Original ArticleThe European experience with double-balloon enteroscopy: indications, methodology, safety, and clinical impact
Section snippets
Patients and methods
Four European medical centers participated to the study: the Gemelli Hospital of the Catholic University in Rome, Italy; the Teaching Hospital of the University of Mainz in Wiesbaden, Germany; the Georges Pompidou European Hospital in Paris, France; and the Free University Medical Centre in Amsterdam, Holland.
For this retrospective analysis, we selected 62 white patients (43 men, 19 women; mean age 52 ± 35 years) who, between April 2003 and May 2004, underwent DBE because of small-bowel
Results
No complications occurred. DBE was well tolerated by all patients. The only observed side effect was mild abdominal pain on the following day in 3 patients (4.8%).
Mean time to perform the procedure from the oral and anal approaches was 70 ± 30 minutes and 90 ± 35 minutes, respectively. The entire small bowel was completely explored in 10 (16.2%) patients. The endoscope mean length of insertion was as far as 254 ± 174 cm beyond the pylorus and 180 ± 150 cm beyond the ileocecal valve. A
Discussion
The experience of 4 European medical centers demonstrated the crucial diagnostic and therapeutic impact of this new endoscopic system. Our experience suggests that DBE by using the push-and-pull technique might be very effective in reducing hospitalization and avoiding repeated diagnostic workup, or intraoperative enteroscopy and surgical interventions in patients with suspected or previously documented small-bowel disease. Nowadays, DBE, in fact, is the only nonsurgical technique that offers
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