Korean Journal of Gastrointestinal Endoscopy 2008;36(2): 64-70.
이중풍선 소장내시경의 소장질환 진단 및 치료적 유용성에 대한 단일 기관 경험
은수훈ㆍ김진오ㆍ고봉민ㆍ조근혁ㆍ정규성ㆍ조주영ㆍ이준성ㆍ이문성ㆍ심찬섭ㆍ김부성
순천향대학교 의과대학 소화기연구소
Diagnostic and Therapeutic Usefulness of Double Balloon Enteroscopy: Single Center Experience
Soo Hoon Eun, M.D., Jin-Oh Kim, M.D., Bong Min Ko, M.D., Keun Hyok Cho, M.D., Kyu Sung Chung, M.D., Joo Young Cho, M.D., Joon Seong Lee, M.D., Moon Sung Lee, M.D., Chan Sup Shim, M.D. and Boo Sung Kim, M.D.
Institute for Digestive Research, Soonchunhyang University College of Medicine, Seoul, Korea
Abstract
Background/Aims: Until recently, only indirect procedures were available to provide images of the small bowel. Double-balloon enteroscopy (DBE) has the ability to obtain tissue for diagnosis and endoscopic interventions. This study was designed to determine the usefulness of DBE in patients with small bowel diseases by evaluating diagnostic yields and the impact on treatment. Methods: From November, 2004 to November, 2006 a total 81 patients with suspected small bowel disease were investigated by DBE. We analyzed the diagnostics and therapeutics rates according to the indications of DBE. Results: A total of 114 DBE procedures were performed. Gastrointestinal bleeding (64.2%) was the most common indication, followed by chronic abdominal pain/diarrhea (29.6%). A diagnosis was obtained in 44 of 52 patients with gastrointestinal bleeding and 17 of 24 patients with chronic abdominal pain/diarrhea. DBE resulted in therapeutic intervention in 17 patients with gastrointestinal bleeding and 13 patients with chronic abdominal pain/ diarrhea. DBE was diagnostic in 75.3% of the patients and played a role in the subsequent treatment of 37.0% of the patients. Conclusions: DBE was a useful and safe method for diagnosis and treatments in patients with small bowel diseases. (Korean J Gastrointest Endosc 2008;36: 64-70)
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