Single balloon enteroscopy in children for evaluation of small bowel diseases in children: A large, tertiary centre study
jpedsurg.org shows its articles on its own site.
Read the article on jpedsurg.org ↗Article · Oct 2020 · 1 min read
In brief
In brief
Retrospective study of 189 single balloon enteroscopy procedures in 174 pediatric patients demonstrates high diagnostic yield (67.2%) and safety profile for evaluating small bowel pathology. Most common indications were chronic abdominal pain and GI bleeding, with ileal/jejunal ulcers being the predominant finding.
Written by the GCMD Library team from the article.
Abstract
Background and Aim
Device assisted enteroscopy is the cornerstone for small bowel evaluation. However, the data are limited in pediatric patients. In this study, we aim to evaluate the safety and utility of single balloon enteroscopy (SBE) in children.
Methods
The data of children (≤18-years) who underwent SBE from November 2010 to July 2020 was analyzed, retrospectively. The safety and diagnostic yield of SBE were assessed.
Results
189-SBE procedures (males 117, mean age 15.1 ± 2.76, range 3–18 years) were performed in 174-children. The indications for SBE were chronic abdominal pain in 119 (68.4%), gastrointestinal bleed 17 (9.8%), chronic diarrhea 17 (9.8%) and vomiting 13 (7.5%). Antegrade, retrograde and combined SBE were performed in 98 (51.8%), 77 (40.7%), 7 (3.7%) children, respectively. The mean length of small bowel intubation in antegrade and retrograde SBE groups were 168.9 ± 58.6 cm and 120.7 ± 52.1 cm, respectively. Overall, a positive finding was seen in 117 (67.2%) cases. The most common findings were ileal and jejunal ulcers with or without strictures in 76 (64.9%) children. A total of 18 therapeutic enteroscopic procedures were performed. There were no major adverse events.
Conclusion
SBE is a safe and effective procedure for the evaluation and management of small bowel diseases in children.