| Autor: |
J J E, García-Correa, J J, Ramírez-García, L F, García-Contreras, C, Fuentes-Orozco, L, Irusteta-Jiménez, L R, Michel-Espinoza, A S, Carballo Uribe, J A, Torres Chávez, A, González-Ojeda |
| Rok vydání: |
2016 |
| Předmět: |
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| Zdroj: |
Revista de gastroenterologia de Mexico (English). 83(1) |
| ISSN: |
2255-534X |
| Popis: |
Double-balloon enteroscopy has been improving the visualization of the entire intestine for more than a decade. It is a complementary method in the study of intestinal diseases that enables biopsies to be taken and treatments to be administered. Our aim was to describe its main indications, insertion routes, diagnostic/therapeutic yield, and complications.All patients referred to our unit with suspected small bowel pathology were included. The insertion route (oral/anal) was determined through diagnostic suspicion. The variables measured were: insertion route, small bowel examination extent, endoscopic diagnosis/treatment, biopsy/histopathology report, complications, and surgical findings.The study included 28 double-balloon enteroscopies performed on 23 patients, of which 10 were women and 13 were men (mean age of 52.95 years). The oral approach was the most widely used (n=21), the main indication was overt small bowel bleeding (n=16), and the general diagnostic yield was 65.21%. The therapeutic intervention rate was 39.1% and the procedure was effective in all the cases. The most widely used treatment was argon plasma therapy (n=7). The complication rate was 8.6%; one patient presented with low blood pressure due to active bleeding and another had deep mucosal laceration caused by the argon plasma.Double-balloon enteroscopy is a safe and efficacious method for the study and management of small bowel diseases, with an elevated diagnostic and therapeutic yield. |
| Databáze: |
OpenAIRE |
| Externí odkaz: |
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