Comparison of double balloon enteroscopy in adults and children

被引:8
作者
Gurkan, Odul Egritas [1 ]
Karakan, Tarkan [2 ]
Dogan, Ibrahim [2 ]
Dalgic, Buket [1 ]
Unal, Selahattin [2 ]
机构
[1] Gazi Univ, Sch Med, Dept Pediat Gastroenterol, TR-06500 Ankara, Turkey
[2] Gazi Univ, Sch Med, Dept Gastroenterol, TR-06500 Ankara, Turkey
关键词
Double-balloon enteroscopy; Small bowel disease; Polyp; Angiodysplasia; Peutz-Jeghers syndrome; SMALL-BOWEL; CAPSULE ENDOSCOPY; CELIAC-DISEASE; PEDIATRIC-PATIENTS; DIAGNOSIS; EXPERIENCE; SAFETY; TUMORS;
D O I
10.3748/wjg.v19.i29.4726
中图分类号
R57 [消化系及腹部疾病];
学科分类号
摘要
AIM: To compare results of double balloon enteroscopy (DBE) procedures in pediatric and adult patients. METHODS: The medical files of patients who underwent DBE at Gazi University School of Medicine, Ankara, Turkey between 2009 and 2011 were examined retrospectively. Adult and pediatric patients were compared according to DBE indications, procedure duration, final diagnosis, and complications. DBE procedures were performed in an operating room under general anesthesia by two endoscopists. An oral or anal approach was preferred according to estimated lesion sites. Overnight fasting of at least 6 h prior to the start of the procedure was adequate for preprocedural preparation of oral DBE procedures. Bowel cleansing was performed by oral administration of sennosides A and B solution, 2 mL/kg, and anal saline laxative enema. The patients were followed up for 2 h after the procedure in terms of possible complications. RESULTS: DBE was performed in 35 patients (5 pediatric and 30 adult). DBE procedures were performed for abdominal pain, chronic diarrhea, bleeding, chronic vomiting, anemia, and postoperative evaluation of anastomosis. Final diagnosis was diffuse gastric angiodysplasia (n = 1); diffuse jejunal angiodysplasia (n = 1); ulceration in the bulbus (n = 1); celiac disease (n = 1); low differentiated metastatic carcinoma (n = 1); Peutz-Jeghers syndrome (n = 1); adenomatous polyp (n = 1) and stricture formation in anastomosis line (n = 1). During postprocedural follow-up, abdominal pain and elevated amylase levels were noted in three patients and one patient developed abdominal perforation. CONCLUSION: With the help of technological improvements, we may use enteroscopy as a safe modality more frequently in younger and smaller children. (C) 2013 Baishideng. All rights reserved.
引用
收藏
页码:4726 / 4731
页数:6
相关论文
共 27 条
[1]  
Belber J P, 1970, Gastrointest Endosc, V17, P34
[2]   Small bowel endoscopy and coeliac disease [J].
Daveson, A. James M. ;
Anderson, Robert P. .
BEST PRACTICE & RESEARCH CLINICAL GASTROENTEROLOGY, 2012, 26 (03) :315-323
[3]   The European experience with double-balloon enteroscopy: indications, methodology, safety, and clinical impact [J].
Di Caro, S ;
May, A ;
Heine, DGN ;
Fini, L ;
Landi, B ;
Petruzziello, L ;
Cellier, C ;
Mulder, CJ ;
Costamagna, G ;
Ell, C ;
Gasbarrini, A .
GASTROINTESTINAL ENDOSCOPY, 2005, 62 (04) :545-550
[4]   Small bowel polyps and tumours: endoscopic detection and treatment by double-balloon enteroscopy [J].
Fry, L. C. ;
Neumann, H. ;
Kuester, D. ;
Kuhn, R. ;
Bellutti, M. ;
Malfertheiner, P. ;
Monkemuller, K. .
ALIMENTARY PHARMACOLOGY & THERAPEUTICS, 2009, 29 (01) :135-142
[5]   Capsule endoscopy in non-steroidal anti-inflammatory drugs-enteropathy and miscellaneous, rare intestinal diseases [J].
Gay, Gerard ;
Delvaux, Michel ;
Frederic, Muriel .
WORLD JOURNAL OF GASTROENTEROLOGY, 2008, 14 (34) :5237-5244
[6]   The value of double-balloon enteroscopy in patients with refractory celiac disease [J].
Hadithi, Muhammed ;
Al-toma, Abdulbaqi ;
Oudejans, Joost ;
van Bodegraven, Adriaan A. ;
Mulder, Chris J. ;
Jacobs, Maarten .
AMERICAN JOURNAL OF GASTROENTEROLOGY, 2007, 102 (05) :987-996
[7]   Double balloon enteroscopy in the old: Experience from China [J].
He, Qiong ;
Zhang, Qiang ;
Li, Jian-Dong ;
Wang, Ya-Dong ;
Wan, Tian-Mo ;
Chen, Zhen-Yu ;
Pan, De-Shou ;
Cai, Jian-Qun ;
Liu, Si-De ;
Xiao, Bing ;
Zhang, Ya-Li ;
Jiang, Bo ;
Bai, Yang ;
Zhi, Fa-Chao .
WORLD JOURNAL OF GASTROENTEROLOGY, 2012, 18 (22) :2859-2866
[8]  
Höroldt BS, 2004, EUR J GASTROEN HEPAT, V16, P1143
[9]   Double balloon endoscopy in pediatric patients [J].
Leung, Ying-Kit .
GASTROINTESTINAL ENDOSCOPY, 2007, 66 (03) :S54-S56
[10]   Double-balloon Enteroscopy: Pediatric Experience [J].
Lin, Tom K. ;
Erdman, Steven H. .
JOURNAL OF PEDIATRIC GASTROENTEROLOGY AND NUTRITION, 2010, 51 (04) :429-432