Diagnostic value of double-balloon enteroscopy for small bowel Crohn disease

VernacularTitle:双气囊小肠镜在小肠克罗恩病中的诊断价值研究
Author: Xiaoxuan WANG ; Yiqi DU ; Jie CHEN ; Can XU ; Zhuan LIAO ; Jing SHENG ; Renpei WU ; Huijun XI ; Zhaoshen LI
Publication Type:Journal Article
Keywords: Crohn disease; Diagnosis; Capsule endoscopies; Double-balloon endoscopy; CT enterography
From: Chinese Journal of Digestive Endoscopy 2012;29(3):144-147
CountryChina
Language:Chinese
Abstract: ObjectiveTo investigate the value of double-balloon endoscopy for the diagnosis of small bowel Crohn disease(CD).MethodsData of 141 patients with suspected CD undergoing double-balloon endoscopy were reviewed.Diagnosis was made based on pathological,endoscopic findings and clinic follow-up results.Detection rates and diagnosis rates of small bowel CD were compared by double-balloon enteroscopy,CT enterography and capsule endoscopy.ResultsThe detection and diagnosis rates of small bowel CD by double-balloon endoscopy were 90.8％ ( 128/141 ) and 98.4％ ( 126/128),respectively.These two variables by CT enterography were 76.0％ (19/25) and 89.5％ (17/19),and those by capsule endoscopy were 60.0％ (15/25) and 93.3％ (14/15).ConclusionDouble balloon enteroscopy has high application value for the diagnosis of small bowel CD.For those contraindicated with endoscopy,CT enterography can be considered as a preferred auxiliary diagnostic modality.