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  • Title: [Rol of double-balloon enteroscopy in the management of small intestine diseases: experience in the National Hospital Guillermo Almenara Irigoyen, Lima, Peru].
    Author: Paredes Méndez J, Lazo Molina L, Molina Martos B.
    Journal: Rev Gastroenterol Peru; 2016; 36(2):107-14. PubMed ID: 27409086.
    Abstract:
    OBJECTIVE: Evaluate the diagnostic and therapeutic utility, safeness, efficacy and complications of double-balloon enteroscopy (DBE). MATERIAL AND METHODS: This prospective, descriptive study of DBE took place between July 2010 and June 2015 at the service of Gastroenterology of Hospital Nacional Guillermo Almenara Irigoyen- Lima Peru. 129 DBE were performed in 121 patients with the Fujinon EN-450T5 double balloon enteroscope, with conscious sedation and with previous bowel preparation. All of them signed an informed consent. RESULTS: The mean age was 56.6 years. Capsule endoscopy intestinal study was performed previously in 77 patients (63.6%). The most frequent indication for DBE was bleeding of middle intestine (61.2%). The approach used was more antegrade (69%). The maximum distance reached was 570 cm in antegrade method. The average duration for both routes is 117.45 minutes. Vascular ecstasies (56.1%) were the most frequent causes of obscure gastrointestinal bleeding. The diagnostic yield was 83.7%, higher than other series. The most widely used therapeutic procedure was argón plasma thermo coagulation. Like other studies, patients had good tolerance to the procedure and no major complications. CONCLUSIONS: In our patients studied the EDB has proven to be a secure, useful and efficient technique for the diagnosis and treatment of several diseases of the small intestine, especially in obscure gastrointestinal bleeding.
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