Non-small-bowel lesions encountered during double-balloon enteroscopy performed for obscure gastrointestinal bleeding

被引:37
作者
Tee, Hoi-Poh [1 ]
Kaffes, Arthur J. [1 ]
机构
[1] Royal Prince Alfred Hosp, AW Morrow Gastroenterol & Liver Ctr, Sydney, NSW 2050, Australia
关键词
Bleeding; Obscure gastrointestinal bleeding; Endoscopy; Double-balloon enteroscopy; CAPSULE ENDOSCOPY; OCCULT; REACH; YIELDS;
D O I
10.3748/wjg.v16.i15.1885
中图分类号
R57 [消化系及腹部疾病];
学科分类号
摘要
AIM: To report the incidence of non-small-bowel bleeding pathologies encountered during double-balloon enteroscopy (DBE) procedures and to analyse their significance. METHODS: A retrospective study of a prospective DBE database conducted in a tertiary-referral center was conducted. A total of 179 patients with obscure gastrointestinal bleeding (OGIB) referred for DBE from June 2004 to November 2008 were analysed looking for the incidence of non-small-bowel lesions (NSBLs; all and newly diagnosed) encountered during DBE. RESULTS: There were 228 (150 antegrade and 78 retrograde) DBE procedures performed in 179 patients. The mean number of DBE procedures was 1.27 per patient. The mean age (SD) of the patients was 62 16 years old. There were 94 females (52.5%). The positive yield for a bleeding lesion was 65.9%. Of the 179 patients, 44 (24.6%) had NSBLs (19 of them had dual pathology with small-bowel lesions and NSBLs); 27 (15.1%) had lesions not detected by previous endoscopies. The most common type of missed lesions were vascular lesions. CONCLUSION: A significant proportion of patients (24.6%) had lesions within reach of conventional endoscopy. Careful repeat examination with gastroscopy and colonoscopy might be required. (C) 2010 Baishideng. All rights reserved.
引用
收藏
页码:1885 / 1889
页数:5
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