Yield of double-balloon enteroscopy in the diagnosis and treatment of small bowel strictures. Issue 4 (April 2016)

• Record Type: Journal Article
• Authors: Kroner, Paul T.; Brahmbhatt, Bhaumik S.; Bartel, Michael J.; Stark, Mark E.; Lukens, Frank J.
• Is Part Of: Digestive and liver disease. Volume 48:Issue 4(2016)
• Page Start: 446
• Page End: 448
• Publication Date: 2016-04
• Subjects: Balloon-assisted enteroscopy -- Double-balloon enteroscopy -- Small bowel stricture; Digestive organs -- Diseases -- Periodicals; Liver -- Diseases -- Periodicals; 616.33005
• DOI: 10.1016/j.dld.2015.11.019
• Languages: English
• ISSNs: 1590-8658

Abstract

Abstract: Background: Small bowel strictures are common in gastroenterology practice. We report diagnostic and therapeutic yield of double-balloon enteroscopy for small bowel strictures. Methods: Retrospective study of 71 consecutive patients who were found to have small bowel stricture at the time of double-balloon enteroscopy. Results: During double-balloon enteroscopy, stricture identification and tissue sampling were possible in all 71 cases. Surgical pathology reported aetiology as non-steroidal anti-inflammatory drugs (32%), non-specific (21%), Crohn's disease (21%), radiation-induced (9%), tumour (10%), anastomotic (4%), celiac disease (1%), and surgical adhesions (1%). Sixteen patients (23%) underwent balloon dilation. Sensitivity of abdominal computed-tomography and video-capsule endoscopy for strictures based on double balloon enteroscopy findings was 61% and 43%, respectively. Conclusion: Double-balloon enteroscopy was safe and effective to access small bowel stricture with direct visualization and tissue sampling or for therapeutic balloon dilation. Given low sensitivity with conventional computed-tomography and/or video-capsule endoscopy for small bowel stricture, double-balloon enteroscopy can be considered if clinical suspicion is high.