Clinical diagnostic and therapeutic value of double-balloon enteroscopy in small bowel bleeding
10.3969/j.issn.1673-9701.2024.32.014
- VernacularTitle:双气囊小肠镜对小肠出血的临床诊治价值
- Author:
Xuan XU
1
;
Xiaodan YE
;
Yanhuan GUO
;
Xiaozhong WANG
Author Information
1. 汕头市中心医院内镜中心,广东汕头 515000
- Keywords:
Double-balloon enteroscopy;
Small bowel bleeding;
Diagnosis
- From:
China Modern Doctor
2024;62(32):61-65
- CountryChina
- Language:Chinese
-
Abstract:
Objective To discuss the clinical diagnosis and treatment value of double-balloon enteroscopy for small intestinal bleeding diseases.Methods Retrospective collection of clinical data from 87 patients who underwent double-balloon enteroscopy for small bowel bleeding in Shantou Central Hospital from August 2019 to May 2023,and analysis of the diagnosis and treatment of small bowel bleeding causes by double-balloon enteroscopy.Results Totally 87 cases of small intestinal bleeding patients underwent a total of 117 double-balloon enteroscopy examinations,with 29 performed orally and 28 performed anally,and 30 cases simultaneously underwent both oral and anal bilateral enteroscopy examinations,with the depth of oral examination greater than that of anal examination,and the duration of oral examination shorter than that of anal examination.Among them,with a diagnostic rate of double-balloon enteroscopy at 83.91％and a pathological diagnostic accuracy rate at 83.78％.Small intestinal tumors were the main cause of small intestinal bleeding in this study,with gastrointestinal stromal tumors being the most common pathological type among small intestinal tumors.The frequency of occurrence for small intestinal tumors in individuals over 40 years old was higher than those under or equal to 40 years old group,showing statistical significance.Crohn's disease occurred more frequently in the ileum compared to jejunum,and its frequency was higher in individuals under or equal to 40 years old compared to those over 40 years old group,both differences were statistically significant(P＜0.05).A total of cases of small intestinal bleeding patients successfully underwent endoscopic hemostasis via double-balloon enteroscopy without any complications such as gastrointestinal perforation or severe bleeding during surgery.Conclusion Double balloon enteroscopy has a high diagnostic value for small intestinal bleeding and can provide basis for clinical treatment.
