Antegrade Is More Effective Than Retrograde Enteroscopy for Evaluation and Management of Suspected Small-Bowel Disease

Sanaka, Madhusudhan R.; Navaneethan, Udayakumar; Kosuru, Bhanu Prasad; Yerneni, Himabindu; López, Rocío; Vargo, John J.

doi:10.1016/j.cgh.2012.04.020

Cited by 47 publications

(31 citation statements)

References 32 publications

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“…8 Total procedure duration was defined as the period from insertion to withdrawal of the enteroscope. Estimated maximal insertion depth with the anterograde approach was defined as the number of centimeters beyond the ligament of Treitz when no further advancement was possible.…”

Section: Clinical Variablesmentioning

confidence: 99%

Diagnostic and therapeutic yield is not influenced by the timing of small-bowel enteroscopy: morning versus afternoon

Sanaka

Navaneethan

Upchurch

et al. 2013

Gastrointestinal Endoscopy

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Section: Clinical Variablesmentioning

confidence: 99%

Diagnostic and therapeutic yield is not influenced by the timing of small-bowel enteroscopy: morning versus afternoon

Sanaka

Navaneethan

Upchurch

et al. 2013

Gastrointestinal Endoscopy

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“…The majority of data concerning the outcomes and safety of balloon-assisted enteroscopy have been obtained from studies using DBE, and data obtained from studies using SBE are limited [4–6]. In addition, comparisons of anterograde and retrograde SBE for outcome and safety are lacking [7]. Therefore, more studies are required to verify the reliability of SBE with respect to outcome and safety.…”

Section: Introductionmentioning

confidence: 99%

Outcome and Safety of Anterograde and Retrograde Single-Balloon Enteroscopy: Clinical Experience at a Tertiary Medical Center in Taiwan

et al. 2016

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Single-balloon enteroscopy (SBE) is designed for identifying possible small bowel lesions with balloon-assisted enteroscopy that allows deep intubation of the intestine. However, data regarding the outcome and safety of SBE remain limited. We conducted this study to evaluate the outcome and safety of anterograde and retrograde SBE approaches. This retrospective review from a tertiary medical center in Taiwan included endoscopic reports and chart data from 128 patients with 200 anterograde and retrograde procedures from September 2009 to November 2014. In this study, the most common indication for both anterograde and retrograde SBE was obscure gastrointestinal bleeding (64.4% vs. 60.6%). There were no significant differences between anterograde and retrograde approaches in terms of the diagnostic yield (69.3% vs. 52.5%) and intervention rate (23.8% vs. 17.2%). The procedure time was shorter for anterograde SBE than for retrograde SBE (68.1 ± 23.9 vs. 76.8 ± 27.7 min, P = 0.018). In addition, among the subgroup of patients with obscure gastrointestinal bleeding, the most common etiologies for those in different age-groups were angiodysplasia (≥ 65 years), non-specific ulcers (30–64 years), and Meckel’s diverticulum (< 30 years). The major complication rate during the study was 1.5%; the rate of asymptomatic hyperamylasemia was higher for patients who underwent anterograde SBE than for those who underwent retrograde SBE (13.9% vs. 2%, P = 0.005). The outcome and safety of anterograde and retrograde SBE are similar. However, anterograde SBE has a shorter procedural time and a higher rate of asymptomatic hyperamylasemia.

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“…However, VCE offers higher rates of complete small bowel visualization compared to BAE [10]. In addition, BAE is known to be technically challenging and time consuming, especially when performed by the retrograde approach [11]. In contrast, VCE is easy to apply.…”

Section: Discussionmentioning

confidence: 99%

Small Bowel Pleomorphic Liposarcoma: A Rare Cause of Gastrointestinal Bleeding

Nennstiel

Mollenhauer

Schlag

et al. 2014

Case Reports in Gastrointestinal Medicine

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Antegrade Is More Effective Than Retrograde Enteroscopy for Evaluation and Management of Suspected Small-Bowel Disease

Cited by 47 publications

References 32 publications

Diagnostic and therapeutic yield is not influenced by the timing of small-bowel enteroscopy: morning versus afternoon

Diagnostic and therapeutic yield is not influenced by the timing of small-bowel enteroscopy: morning versus afternoon

Outcome and Safety of Anterograde and Retrograde Single-Balloon Enteroscopy: Clinical Experience at a Tertiary Medical Center in Taiwan

Small Bowel Pleomorphic Liposarcoma: A Rare Cause of Gastrointestinal Bleeding

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