TY - JOUR T1 - Double-balloon enteroscopy: Indications, approaches, diagnostic and therapeutic yield, and safety. Early experience at a single center JO - Revista de Gastroenterología de México T2 - AU - García-Correa,J.J.E. AU - Ramírez-García,J.J. AU - García-Contreras,L.F. AU - Fuentes-Orozco,C. AU - Irusteta-Jiménez,L. AU - Michel-Espinoza,L.R. AU - Carballo Uribe,A.S. AU - Torres Chávez,J.A. AU - González-Ojeda,A. SN - 2255534X M3 - 10.1016/j.rgmxen.2017.08.001 DO - 10.1016/j.rgmxen.2017.08.001 UR - http://www.revistagastroenterologiamexico.org/en-double-balloon-enteroscopy-indications-approaches-diagnostic-articulo-S2255534X17300798 AB - Introduction and aimsDouble-balloon enteroscopy has been improving the visualization of the entire intestine for more than a decade. It is a complementary method in the study of intestinal diseases that enables biopsies to be taken and treatments to be administered. Our aim was to describe its main indications, insertion routes, diagnostic/therapeutic efficacy, and complications. Materials and methodsAll patients referred to our unit with suspected small bowel pathology were included. The insertion route (oral/anal) was determined through diagnostic suspicion. The variables measured were: insertion route, small bowel examination extent, endoscopic diagnosis/treatment, biopsy/histopathology report, complications, and surgical findings. ResultsThe study included 28 double-balloon enteroscopies performed on 23 patients, of which 10 were women and 13 were men (mean age of 52.95 years). The oral approach was the most widely used (n=21), the main indication was overt small bowel bleeding (n=16), and the general diagnostic rate was 65.21%. The therapeutic intervention rate was 39.1% and the procedure was effective in all the cases. The most widely used treatment was argon plasma therapy (n=7). The complication rate was 8.6%; one patient presented with low blood pressure due to active bleeding and another had deep mucosal laceration caused by the argon plasma. ConclusionsDouble-balloon enteroscopy is a safe and efficacious method for the study and management of small bowel diseases, with an elevated diagnostic and therapeutic rate. ER -