Double-balloon enteroscopy for the diagnosis and treatment of obscure bleeding, inflammatory bowel diseases and polyposis syndromes

We see more but do we know more?

P. Lakatos, P. Fuszek, Henrik Csaba Horvath, Laszlo Zubek, Petra Haller, J. Papp

Research output: Contribution to journalArticle

7 Citations (Scopus)

Abstract

Background/Aims: Our aim was to report our experience with the Fujinon EN-450 T5 therapeutic double-balloon endoscope (DBE) in the diagnosis of small bowel diseases. Methodology: Between August 2005 and October 2006, 52 DBE procedures were conducted on 47 consecutive patients (M/F: 22/25, age: 51.6 SD 19.5 years) presenting at our tertiary referral hospital (35 and 7 patients from oral and anal route, respectively; 5 patients from both). All procedures were performed using i.v. anesthesia, at our outpatient clinic. Results: Indication suspected small-bowel bleeding in 28 patients, suspected/known inflammatory bowel syndrome (IBD) in 12 and polyposis/suspected neoplasia in 7. In obscure bleeding small-bowel abnormality was found in 18 patients (64.3%) including angiodysplasias/erosions and one polypoid lesion. In suspected IBD, IBD was diagnosed in 2 out of 8 cases. In patients with polyposis syndromes, polyps were in two Peutz-Jeghers patients, while a further patient with suspected stenosis was diagnosed with primary adenocarcinoma. The average insertion length was app. 213cm. No severe complications were observed. Conclusions: Based on our experience DBE is a safe and useful method for evaluating and treating small bowel disease in selected patients with obscure bleeding, IBD or polyposis syndromes, however the clinical importance of minute lesions still needs to be determined.

Original languageEnglish
Pages (from-to)133-137
Number of pages5
JournalHepato-Gastroenterology
Volume55
Issue number81
Publication statusPublished - Jan 2008

Fingerprint

Double-Balloon Enteroscopy
Inflammatory Bowel Diseases
Hemorrhage
Endoscopes
Therapeutics
Angiodysplasia
Polyps
Ambulatory Care Facilities
Tertiary Care Centers
Pathologic Constriction
Adenocarcinoma
Anesthesia

Keywords

  • Double-balloon endoscopy
  • IBD
  • Obscure GI bleeding
  • Polyposis syndrome

ASJC Scopus subject areas

  • Gastroenterology

Cite this

Double-balloon enteroscopy for the diagnosis and treatment of obscure bleeding, inflammatory bowel diseases and polyposis syndromes : We see more but do we know more? / Lakatos, P.; Fuszek, P.; Horvath, Henrik Csaba; Zubek, Laszlo; Haller, Petra; Papp, J.

In: Hepato-Gastroenterology, Vol. 55, No. 81, 01.2008, p. 133-137.

Research output: Contribution to journalArticle

@article{6ba96539cebb47b0b04146d7267d3da7,
title = "Double-balloon enteroscopy for the diagnosis and treatment of obscure bleeding, inflammatory bowel diseases and polyposis syndromes: We see more but do we know more?",
abstract = "Background/Aims: Our aim was to report our experience with the Fujinon EN-450 T5 therapeutic double-balloon endoscope (DBE) in the diagnosis of small bowel diseases. Methodology: Between August 2005 and October 2006, 52 DBE procedures were conducted on 47 consecutive patients (M/F: 22/25, age: 51.6 SD 19.5 years) presenting at our tertiary referral hospital (35 and 7 patients from oral and anal route, respectively; 5 patients from both). All procedures were performed using i.v. anesthesia, at our outpatient clinic. Results: Indication suspected small-bowel bleeding in 28 patients, suspected/known inflammatory bowel syndrome (IBD) in 12 and polyposis/suspected neoplasia in 7. In obscure bleeding small-bowel abnormality was found in 18 patients (64.3{\%}) including angiodysplasias/erosions and one polypoid lesion. In suspected IBD, IBD was diagnosed in 2 out of 8 cases. In patients with polyposis syndromes, polyps were in two Peutz-Jeghers patients, while a further patient with suspected stenosis was diagnosed with primary adenocarcinoma. The average insertion length was app. 213cm. No severe complications were observed. Conclusions: Based on our experience DBE is a safe and useful method for evaluating and treating small bowel disease in selected patients with obscure bleeding, IBD or polyposis syndromes, however the clinical importance of minute lesions still needs to be determined.",
keywords = "Double-balloon endoscopy, IBD, Obscure GI bleeding, Polyposis syndrome",
author = "P. Lakatos and P. Fuszek and Horvath, {Henrik Csaba} and Laszlo Zubek and Petra Haller and J. Papp",
year = "2008",
month = "1",
language = "English",
volume = "55",
pages = "133--137",
journal = "Acta hepato-splenologica",
issn = "0172-6390",
publisher = "H.G.E. Update Medical Publishing Ltd.",
number = "81",

}

TY - JOUR

T1 - Double-balloon enteroscopy for the diagnosis and treatment of obscure bleeding, inflammatory bowel diseases and polyposis syndromes

T2 - We see more but do we know more?

AU - Lakatos, P.

AU - Fuszek, P.

AU - Horvath, Henrik Csaba

AU - Zubek, Laszlo

AU - Haller, Petra

AU - Papp, J.

PY - 2008/1

Y1 - 2008/1

N2 - Background/Aims: Our aim was to report our experience with the Fujinon EN-450 T5 therapeutic double-balloon endoscope (DBE) in the diagnosis of small bowel diseases. Methodology: Between August 2005 and October 2006, 52 DBE procedures were conducted on 47 consecutive patients (M/F: 22/25, age: 51.6 SD 19.5 years) presenting at our tertiary referral hospital (35 and 7 patients from oral and anal route, respectively; 5 patients from both). All procedures were performed using i.v. anesthesia, at our outpatient clinic. Results: Indication suspected small-bowel bleeding in 28 patients, suspected/known inflammatory bowel syndrome (IBD) in 12 and polyposis/suspected neoplasia in 7. In obscure bleeding small-bowel abnormality was found in 18 patients (64.3%) including angiodysplasias/erosions and one polypoid lesion. In suspected IBD, IBD was diagnosed in 2 out of 8 cases. In patients with polyposis syndromes, polyps were in two Peutz-Jeghers patients, while a further patient with suspected stenosis was diagnosed with primary adenocarcinoma. The average insertion length was app. 213cm. No severe complications were observed. Conclusions: Based on our experience DBE is a safe and useful method for evaluating and treating small bowel disease in selected patients with obscure bleeding, IBD or polyposis syndromes, however the clinical importance of minute lesions still needs to be determined.

AB - Background/Aims: Our aim was to report our experience with the Fujinon EN-450 T5 therapeutic double-balloon endoscope (DBE) in the diagnosis of small bowel diseases. Methodology: Between August 2005 and October 2006, 52 DBE procedures were conducted on 47 consecutive patients (M/F: 22/25, age: 51.6 SD 19.5 years) presenting at our tertiary referral hospital (35 and 7 patients from oral and anal route, respectively; 5 patients from both). All procedures were performed using i.v. anesthesia, at our outpatient clinic. Results: Indication suspected small-bowel bleeding in 28 patients, suspected/known inflammatory bowel syndrome (IBD) in 12 and polyposis/suspected neoplasia in 7. In obscure bleeding small-bowel abnormality was found in 18 patients (64.3%) including angiodysplasias/erosions and one polypoid lesion. In suspected IBD, IBD was diagnosed in 2 out of 8 cases. In patients with polyposis syndromes, polyps were in two Peutz-Jeghers patients, while a further patient with suspected stenosis was diagnosed with primary adenocarcinoma. The average insertion length was app. 213cm. No severe complications were observed. Conclusions: Based on our experience DBE is a safe and useful method for evaluating and treating small bowel disease in selected patients with obscure bleeding, IBD or polyposis syndromes, however the clinical importance of minute lesions still needs to be determined.

KW - Double-balloon endoscopy

KW - IBD

KW - Obscure GI bleeding

KW - Polyposis syndrome

UR - http://www.scopus.com/inward/record.url?scp=41549113312&partnerID=8YFLogxK

UR - http://www.scopus.com/inward/citedby.url?scp=41549113312&partnerID=8YFLogxK

M3 - Article

VL - 55

SP - 133

EP - 137

JO - Acta hepato-splenologica

JF - Acta hepato-splenologica

SN - 0172-6390

IS - 81

ER -