Clinical Endoscopy

Carlijn Hermans

2 Articles

Double-Balloon Endoscopy after Incomplete Colonoscopy and Its Comparison with Computed Tomography Colonography: Carlijn Hermans, Dennis van der Zee, Lennard Gilissen; Clin Endosc 2018;51(1):66-71. Published online January 10, 2018; DOI: https://doi.org/10.5946/ce.2017.011

Background
/Aims: Because of the national screening program for colorectal carcinoma in The Netherlands, the number of colonoscopies has increased. In case of incomplete colonoscopy, computed tomography colonography (CTC) and double-balloon colonoscopy (DBc) are alternative options. This study evaluated cecal intubation rate and pathology detection rate in the previously unexplored part of the colon, complication rate of DBc, and CTC results after incomplete colonoscopy.
Methods
Retrospective observational study in a tertiary referral hospital regarding DBc and CTC reports from cases with incomplete colonoscopy.
Results
Sixty-three DBcs were performed after incomplete colonoscopy. Cecal intubation rate was 95%. Detection rate was 58% (5% carcinoma and 3% high-grade dysplastic adenoma). CTC preceded 54% of DBcs and 62% of CTC findings were confirmed. In 16%, a biopsy was taken, and in 60%, an intervention (mostly polypectomy) was performed. One major complication (1.5%) occurred, i.e., arterial bleeding due to polypectomy necessitating right hemicolectomy. CTC (n=213) showed a possible lesion in 35%, and could be confirmed by follow-up endoscopy or surgery in 65%.
Conclusions
DBc is effective and safe for completion of colon inspection in incomplete colonoscopy. In patients with a high likelihood of pathology, DBc is preferred over CTC.

Citations

Citations to this article as recorded by

When Experts Fail: Use of a Short Turning Radius Colonoscope Facilitates Successful Completion of Colonoscopy in Patients with Bowel Fixity
Mohit Girotra, Saurabh Sethi, Monique T. Barakat, Robert J. Huang, Shai Friedland, Uri Ladabaum, Subhas Banerjee
Digestive Diseases and Sciences.2020; 65(5): 1429. CrossRef
How I Approach Colonoscopy in Anatomically Difficult Colons
Douglas K. Rex
American Journal of Gastroenterology.2020; 115(2): 151. CrossRef
Diagnostic evaluation of a deep learning model for optical diagnosis of colorectal cancer
Dejun Zhou, Fei Tian, Xiangdong Tian, Lin Sun, Xianghui Huang, Feng Zhao, Nan Zhou, Zuoyu Chen, Qiang Zhang, Meng Yang, Yichen Yang, Xuexi Guo, Zhibin Li, Jia Liu, Jiefu Wang, Junfeng Wang, Bangmao Wang, Guoliang Zhang, Baocun Sun, Wei Zhang, Dalu Kong, K
Nature Communications.2020;[Epub] CrossRef
Performance of radiographic imaging after incomplete colonoscopy for nonmalignant causes in clinical practice
Nasim Parsa, Krishna C. Vemulapalli, Douglas K. Rex
Gastrointestinal Endoscopy.2020; 91(6): 1371. CrossRef
Computed Tomography Colonography Versus Standard Optical Colonoscopy for the Detection of Colorectal Polyp in Patients Who Faced Curative Surgery for Colorectal Cancer: A Diagnostic Performance Study
Lu He, Liang Guo, Chunhong Hu
Cancer Investigation.2020; 38(6): 339. CrossRef
Balloon-Assisted Colonoscopy after Incomplete Conventional Colonoscopy—Experience from Two European Centres with A Comprehensive Review of the Literature
Robertson Alexander R, Koulaouzidis Anastasios, Yung Diana E, Fraser Christopher, Nemeth Artur, Trimble Kenneth, Toth Ervin, Plevris John N, Wurm Johansson Gabriele
Journal of Clinical Medicine.2020; 9(9): 2981. CrossRef
Balloon-Assisted Endoscopy: A Powerful Tool for Complete Colonoscopy
Kyung Hwan Song, Beom Jae Lee
Clinical Endoscopy.2018; 51(1): 3. CrossRef

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Double-Balloon Endoscopy in Overt and Occult Small Bowel Bleeding: Results, Complications, and Correlation with Prior Videocapsule Endoscopy in a Tertiary Referral Center: Carlijn Hermans, Arnold Stronkhorst, Annemarie Tjhie-Wensing, Jan Kamphuis, Bas van Balkom, Rob Dahlmans, Lennard Gilissen; Clin Endosc 2017;50(1):69-75. Published online January 12, 2017; DOI: https://doi.org/10.5946/ce.2016.079

Abstract PDF PubReader ePub

Background
/Aims: Videocapsule endoscopy (VCE) and double-balloon endoscopy (DBE) allow deep exploration in patients with suspected small bowel pathology. VCE is often performed as an initial small bowel examination to explore whether an intervention by DBE is indicated and to determine insertion route. The study aim was to evaluate the correlation between DBE and VCE in patients with obscure or overt bleeding or anemia, as well as intervention frequency, and complications.
Methods
Retrospective observational study.
Results
DBE procedures (n=205) showed small bowel lesions in 64% cases. Antegrade DBE showed positive results in 79% cases, mostly angiodysplasias (63%). Retrograde DBE showed positive results in 22% cases. An intervention was performed in 64% of DBE procedures. The major complication rate was 0.5%, which was one case of perforation. Pancreatitis did not occur. The overall diagnostic agreement was 66% among the 134 DBEs with preceded VCE.
Conclusions
In cases of overt or occult bleeding or anemia, DBE was positive in 64%, with only a few complications. Positive correlation was 66% among initially performed VCEs and DBEs. Owing to the time-consuming and invasive character of DBE, performing VCE before DBE might still be clinically relevant.

Citations

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Journal of the Chinese Medical Association.2024; 87(4): 377. CrossRef
Video capsule endoscopy versus computed tomography enterography in assessing suspected small bowel bleeding: a systematic review and diagnostic test accuracy meta-analysis
Mohammad Yaghoobi, Julie Tan, Yousef Th. A. Th. A. Alshammari, Katie Scandrett, Khashayar Mofrad, Yemisi Takwoingi
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Digestive and Liver Disease.2021; 53(8): 1028. CrossRef
Small bowel enteroscopy � A joint clinical guideline by the Spanish and Portuguese small-bowel study groups
Enrique Pérez-Cuadrado Robles, Rolando Pinho, Begoña González-Suárez, Susana M�o-de-Ferro, Cristina Chagas, Pilar Esteban Delgado, Cristina Carretero, Pedro Figueiredo, Bruno Rosa, Javier García-Lledó, Óscar Nogales, Ana Ponte, Patrícia Andrade, José Fran
Revista Española de Enfermedades Digestivas.2020;[Epub] CrossRef
Predictors for finding lesions in the small bowel by enteroscopy after a positive capsule endoscopy
Juan Manuel Blancas-Valencia, Gerardo Blanco Velasco, Luis Fernando García Contreras, Omar Michel Solórzano-Pineda, Óscar Víctor Hernández-Mondragón
Revista Española de Enfermedades Digestivas.2020;[Epub] CrossRef
Small Bowel Enteroscopy – A Joint Clinical Guideline from the Spanish and Portuguese Small Bowel Study Groups
Enrique Pérez-Cuadrado-Robles, Rolando Pinho, Begoña Gonzalez, Susana Mão de Ferro, Cristina Chagas, Pilar Esteban Delgado, Cristina Carretero, Pedro Figueiredo, Bruno Rosa, Javier García Lledó, Óscar Nogales, Ana Ponte, Patrícia Andrade, Jose Francisco J
GE - Portuguese Journal of Gastroenterology.2020; 27(5): 324. CrossRef
Endoscopic ultrasonography and small‐bowel endoscopy: Present and future
Gian Eugenio Tontini, Guido Manfredi, Stefania Orlando, Helmut Neumann, Maurizio Vecchi, Elisabetta Buscarini, Luca Elli
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Video capsule endoscopy vs double-balloon enteroscopy in the diagnosis of small bowel bleeding: A systematic review and meta-analysis
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World Journal of Gastrointestinal Endoscopy.2018; 10(12): 400. CrossRef
What is the Role of Double-Balloon Endoscopy in Patients Presenting with Obscure Gastrointestinal Bleeding?
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7,550 View
132 Download
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