Changes Over Time in Indications, Diagnostic Yield, and Clinical Effects of Double-Balloon Enteroscopy
- Authors
- Jeon, Seong Ran; Kim, Jin-Oh; Kim, Hyun Gun; Lee, Tae Hee; Kim, Wan Jung; Ko, Bong Min; Cho, Joo Young; Lee, Joon Seong; Lee, Moon Sung
- Issue Date
- Oct-2012
- Publisher
- W. B. Saunders Co., Ltd.
- Keywords
- Small Bowel; Experience; Test; Imaging Analysis
- Citation
- Clinical Gastroenterology and Hepatology, v.10, no.10, pp 1152 - 1156
- Pages
- 5
- Journal Title
- Clinical Gastroenterology and Hepatology
- Volume
- 10
- Number
- 10
- Start Page
- 1152
- End Page
- 1156
- URI
- https://scholarworks.bwise.kr/sch/handle/2021.sw.sch/14793
- DOI
- 10.1016/j.cgh.2012.06.024
- ISSN
- 1542-3565
1542-7714
- Abstract
- BACKGROUND & AIMS: We performed a retrospective study to investigate changes between different time periods in the indications, diagnostic yield, and clinical impact of double-balloon enteroscopy (DBE). METHODS: We analyzed records from the database at Soonchunhyang University College of Medicine from all patients undergoing DBE between September 2004 and May 2011 (181 DBEs, 133 patients). We compared DBE-related factors between the first stage (September 2004-August 2006; 117 DBEs, 79 patients) and second stage (September 2006-May 2011; 64 DBEs, 54 patients) of the study period. RESULTS: The number of DBEs performed decreased between stages. Obscure gastrointestinal bleeding was the most common indication for DBE during each stage (65.8% vs 50%; P = .06). Abnormalities in other modalities as the second indication increased significantly in the second stage compared with the first (11.4% vs 29.6%; P = .008). Between stages, use of computed tomography increased (53.8% vs 81.5%; P = .001), along with capsule endoscopy (29.1% vs 44.4%; P = .06). Mucosal lesions were the most common finding in each stage (56% and 53.1%; P = .686). The diagnostic yield of DBE was 89.3% in the first stage and 93.9% in the second (P = .384). In the first stage, DBE identified 86.4% of cases that had negative results from other modalities; in the second, it identified all cases (P = .3). Therapeutic plans were determined in 89.7% of patients only on the basis of results from DBE. CONCLUSIONS: Between the time periods of 2004-2006 and 2006-2011, the clinical indications for DBEs and outcomes did not change. However, the selectivity of the number of patients decreased between stages.
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Collections - College of Medicine > Department of Internal Medicine > 1. Journal Articles
- College of Medicine > Department of Internal Medicine > 1. Journal Articles
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