Single-balloon push-and-pull enteroscopy system: does it work? A single-center, 3-year experience

Riccioni, Maria Elena; Urgesi, Riccardo; Cianci, Rossella; Spada, Cristiano; Nista, Enrico Celestino; Costamagna, Guido

doi:10.1007/s00464-011-1669-2

Cited by 31 publications

(16 citation statements)

References 29 publications

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“…The failure rate of SBE in this study was 5.5%, which is lower than the 10% failure rate reported by Upchurch et al [3]. The rate of total enteroscopy in this study was 6.2%, similar to the approximately 0–22% range for SBE reported elsewhere [9-13]. However, these numbers are much lower than the 18–66% rate of total enteroscopy in many reports using DBE.…”

Section: Discussionsupporting

confidence: 52%

The utility of single-balloon enteroscopy for the diagnosis and management of small bowel disorders according to their clinical manifestations: a retrospective review

Prachayakul

Deesomsak

Aswakul³

et al. 2013

BMC Gastroenterol

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BackgroundThe advent of double-balloon enteroscopy has enabled more accurate diagnosis and treatment of small bowel disorders. Single-balloon enteroscopy permits visualization of the entire small intestine less often than does double-balloon enteroscopy. However, the relative clinical advantages of the 2 methods remain controversial. This study therefore aimed to identify the indications for and therapeutic impact of performing single-balloon enteroscopy.MethodsWe retrospectively reviewed prospectively collected data from adults who underwent single-balloon enteroscopy from January 2007 through November 2011 and analyzed their baseline characteristics, endoscopic findings, pathological diagnoses, and clinical outcomes.ResultsA total of 145 procedures were performed in 116 patients with a mean age of 58.1 ± 17.7 years (range, 18–89 years). The most common indications for performing single-balloon enteroscopy were overt gastrointestinal (GI) bleeding, chronic diarrhea, and occult GI bleeding, accounting for 57.9%, 12.4%, and 9.7% of the patients, respectively. The area of interest was achieved in 80.7% of the cases, with a 5.5% rate of technical failure. An overall positive finding was detected in 65.5% of the cases, of which 33.8% were ulcers and erosions; 8.3%, masses; and 3.4%, angiodysplasia. The diagnostic yields were 42.9%, 52.4%, 78.6%, 50.0%, and 25.0% for patients with overt GI bleeding, occult GI bleeding, abdominal pain, chronic diarrhea, and abnormal imaging results, respectively. Therapeutic procedures were performed in 11% of patients with GI bleeding and achieved a therapeutic yield of 14.6% with a minor complication rate of 11.7%.ConclusionsSingle-balloon enteroscopy was effective for the diagnosis and treatment of small bowel disorders, especially in patients who presented with abdominal pain, GI bleeding, or focal abnormalities on imaging scans.

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Section: Discussionsupporting

confidence: 52%

The utility of single-balloon enteroscopy for the diagnosis and management of small bowel disorders according to their clinical manifestations: a retrospective review

Prachayakul

Deesomsak

Aswakul³

et al. 2013

BMC Gastroenterol

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“…A complete small bowel examination can be accomplished in up to 80% of the patients. It carries the advantage of ability to perform endoscopic interventions such as biopsy, polypectomy and marking the lesion [69][70][71] . A fewer studies Shenoy S. Small bowel carcinoma, genetics, signaling, surveillance utilizing BAE techniques have confirmed the presence of small bowel polyps in patients with FAP [10,71,72] .…”

Section: Endoscopymentioning

confidence: 99%

Genetic risks and familial associations of small bowel carcinoma

Shenoy

2016

WJGO

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“…As in conventional endoscopy, the risk is higher in therapeutic enteroscopy, at around 3% to 4% [15] . Among the 622 SBE procedures published to date, only two perforations (0.32%) were occurred: one during diagnostic SBE (in a postoperative case of ulcerative colitis), and one during therapeutic enteroscopy (balloon dilation) [4,13,14,[16][17][18][19] . In contrast to per oral DBE, no acute pancreatitis has been reported following SBE.…”

Section: Clinical Applicationsmentioning

confidence: 99%

Single balloon enteroscopy: Technical aspects and clinical applications

Manno¹

2012

WJGE

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The small bowel has long been considered a black box for endoscopists because of its long length and the presence of multiple complex loop. Most of the small bowel is inaccessible by traditional endoscopic means. In addition, radiographic studies have significant limitations with regard to diagnostic yield, and surgery is an invasive alternative. This limitation was overcome through the development of balloon enteroscopy that becomes established throughout the world for diagnostic and therapeutic examinations of the small bowel. The single-balloon enteroscope (SBE) system (Olympus, Tokyo, Japan) was introduced into the commercial market in 2007. Several study demonstrated its efficacy and safety. Early reports on the use of singleballoon enteroscopy have suggested a high diagnostic yield and similar therapeutic potential to that of the double-balloon endoscope. SBE is viable technique for in the management of small bowel disease. Technically, it is easy to perform, may be efficient, and in the literature data available, seems to provide high diagnostic and therapeutic yield.

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Single-balloon push-and-pull enteroscopy system: does it work? A single-center, 3-year experience

Abstract: Single-balloon enteroscopy seems to be safe, useful, and highly effective in the diagnosis and therapy of several small-bowel diseases.

Cited by 31 publications

References 29 publications

The utility of single-balloon enteroscopy for the diagnosis and management of small bowel disorders according to their clinical manifestations: a retrospective review

The utility of single-balloon enteroscopy for the diagnosis and management of small bowel disorders according to their clinical manifestations: a retrospective review

Genetic risks and familial associations of small bowel carcinoma

Single balloon enteroscopy: Technical aspects and clinical applications

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