Clinical Study on Combined Double-balloon Enteroscopy in Patients With Suspected Small Bowel Bleeding
10.3969/j.issn.1008-7125.2024.01.004
- VernacularTitle:疑似小肠出血患者双气囊小肠镜全小肠对接检查的临床研究
- Author:
Shuang ZHANG
1
;
Pengyue ZHANG
;
Yan FENG
;
Yong JIANG
;
Yalei WANG
;
Qiao MEI
;
Naizhong HU
Author Information
1. 安徽省蚌埠市第三人民医院消化内科(233000)
- Keywords:
Suspected Small Bowel Bleeding;
Gastrointestinal Hemorrhage;
Double Balloon Enteroscopy;
ROC Curve
- From:
Chinese Journal of Gastroenterology
2024;29(1):15-19
- CountryChina
- Language:Chinese
-
Abstract:
Background:Combined double-balloon enteroscopy(DBE)plays an important role in the diagnosis and treatment of patients with suspected small bowel bleeding(SSBB).Aims:To investigate the performance of combined DBE in patients with SSBB and their clinical features.Methods:A total of 94 patients with SSBB underwent combined DBE from June 2018 to April 2023 at the Third People's Hospital of Bengbu and the First Affiliated Hospital of Anhui Medical University were enrolled,and the clinical features were analyzed.Results:Fifty-four SSBB patients completed the combined DBE,and the combination rate was 57.4%.Ten patients(10.6%)stopped combined DBE due to discovery of bleeding lesions.Five patients(5.3%)stopped combined DBE due to intestinal stenosis.Twenty-five patients(26.5%)stopped combined DBE due to difficulty in insertion.Combined DBE rate in SSBB patients was correlated with the combination time and the number of previous DBE for endoscopists(P<0.05),but not the gender,age,bleeding manifestations,tobacco smoking and alcohol drinking,nutritional risk,abdominal operation history,perianal lesions,autoimmune diseases,preoperative anemia,preoperative albumin level,and enteroscopy approach(P>0.05).ROC curve showed that when the cut-off value of first insertion depth was 385 cm,the sensitivity and specificity for successful combined DBE in SSBB patients were 72.2%and 77.5%,respectively,and the area under ROC curve was 0.800(95%CI:0.705-0.875,P<0.001).Conclusions:The combined DBE rate in SSBB patients is correlated with the combination time and the number of previous DBE for endoscopists.80%of the SSBB patients are expected to complete the combined DBE when the first insertion depth is greater than 385 cm.
