Influence on the results and safety of double-balloon enteroscopy at different combination time
10.3760/cma.j.cn321463-20210901-00943
- VernacularTitle:不同对接时间对双气囊小肠镜检查结果及安全性的影响
- Author:
Tian YANG
1
;
Ying XIE
;
Shanshan SHEN
;
Min CHEN
;
Xiaotan DOU
;
Yuxuan CHEN
;
Yiyang ZHANG
Author Information
1. 南京大学医学院附属鼓楼医院消化科,南京 210008
- Keywords:
Endoscopy;
Intestine, small;
Safety;
Double balloon enteroscopy;
Combined time
- From:
Chinese Journal of Digestive Endoscopy
2022;39(7):534-537
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To evaluate the influence on the results and safety of double-balloon enteroscopy (DBE) at different combination time.Methods:Patients who received combined DBE procedures in Nanjing Drum Tower Hospital from April 2019 to August 2020 were divided into the one-day combination group and the non-one-day combination group. The complete enteroscopy rate, time of anterograde approach, time of retrograde approach, total time of combined approach, adverse events, hospital stay and cost were compared.Results:Among 119 patients who received DBE, 23 patients were excluded due to small intestinal stenosis. The complete enteroscopy rate was 92.9% (39/42) in the one-day group and 74.1% (40/54) in the non-one-day group, showing significant difference ( χ2=4.390, P=0.036). There were significant differences in the time of retrograde approach (35.59±23.29 min VS 55.10±19.04 min, t=-4.080, P<0.001), total time of combined approach (89.10±27.82 min VS 114.20±24.55 min, t=-4.254, P<0.001), hospital stay (9.24±3.76 d VS 11.76±4.41 d, t=-2.599, P=0.011) between the two groups. There were no significant differences in the time of anterograde approach, hospital cost or adverse events between the two groups. Conclusion:Combined DBE on one day yields a higher complete enteroscopy rate, less examination time and less hospital stay, which is worth of clinical application.