteroscopy. This review describes the general aspect of the small intestinal tumors, focusing on the new modalities for diagnosis.

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Korean experience with double balloon endoscopy: Korean Association for the Study of Intestinal Diseases multi-center study

Cited by 25 publications

References 15 publications

Double-Balloon Enteroscopy in Elderly Patients: Is It Safe and Useful?

Double-Balloon Enteroscopy in Elderly Patients: Is It Safe and Useful?

Evaluation and outcomes of patients with obscure gastrointestinal bleeding

Current Advance in Small Bowel Tumors

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