Single-balloon enteroscopy, magnetic resonance enterography, and abdominal US useful for evaluation of small-bowel disease in children with (suspected) Crohn's disease

Ridder, Lissy de; Mensink, Peter; Lequin, Maarten H.; Aktaş, Hüseyin; Krijger, Ronald R. de; Woude, C. Janneke van der; Escher, Johanna C.

doi:10.1016/j.gie.2011.07.036

Cited by 50 publications

(47 citation statements)

References 20 publications

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“…Recently, 2 studies on the use of SBE in pediatric patients with suspected or established CD were performed. In 16 patients with suspected CD and unspecific findings at traditional endoscopy, and where WCE was diagnostic of CD only in 3, SBE with histology allowed a definite CD diagnosis in 12 (93); this usefulness was confirmed in a further series of 20 unclear pediatric cases (94). Spiral enteroscopy is an innovative technique for performing deep enteroscopy but no data reporting use in children are presently available.…”

Section: Baementioning

confidence: 99%

ESPGHAN Revised Porto Criteria for the Diagnosis of Inflammatory Bowel Disease in Children and Adolescents

Levine

Koletzko

Turner

et al. 2014

J. pediatr. gastroenterol. nutr.

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1,058

787

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Background: The diagnosis of pediatric-onset inflammatory bowel disease (PIBD) can be challenging in choosing the most informative diagnostic tests and correctly classifying PIBD into its different subtypes. Recent advances in our understanding of the natural history and phenotype of PIBD, increasing availability of serological and fecal biomarkers, and the emergence of novel endoscopic and imaging technologies taken together have made the previous Porto criteria for the diagnosis of PIBD obsolete. Methods: We aimed to revise the original Porto criteria using an evidencebased approach and consensus process to yield specific practice recommendations for the diagnosis of PIBD. These revised criteria are based on the Paris classification of PIBD and the original Porto criteria while

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Section: Baementioning

confidence: 99%

ESPGHAN Revised Porto Criteria for the Diagnosis of Inflammatory Bowel Disease in Children and Adolescents

Levine

Koletzko

Turner

et al. 2014

J. pediatr. gastroenterol. nutr.

Self Cite

1,058

787

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“…The majority of studies involved international institutions (85%)[28,33,34,36-40,42-47,51-56,58,61-78,80-93,96,97,99-105], reporting retrospectively (74%)[34,35,37-43,47-51,53-57,59,60,62,63,65,67-69,71-73,75-85,87-91,93-96,99,101,102,104], on their experience with BAE. Of the 1812 patients included in the analysis, 597 (33%) were newly diagnosed with CD and 1215 (67%) had a known diagnosis of CD prior to undergoing BAE.…”

Section: Resultsmentioning

confidence: 99%

Systematic review: Safety of balloon assisted enteroscopy in Crohn’s disease

Arulanandan¹,

Dulai²,

Singh³

et al. 2016

WJG

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AIMTo determine the overall and comparative risk of procedure related perforation of balloon assisted enteroscopy (BAE) in Crohn’s disease (CD).METHODSSystematic review (PROSPERO #CRD42015016381) of studies reporting on CD patients undergoing BAE. Seventy-three studies reporting on 1812 patients undergoing 2340 BAEs were included. Primary outcome of interest was the overall and comparative risk of procedure related perforation of diagnostic BAE in CD. Secondary outcomes of interest were risk of procedure related perforation of diagnostic double balloon enteroscopy (DBE), risk of procedure related perforation of therapeutic BAE, efficacy of stricture dilation, and clinical utility of endoscopically assessing small bowel disease activity.RESULTSPer procedure perforation rate of diagnostic BAE in CD was 0.15% (95%CI: 0.05-0.45), which was similar to diagnostic BAE for all indications (0.11%; IRR = 1.41, 95%CI: 0.28-4.50). Per procedure perforation rate of diagnostic DBE in CD was 0.12% (95%CI: 0.03-0.44), which was similar to diagnostic DBE for all indications (0.22%; IRR = 0.54, 95%CI: 0.06-0.24). Per procedure perforation rate of therapeutic BAE in CD was 1.74% (95%CI: 0.85-3.55). Eighty-six percent of therapeutic perforations were secondary to stricture dilation. Dilation was attempted in 207 patients and 30% required surgery during median follow-up of 18 months. When diagnostic BAE assessed small bowel disease activity, changes in medical therapy resulted in endoscopic improvement in 77% of patients.CONCLUSIONDiagnostic BAE in CD has a similar rate of perforation as diagnostic BAE for all indications and can be safely performed in assessment of mucosal healing.

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“…Studies in adults have shown that DBE is useful for treating small bowel polyps in patients with PJS (17)(18)(19). SBE has been used in both adults and children; multiple studies have shown its efficacy and safety in the diagnosis and treatment of small bowel diseases (26)(27)(28)(29). SBE has been used in both adults and children; multiple studies have shown its efficacy and safety in the diagnosis and treatment of small bowel diseases (26)(27)(28)(29).…”

Section: Discussionmentioning

confidence: 99%

Management of Duodenal–Jejunal Polyps in Children With Peutz‐Jeghers Syndrome With Single‐Balloon Enteroscopy

Bizzarri

Borrelli

de’Angelis

et al. 2014

J. pediatr. gastroenterol. nutr.

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Single-balloon enteroscopy, magnetic resonance enterography, and abdominal US useful for evaluation of small-bowel disease in children with (suspected) Crohn's disease

Cited by 50 publications

References 20 publications

ESPGHAN Revised Porto Criteria for the Diagnosis of Inflammatory Bowel Disease in Children and Adolescents

ESPGHAN Revised Porto Criteria for the Diagnosis of Inflammatory Bowel Disease in Children and Adolescents

Systematic review: Safety of balloon assisted enteroscopy in Crohn’s disease

Management of Duodenal–Jejunal Polyps in Children With Peutz‐Jeghers Syndrome With Single‐Balloon Enteroscopy

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