Double-balloon enteroscopy-assisted dilatation avoids surgery for small bowel strictures: A systematic review

作     者：Judith E Baars Ruben Theyventhiran Patrick Aepli Payal Saxena Arthur J Kaffes 

作者机构：AW Morrow Gastroenterology and Liver CentreRoyal Prince Alfred Hospital 

出 版 物：《World Journal of Gastroenterology》 (世界胃肠病学杂志（英文版）)

年 卷 期：2017年第23卷第45期

页      面：8073-8081页

核心收录：

学科分类：1002[医学-临床医学] 100210[医学-外科学(含：普外、骨外、泌尿外、胸心外、神外、整形、烧伤、野战外)] 10[医学] 

主　　题：Double-ballloon enteroscopy Dilatation Small bowel stricture Enteroscopy Crohn's disease Systematic review 

摘      要：AIM To evaluate the therapeutic role of double-balloon enteroscopy(DBE) in small bowel strictures and to propose a standard approach to small bowel *** Systematic review of studies involving DBE in patients with small bowel strictures. Only studies limited to small bowel strictures were included and those with ileo-colonic strictures were excluded. RESULTS In total 13 studies were included,in which 310 patients were dilated. The average follow-up time was 31.8 mo per patient. The complication rate was 4.8% per patient and 2.6% per dilatation. Surgery was avoided in 80% of patients. After the first dilatation,46% were treated with re-dilatation and only 17% required *** DBE-assisted dilatation avoids surgery in 80% of patients with small bowel strictures and is safe and effective. We propose a standardized approach to small bowel strictures.