Diagnostic yield of push enteroscopy in the investigation of small bowel disease

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2007 (EN)
Diagnostic yield of push enteroscopy in the investigation of small bowel disease (EN)

V. Balatsos, A. Konstantinidis, V. Ntelis, Z. Manika, N. Skandalis, K. Paraskeva, V. Vamvakousis,

SUMMARY Aim: To assess the diagnostic value of push-type videoenteroscopy in the investigation of small bowel disease. Patients and methods: From January 1994 to November 2000, 235 consecutive patients underwent push-type enteroscopy, using the Pentax, VSB 2900 video enteroscope. Indications for enteroscopy were: unexplained iron deficiency anaemia (n=59); macroscopic gastrointestinal bleeding (n=49); abnormal small bowel radiology (n=12); chronic diarrhoea and/or malabsorption (n=81); abdominal pain (n=22); suspected neoplasia (n=7) and polyposis syndromes (n=5). Results: The median depth of small intestine intubated was 80 cm past the ligament of Treitz, (range 20-160cm). Procedure time varied from 15-45 minutes. Tolerance of the examination was good for all patients and there were no complications. In patients with anaemia and/or gastrointestinal bleeding, underlying pathology was detected in 64/108 patients (59%), while 19/108 patients (17.5%) had diagnostic findings located in the upper gastrointestinal tract. In those with abnormal small bowel radiology, abnormal findings were diagnosed or excluded as artifacts in 11/12 patients (91%). In those with diarrhea and/or malabsorption a definite diagnosis was made in 28/81 patients (34.5%). In patients with abdominal pain, abnormalities were detected in 3/22 patients (13.5%). Finally, in patients with Peutz- Jeghers syndrome push enteroscopy proved very sensitive in detecting jejunal polyps. Conclusion: Push-type enteroscopy is a quick and examination. Even though endoscopic exploration restricted to the jejunum, it is efficacious in clinical practice and provides valuable diagnostic information in investigation of patients with small bowel disease. (EN)




Hellenic Society of Gastroenterology (EN)

Annals of Gastroenterology; Volume 16, No 1 (2003) (EN)

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