Multicenter comparison of double‐balloon enteroscopy and spiral enteroscopy. Issue 6 (22nd May 2013)
- Record Type:
- Journal Article
- Title:
- Multicenter comparison of double‐balloon enteroscopy and spiral enteroscopy. Issue 6 (22nd May 2013)
- Main Title:
- Multicenter comparison of double‐balloon enteroscopy and spiral enteroscopy
- Authors:
- Rahmi, Gabriel
Samaha, Elia
Vahedi, Kouroche
Ponchon, Thierry
Fumex, Fabien
Filoche, Bernard
Gay, Gerard
Delvaux, Michel
Lorenceau‐Savale, Camille
Malamut, Georgia
Canard, Jean‐Marc
Chatellier, Gilles
Cellier, Christophe - Abstract:
- <abstract abstract-type="main"> <title>Abstract</title> <sec id="jgh12188-sec-0001" sec-type="section"> <title>Background and Aim</title> <p>Spiral enteroscopy is a novel technique for small bowel exploration. The aim of this study is to compare double‐balloon and spiral enteroscopy in patients with suspected small bowel lesions.</p> </sec> <sec id="jgh12188-sec-0002" sec-type="section"> <title>Methods</title> <p>Patients with suspected small bowel lesion diagnosed by capsule endoscopy were prospectively included between September 2009 and December 2010 in five tertiary‐care academic medical centers.</p> </sec> <sec id="jgh12188-sec-0003" sec-type="section"> <title>Results</title> <p>After capsule endoscopy, 191 double‐balloon enteroscopy and 50 spiral enteroscopies were performed. Indications were obscure gastrointestinal bleeding in 194 (80%) of cases. Lesions detected by capsule endoscopy were mainly angioectasia. Double‐balloon and spiral enteroscopy resulted in finding one or more lesions in 70% and 75% of cases, respectively. The mean diagnosis procedure time and the average small bowel explored length during double‐balloon and spiral enteroscopy were, respectively, 60 min (45–80) and 55 min (45–80) (<italic>P</italic> = 0.74), and 200 cm (150–300) and 220 cm (200–300) (<italic>P</italic> = 0.13). Treatment during double‐balloon and spiral enteroscopy was possible in 66% and 70% of cases, respectively. There was no significant major procedure‐related complication.</p><abstract abstract-type="main"> <title>Abstract</title> <sec id="jgh12188-sec-0001" sec-type="section"> <title>Background and Aim</title> <p>Spiral enteroscopy is a novel technique for small bowel exploration. The aim of this study is to compare double‐balloon and spiral enteroscopy in patients with suspected small bowel lesions.</p> </sec> <sec id="jgh12188-sec-0002" sec-type="section"> <title>Methods</title> <p>Patients with suspected small bowel lesion diagnosed by capsule endoscopy were prospectively included between September 2009 and December 2010 in five tertiary‐care academic medical centers.</p> </sec> <sec id="jgh12188-sec-0003" sec-type="section"> <title>Results</title> <p>After capsule endoscopy, 191 double‐balloon enteroscopy and 50 spiral enteroscopies were performed. Indications were obscure gastrointestinal bleeding in 194 (80%) of cases. Lesions detected by capsule endoscopy were mainly angioectasia. Double‐balloon and spiral enteroscopy resulted in finding one or more lesions in 70% and 75% of cases, respectively. The mean diagnosis procedure time and the average small bowel explored length during double‐balloon and spiral enteroscopy were, respectively, 60 min (45–80) and 55 min (45–80) (<italic>P</italic> = 0.74), and 200 cm (150–300) and 220 cm (200–300) (<italic>P</italic> = 0.13). Treatment during double‐balloon and spiral enteroscopy was possible in 66% and 70% of cases, respectively. There was no significant major procedure‐related complication.</p> </sec> <sec id="jgh12188-sec-0004" sec-type="section"> <title>Conclusion</title> <p>Spiral enteroscopy appears as safe as double‐balloon enteroscopy for small bowel exploration with a similar diagnostic and therapeutic yield. Comparison between the two procedures in terms of duration and length of small bowel explored is slightly in favor of spiral enteroscopy but not significantly.</p> </sec> </abstract> … (more)
- Is Part Of:
- Journal of gastroenterology and hepatology. Volume 28:Issue 6(2013:Jun.)
- Journal:
- Journal of gastroenterology and hepatology
- Issue:
- Volume 28:Issue 6(2013:Jun.)
- Issue Display:
- Volume 28, Issue 6 (2013)
- Year:
- 2013
- Volume:
- 28
- Issue:
- 6
- Issue Sort Value:
- 2013-0028-0006-0000
- Page Start:
- 992
- Page End:
- 998
- Publication Date:
- 2013-05-22
- Subjects:
- Gastroenterology -- Periodicals
Digestive organs -- Diseases -- Periodicals
Liver -- Diseases -- Periodicals
Gastroenterology -- Periodicals
Liver Diseases -- Periodicals
616.33 - Journal URLs:
- http://onlinelibrary.wiley.com/journal/10.1111/(ISSN)1440-1746 ↗
http://onlinelibrary.wiley.com/ ↗
http://www.blackwell-synergy.com/loi/jgh ↗ - DOI:
- 10.1111/jgh.12188 ↗
- Languages:
- English
- ISSNs:
- 0815-9319
- Deposit Type:
- Legaldeposit
- View Content:
- Available online (eLD content is only available in our Reading Rooms) ↗
- Physical Locations:
- British Library DSC - 4987.615000
British Library DSC - BLDSS-3PM
British Library HMNTS - ELD Digital store - Ingest File:
- 3273.xml