The optimal time of double balloon enteroscopy for patients with obscure gastrointestinal bleeding: a case-control study

VernacularTitle:不明原因消化道出血患者行双气囊小肠镜检查的时机选择
Author: Xiang LIU ; Jingwen HU ; Guoxin WANG ; Nan GE ; Sheng WANG ; Jintao GUO ; Siyu SUN
Publication Type:Journal Article
Keywords: Double balloon enteroscopy; Diagnosis; Obscure gastrointestinal bleeding
From: Chinese Journal of Digestive Endoscopy 2014;31(5):265-268
CountryChina
Language:Chinese
Abstract: Objective To investigate the optimal time for double balloon enteroscopy (DBE) in patients with obscure gastrointestinal bleeding (OGIB).Methods Data of 78 patients with OGIB who underwent DBE from January 2009 to November 2013 were retrospectively analyzed.They were classified into two groups:emergency DBE and non-emergency DBE.The demographic and clinical features and outcomes of DBE,the time of examination and complications were compared.Results The overall diagnostic yield of DBE was 48 lesions (61.54 ％).The overall diagnostic yield of emergency DBE group was 77.14％,which was significantly higher than that in non-emergency DBE group (48.83％) (P =0.019).The time of examination in emergency group was shorter than that of non-emergency group with significant difference (P =0.031).Conclusion Emergency DBE takes less time and yields a higher rate of detection.Patients withOGIB should receive DBE as soon as possible.