Double-balloon enteroscopy for obscure gastrointestinal bleeding: A single center experience in China

被引:11
|
作者
Chen, Li-Hua [1 ]
Chen, Wen-Guo [1 ]
Cao, Hai-Jun [2 ]
Zhang, Hong [1 ]
Shan, Guo-Dong [1 ]
Li, Lin [1 ]
Zhang, Bing-Ling [1 ]
Xu, Cheng-Fu [1 ]
Ding, Kai-Li [3 ]
Fang, Ying [4 ]
Cheng, Ying [4 ]
Wu, Chen-Jiao [4 ]
Xu, Guo-Qiang [1 ]
机构
[1] Zhejiang Univ, Dept Gastroenterol, Affiliated Hosp 1, Coll Med, Hangzhou 310003, Zhejiang, Peoples R China
[2] Zhejiang Univ Chinese Med, Dept Gastroenterol, Affiliated Hosp 1, Hangzhou 310003, Zhejiang, Peoples R China
[3] Dongyang Peoples Hosp 1, Dept Gastroenterol, Jinhua 322100, Zhejiang, Peoples R China
[4] Zhejiang Univ, Dept Endoscopy Ctr, Affiliated Hosp 1, Coll Med, Hangzhou 310003, Zhejiang, Peoples R China
关键词
Double-balloon enteroscopy; Capsule endoscopy; Obscure gastrointestinal bleeding; Diagnosis; CAPSULE ENDOSCOPY; DIAGNOSTIC YIELD; CLINICAL-OUTCOMES; METAANALYSIS;
D O I
10.3748/wjg.v16.i13.1655
中图分类号
R57 [消化系及腹部疾病];
学科分类号
摘要
AIM: To evaluate the diagnostic value of double-balloon enteroscopy (DBE) for obscure gastrointestinal bleeding (OGIB). METHODS: The data about 75 OGIB patients who underwent DBE in January 2007-June 2009 in our hospital were retrospectively analyzed. RESULTS: DBE was successfully performed in all 75 patients without complication. Of the 75 patients, 44 (58.7%) had positive DBE findings, 22 had negative DBE findings but had potential bleeding at surgery and capsule endoscopy, etc. These 66 patients were finally diagnosed as OGIB which was most commonly caused by small bowel tumor (28.0%), angiodysplasia (18.7%) and Crohn's disease (10.7%). Lesions occurred more frequently in proximal small bowel than in distal small bowel (49.3% vs 33.3%, P = 0.047). CONCLUSION: DBE is a safe, effective and accurate procedure for the diagnosis of OGIB. (C) 2010 Baishideng. All rights reserved.
引用
收藏
页码:1655 / 1659
页数:5
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