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Changes in efficiency and resource utilization after increasing experience with double balloon enteroscopy

World Journal of Gastrointestinal Endoscopy 2013年第3期5卷 89-94页

作者： Neal C Patel William C Palmer Kanwar R Gill david cangemi Nancy Diehl Mark E Stark Department of Gastroenterology and Hepatology Mayo Clinic ArizonaScottsdaleAZ 85259United States Department of Internal Medicine Mayo Clinic FloridaJacksonvilleFL 32224United States Gould Medical Foundation ModestoCA 95354United States Department of Biostatistics Mayo Clinic FloridaJacksonvilleFL 32224United States Department of Gastroenterology and Hepatology Mayo Clinic FloridaJacksonvilleFL 32224United States

AIM:To investigate changes in efficiency and resource utilization as a single endoscopist's experience increased with each subsequent 100 double balloon enteroscopy(DBE) ***:We reviewed consecutive DBE procedures performed by a single endoscopist at our center over 4 *** was employed when the clinician deemed the procedure was needed for disease *** approach(oral,anal or both) was chosen based on suspected location of the target *** DBE was performed in a standard endoscopy room with a portable fluoroscopy *** was used to aid in shortening the small intestine and reducing bowel *** oral DBE,measurements were taken from the *** anal DBE,measurements were taken from the anal *** continued until the target lesion was reached,until the entire small intestine was examined,or until no further progress was deemed *** length of small intestine examined(cm),procedure duration(min),and fluoroscopy time(s) were analyzed for sequential groups of 100 ***-groups of diagnostic and therapeutic procedures were analyzed using multivariable linear ***:802 consecutive DBE procedures were *** oral DBE,median [interquartile range(IQR)] length of small bowel examined was 230.8 cm(range:210-248 cm) and for anal DBE was 143.5 cm(range:100-180 cm).No significant increase in length examined was noted for either the oral or anal approach with advancing position in *** terms of duration of procedure,the median(IQR) for oral DBE was 86 min(range:71-105 min) and for anal DBE was 81.3 min(range:67-105 min).When comparing by the position in series,there was a significant(P value < 0.001) decrease in procedure duration for both upper and lower procedures with increasing ***(IQR) time of exposure to fluoroscopy for oral DBE was 190 s(114-275) compared to anal DBE which was 196.4 s(312-128).This represented a significant(P value < 0.001) decrease in the amount of fl

关键词： Double balloon enteroscopy Obscure gastrointestinal bleed

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