Review: Diagnosis and management of mid-gastrointestinal bleeding by double-balloon endoscopy

Hayashi, Yoshikazu; Yamamoto, Hironori; Yano, Tomonori; Sugano, Kentaro

doi:10.1177/1756283x09102315

Cited by 6 publications

(5 citation statements)

References 55 publications

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“…18 Diagnostic yield of DBE for patients with OGIB also appeared similar. 12,19,20 When DBE was performed prior to IOE, 95% of lesions diagnosed by DBE were confirmed by IOE. 11 These findings emphasize that VCE and DE have an important role and are highly accurate for diagnosis and localization of lesions in patients with severe OGIB prior to laparotomy and/or IOE.…”

Section: Discussionmentioning

confidence: 99%

Laparotomy and intraoperative enteroscopy for obscure gastrointestinal bleeding before and after the era of video capsule endoscopy and deep enteroscopy: A tertiary center experience

Manatsathit

Khrucharoen

Jensen

et al. 2018

The American Journal of Surgery

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Background To evaluate roles of intraoperative endoscopy (IOE) in management of severe obscure GI bleeding (OGIB) before vs. after introduction of video capsule endoscopy (VCE) and deep enteroscopy (DE). Methods We retrospectively reviewed prospectively collected data of patients undergoing IOE for severe OGIB in a tertiary referral center. Results 52 patients had laparotomy/IOE for OGIB, 11 pre and 41 post VCE/DE eras. In the pre VCE/DE era, 36.4% (4/11) had preoperative presumptive diagnoses while in the post VCE/DE era presumptive diagnoses were made in 48.8% (20/41) (p= 0.18). Preoperative evaluation led to correct diagnoses in 18.2% (2/11) in the pre and 51.2% (21/41) in the post VCE/DE era (p=0.09). Vascular lesions and ulcers were the most common diagnoses, but rebleeding was common. No rebleeding was found among patients with tumors, Meckel's diverticulum, and aortoenteric fistula. Conclusions Presumptive diagnoses in the post VCE/DE era were usually accurate. If VCE or DE are negative, the probability of negative IOE is high. Patients with tumors and Meckel's diverticulum were the best candidates for IOE.

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Section: Discussionmentioning

confidence: 99%

Laparotomy and intraoperative enteroscopy for obscure gastrointestinal bleeding before and after the era of video capsule endoscopy and deep enteroscopy: A tertiary center experience

Manatsathit

Khrucharoen

Jensen

et al. 2018

The American Journal of Surgery

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“…If the bleeding site is suspected to be in the distal ileum on CT, retrograde BAE should be considered first. 25…”

Section: Which Study Should Be Performed First?mentioning

confidence: 99%

“…When bloody enteric content is first observed, a clip should be placed to mark the approximate location of the bleeding lesion in the small intestine. If the bleeding site is suspected to be in the distal ileum on CT, retrograde BAE should be considered first [ 25 ].…”

Section: Which Study Should Be Performed First?mentioning

confidence: 99%

Roles of Capsule Endoscopy and Balloon-Assisted Enteroscopy in the Optimal Management of Small Bowel Bleeding

Abutalib

Yano

Shinozaki³

et al. 2020

Clin Endosc

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The small bowel had long been considered a dark unapproachable tunnel until the invention of capsule endoscopy and doubleballoon enteroscopy in the 21st century, which revolutionized the diagnosis and management of small bowel diseases, including bleeding. Various imaging modalities such as computed tomographic enterography, angiography, capsule endoscopy, and balloonassisted enteroscopy play vital roles in the diagnosis and management of small bowel bleeding. The choice of modality to use and timing of application differ according to the availability of the modalities, patient's history, and physician's experience. Small bowel bleeding is managed using different strategies as exemplified by medical treatment, interventional radiology, endoscopic therapy, or surgical intervention. Balloon-assisted enteroscopy enables endoscopic interventions to control small bowel bleeding, including electrocautery, argon plasma coagulation, clip application, and tattooing as a prelude to surgery. In this article, we clarify the recent approaches to the optimal diagnosis and management of patients with small bowel bleeding.

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“…Core temperature measurement has been FDA cleared since 1990, by CorTemp (HQ Inc., formerly HTI Technologies). More recently, capsule endoscopy systems (PillCam by Given Imaging with FDA clearance 2001, and EndoCapsule by Olympus with FDA clearance 2007) consist of a forwardlooking wide-angle camera taking regularly timed pictures, a battery, and lights, all contained in a capsule [119,120]. SmartPill (SmartPill Corp., FDA clearance 2006) utilizes multiple sensors to measure pressure, pH level, gastric emptying time, and bowel emptying time [121].…”

Section: Robots In Vivomentioning

confidence: 99%

Medical Robots: Current Systems and Research Directions

Beasley

2012

Journal of Robotics

245

150

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First used medically in 1985, robots now make an impact in laparoscopy, neurosurgery, orthopedic surgery, emergency response, and various other medical disciplines. This paper provides a review of medical robot history and surveys the capabilities of current medical robot systems, primarily focusing on commercially available systems while covering a few prominent research projects. By examining robotic systems across time and disciplines, trends are discernible that imply future capabilities of medical robots, for example, increased usage of intraoperative images, improved robot arm design, and haptic feedback to guide the surgeon.

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Review: Diagnosis and management of mid-gastrointestinal bleeding by double-balloon endoscopy

Cited by 6 publications

References 55 publications

Laparotomy and intraoperative enteroscopy for obscure gastrointestinal bleeding before and after the era of video capsule endoscopy and deep enteroscopy: A tertiary center experience

Laparotomy and intraoperative enteroscopy for obscure gastrointestinal bleeding before and after the era of video capsule endoscopy and deep enteroscopy: A tertiary center experience

Roles of Capsule Endoscopy and Balloon-Assisted Enteroscopy in the Optimal Management of Small Bowel Bleeding

Medical Robots: Current Systems and Research Directions

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