Efficacy and Safety of Single-Balloon Versus Double-Balloon Enteroscopy: A Single-Center Retrospective Analysis

Lu, Zhanjun; Yu, Qiping; Weng, Jianjun; Ma, Lei; Wan, Xinjian; Wan, Rong; Lu, Lungen; Zhao, Hang

doi:10.12659/msm.900343

Cited by 11 publications

(8 citation statements)

References 17 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“… Forest plot showing the diagnostic yields of all studies included in the meta-analysis and the pooled diagnostic yields calculated by random and fixed effects models. 1 , 9 , 10 , 16 , 17 , 22 - 22 , 25 , 30 , 32 , 40 - 40 , 42 , 61 - 61 …”

Section: Figmentioning

confidence: 99%

Technical and Clinical Aspects of Diagnostic Single-Balloon Enteroscopy in the First Decade of Use: A Systematic Review and Meta-Analysis

et al. 2021

View full text Add to dashboard Cite

Background/Aims: Single-balloon enteroscopy (SBE) has been widely used in diagnosing small bowel disease. We conducted this study to systematically appraise its technical and clinical performance. Methods: Studies on SBE published by September 2018 were systematically searched. Technical and clinical performance data were collected and analyzed with descriptive or meta-analysis methods. Results: In total, 54 articles incorporating 4,592 patients (6,036 procedures) were included. Regarding technical parameters, the pooled insertion depths (IDs) for anterograde and retrograde SBE were 209.2 cm and 98.1 cm, respectively. The pooled retrograde ID in Asian countries was significantly greater than that in Western countries (129.0 cm vs 81.1 cm, p<0.001). The pooled anterograde and retrograde procedure times were 57.6 minutes and 65.1 minutes, respectively. The total enteroscopy rate was 21.9%, with no significant difference between Asian and Western countries. Clinically, the pooled diagnostic yield of SBE was 62.3%. Obscure gastrointestinal bleeding (OGIB) was the most common indication (50.0%), with a diagnostic yield of 59.5%. Vascular lesions were the most common findings in Western OGIB patients (76.9%) but not in Asian ones (31.0%). The rates of severe and mild adverse events were 0.5% and 2.5%, respectively. Conclusions: SBE is technically efficient and is clinically effective and safe, but total enteroscopy is relatively difficult to achieve with this technique. Etiologies of OGIB in Asian countries differ from those in Western countries.

show abstract

Section: Figmentioning

confidence: 99%

Technical and Clinical Aspects of Diagnostic Single-Balloon Enteroscopy in the First Decade of Use: A Systematic Review and Meta-Analysis

et al. 2021

View full text Add to dashboard Cite

show abstract

“…7 After Enteroscopy, there was not any major complication and just some degrees of abdominal pain reported in 4.8% of cases which is concordance with the study of Ramchandani et al 12 This low rate of complications have confirmed in more recent studies which prove the safety of balloon enteroscopy not only as a diagnostic method but also for therapeutic interventions. 13,14 The results of current work indicate that there is a significant relationship between chronic renal failure (CRF) and Angiectasia (P=0.03). This relation is a well-known complication of CRF 15 and explained by accelerated early vascular ageing process mediated by medial vascular calcification.…”

Section: Discussionmentioning

confidence: 83%

Indications and complications of balloon enteroscopy in Southwest of Iran: a 3years cross sectional survey

Alavinejad¹,

Zergani²,

Tarahom³

et al. 2022

GHOA

View full text Add to dashboard Cite

Introduction: The advent of capsule endoscopy (CE) and balloon-assisted Enteroscopy has changed the diagnosis and management of small intestine disorders over the past decade. The purpose of this evaluation is to review the findings of small intestine evaluation by Balloon Enteroscopy in Imam Hospital of Ahvaz between 2016 and 2019. Method: The present study is a descriptive epidemiological study that has been conducted using the files in the archives of Ahvaz Imam Hospital on a cross-sectional basis between 2016 and 2019 on all of the cases referred to this tertiary center to perform balloon Enteroscopy about their indications and any potential complication. A questionnaire containing several sections designed to collect the following data. Part A: (Basic Information) including age, sex, date and type of admission. Part B: (Record of previous diseases and procedures) including general health profile. Part C: (Enteroscopy Process Findings) and Part D: any potential complication. Results: Overall 42 procedures performed (29 male (69%) and 13 female (31%). The mean age of females (41.96y) was less than males (52.16y). The most common reasons for referring for Enteroscopy was Melena with unknown source (8 cases, 19%) and abdominal pain (6 cases, 14.3%). More than half of the patients (28 cases, 67%) were nonsmoker. The most common findings of Enteroscopy include peptic ulcer disease (PUD) (12 cases, 28.6%), hemorrhage from angiectasia (11 cases, 26.2%), erosive gastritis (9 cases, 21.4%) and small bowel stenosis and atrophy (7 cases, 16.7%). Among the complications after Enteroscopy, only abdominal pain was reported (2 cases, 4.76%). Conclusion: balloon Enteroscopy is a safe procedure and useful for evaluation of source of obscure bleedings and pain of unknown origin.

show abstract

“…A few studies analysing the indications, efficacy, outcomes, and safety of enteroscopy procedures have been carried out in various countries. The efficacy of SBE was also compared with that of double balloon enteroscopy in several retrospective studies and meta-analyses[ 16 - 20 ]. Moreels et al [ 21 ] conducted a case series in 2016 evaluating the therapeutic actions of SBE using a new prototype and highlighting its benefits.…”

Section: Discussionmentioning

confidence: 99%

“…It has also been previously reported that the adverse effects seen in SBE procedures were comparable to those seen in DBE procedures, with both being marked as safe according to a single-centre retrospective analysis. However, the study accounted for a performance bias as all the procedures were carried out by a single endoscopist, who was trained in the procedure[ 20 ]. One study on the usage of emergency SBE concluded that the incidence of adverse effects was lower when general anaesthesia was used as compared to when it was performed under conscious sedation[ 23 ].…”

Section: Discussionmentioning

confidence: 99%

See 1 more Smart Citation

Clinical profile, diagnostic yield, and procedural outcomes of single balloon enteroscopy: A tertiary care hospital experience

Inam¹,

Karim²,

Tariq³

et al. 2022

WJGE

View full text Add to dashboard Cite

BACKGROUND Single balloon enteroscopy (SBE) allows ease of access for small bowel visualization and has multiple diagnostic and therapeutic indications. It provides the advantage of performing various therapeutic interventions alongside the diagnostic procedure. SBE has also been considered a relatively safe procedure with no major complications. AIM To investigate the indications, safety, and clinical yield of SBE, and determine its effect on disease outcome. METHODS A retrospective, descriptive study was conducted at a tertiary care hospital in Karachi, Pakistan. Medical records of 56 adult patients (≥ 18 years) who underwent SBE between July 2013 and December 2021 were reviewed and data were collected using a structured proforma. A descriptive analysis of the variables was performed using Statistical Package of Social Sciences Version 19. Results are reported as the mean ± SD for quantitative variables and numbers and percentages for qualitative variables. Missing data are reported as unknown. RESULTS A total of 56 patients who underwent 61 SBE procedures were included. The mean age was 50.93 ± 16.16 years, with 53.6% of them being males. Hypertension (39.3%) and diabetes mellitus (25.0%) were the most common pre-existing comorbidities. Obscure gastrointestinal bleed (39.3%) was the most common indication for enteroscopy, followed by chronic diarrhea (19.7%) and unexplained anemia (16.4%). The majority of procedures were performed in the endoscopy suite (90.2%) under monitored anaesthesia care (93.4%). Most procedures were diagnostic (91.8%) and completed without complications (95.1%). The depth of examination ranged from 95 cm to 500 cm with a mean of 282.05 ± 90.04 cm. The most common findings were inflammation and ulcerations (29.5%), followed by masses (19.7%) and vascular malformations (14.8%). As a result of the findings, a new diagnosis was made in 47.5% of the cases and a previous one was ruled out in 24.6% of them; 65.6% of the cases had a change in management. CONCLUSION SBE is a suitable modality for investigating diseases in the small bowel. It is shown to be technically efficient and reasonably safe and is associated with high diagnostic and therapeutic yield.

show abstract

Efficacy and Safety of Single-Balloon Versus Double-Balloon Enteroscopy: A Single-Center Retrospective Analysis

Cited by 11 publications

References 17 publications

Technical and Clinical Aspects of Diagnostic Single-Balloon Enteroscopy in the First Decade of Use: A Systematic Review and Meta-Analysis

Technical and Clinical Aspects of Diagnostic Single-Balloon Enteroscopy in the First Decade of Use: A Systematic Review and Meta-Analysis

Indications and complications of balloon enteroscopy in Southwest of Iran: a 3years cross sectional survey

Clinical profile, diagnostic yield, and procedural outcomes of single balloon enteroscopy: A tertiary care hospital experience

Contact Info

Product

Resources

About