Balloon enteroscopy versus spiral enteroscopy for small-bowel disorders: a systematic review and meta-analysis

Baniya, Ramkaji; Upadhaya, Sunil; Subedi, Subash; Khan, Jahangir; Sharma, Prabin; Mohammed, Tabrez Shaik; Bachuwa, Ghassan; Jamil, Laith H.

doi:10.1016/j.gie.2017.06.015

Cited by 55 publications

(53 citation statements)

References 29 publications

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“…In contrast, CD strictures of the small intestine beyond the terminal ileum are only reliably accessible via device-assisted enteroscopy including balloon-assisted enteroscopy (BAE). 1,[5][6][7][8]…”

Section: Introductionmentioning

confidence: 99%

Systematic review with meta‐analysis: efficacy of balloon‐assisted enteroscopy for dilation of small bowel Crohn's disease strictures

Bettenworth¹,

Bokemeyer²,

Kou³

et al. 2020

Aliment Pharmacol Ther

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SummaryBackgroundEvidence for endoscopic balloon dilation of small intestinal strictures in Crohn's disease (CD) using balloon‐assisted enteroscopy is scarce.AimTo evaluate endoscopic balloon dilation for the treatment of small intestinal CD strictures using balloon‐assisted enteroscopy.MethodsCitations in Embase, MEDLINE, and Cochrane were systematically reviewed. In a meta‐analysis of 18 studies with 463 patients and 1189 endoscopic balloon dilations, technical success was defined as the ability to dilate a stricture. Individual data were also obtained on 218 patients to identify outcome‐relevant risk factors.ResultsIn the pooled per‐study analysis, technical success rate of endoscopic balloon dilation was 94.9%, resulting in short‐term clinical efficacy in 82.3% of patients. Major complications occurred in 5.3% of patients. During follow‐up, 48.3% of patients reported symptom recurrence, 38.8% were re‐dilated and 27.4% proceeded to surgery. On the per‐patient‐based multivariable analysis, that patients with disease activity in the small intestine had lower short‐term clinical efficacy (odds ratio 0.32; 95% confidence interval 0.14‐0.73, P = 0.007). Patients with concomitant active disease in the small and/or large intestine had an increased risk to proceed toward surgery (hazard ratio 1.85; 95% confidence interval 1.09‐3.13, P = 0.02 and hazard ratio 1.77; 95% confidence interval 1.34‐2.34, P < 0.001).ConclusionsBalloon‐assisted enteroscopy for dilatation of CD‐associated small intestinal strictures has high short‐term technical and clinical efficacy and low complication rates. However, up to two‐thirds of patients need re‐dilation or surgery.

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Section: Introductionmentioning

confidence: 99%

Systematic review with meta‐analysis: efficacy of balloon‐assisted enteroscopy for dilation of small bowel Crohn's disease strictures

Bettenworth¹,

Bokemeyer²,

Kou³

et al. 2020

Aliment Pharmacol Ther

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“…Denn verschiedene Instrumente (Injektionsnadel, Schlinge etc.) lassen sich mitunter nur erschwert vorschieben [3]. Neuere Endoskope für die SBE und DBE mit einem größeren Arbeitskanal (Durchmesser 3,2 mm) sollen Interventionen erleichtern [4,5].…”

Section: Merkeunclassified

Innovative endoskopische Dünndarmdiagnostik: gestern, heute und morgen

Tal¹,

Albert²,

Hausmann³

2020

Gastroenterologie up2date

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“…Aus mehreren zur Verfügung stehenden Metaanalysen ergibt sich, dass alle vorgenannten Verfahren sich im Hinblick auf Eindringtiefe, diagnostischer und therapeutischer Ausbeute sowie Sicherheit nicht signifikant unterscheiden. Bereits hier zeigte ich allerdings, dass die Untersuchungszeit der Spiralenteroskopie signifikant kürzer war als bei den anderen Verfahren [5,6]. In einzelnen Studien war immer mal wieder die Doppel-Ballon-Enteroskopie mit der größten Eindringtiefe verbunden, dagegen imponierte die Single-Ballon-Enteroskopie mit einem einfachen Aufbau sowie einer leichteren technischen Durchführung.…”

Section: Technische Entwicklung Der Enteroskopie Noch Nicht Ausgereizunclassified

PowerSpiral-Enteroskopie

2020

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Balloon enteroscopy versus spiral enteroscopy for small-bowel disorders: a systematic review and meta-analysis

Cited by 55 publications

References 29 publications

Systematic review with meta‐analysis: efficacy of balloon‐assisted enteroscopy for dilation of small bowel Crohn's disease strictures

Systematic review with meta‐analysis: efficacy of balloon‐assisted enteroscopy for dilation of small bowel Crohn's disease strictures

Innovative endoskopische Dünndarmdiagnostik: gestern, heute und morgen

PowerSpiral-Enteroskopie

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