Abstract

PAREDES MENDEZ, Juan; LAZO MOLINA, Luis  and  MOLINA MARTOS, Bruno. Rol of double-balloon enteroscopy in the management of small intestine diseases: experience in the National Hospital Guillermo Almenara lrigoyen, Lima, Peru. Rev. gastroenterol. Perú [online]. 2016, vol.36, n.2, pp.107-114. ISSN 1022-5129.

Objective: Evaluate the diagnostic and therapeutic utility, safeness, efficacy and complications of double-balloon enteroscopy (DBE). Material and methods: This prospective, descriptive study of DBE took place between july 2010 and June 2015 at the service of Gastroenterology of Hospital Nacional Guillermo Almenara lrigoyen- Lima Peru. 129 DBE were performed in 121 patients with the Fujinon EN-450T 5 double balloon enteroscope,with conscious sedation and with previous bowel preparation. All of them signed an informed consent. Results: The mean age was 56.6 years. Capsule endoscopy intestinal study was performed previously in 77 patients (63.6%). The most frequent indication for DBE was bleeding of middle intestine (61.2%). The approach used was more antegrade (69%). The maximum distance reached was 570 em in antegrade method. The average duration for both routes is 117.45 minutes. Vascular ecstasies (56.1%) were the most frequent causes of obscure gastrointestinal bleeding. The diagnostic yield was 8 3.7%, higher than other series. The most widely used therapeutic procedure was argon plasma thermo coagulation. Like other studies, patients had good tolerance to the procedure and no major complications. Conclusions: In our patients studied the EDB has proven to be a secure, useful and efficient technique for the diagnosis and treatment of several diseases of the small intestine, especially in obscure gastrointestinal bleeding

Keywords : Double-balloon enteroscopy; Intestinal diseases; Gastrointestinal hemorrhage.

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