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Double balloon enteroscopy in the old: Experience from China

World Journal of Gastroenterology 2012年第22期18卷 2859-2866页

作者： Qiong He Qiang Zhang Jian-Dong Li Ya-Dong Wang Tian-Mo Wan Zhen-Yu Chen De-Shou Pan Jian-Qun Cai Si-De Liu Bing Xiao Ya-Li Zhang Bo Jiang Yang Bai Fa-Chao Zhi Guangdong Provincial Key Labora-tory of Gastroenterology Nanfang Hospital Southern MedicalUniversity Guangzhou 510515 Guangdong Province China Department of Epidemiology School of Public Health and Tropical Medicine Southern Medical University Guangzhou 510515 Guangdong Province China Department of Gastroenterology Nanfang Hospital Southern Medical University Guangzhou 510515 Guangdong Province China

AIM: To evaluate the safety, efficacy and management of double balloon enteroscopy (DBE) carried out in those aged individuals with suspicious small intestine diseases. METHODS: DBE is a wonderful invention of the past decade and is widely used as an examination tool for the gastrointestinal tract. From January 2003 to July 2011, data from patients who were ≥ 65 years old and underwent DBE examination in the Nanfang Hospital were included in a retrospective ***: Fifty-nine individuals were found and subsequently analyzed. The mean age was 69.63 ± 3.89 years (range 65-84), 34 were males. Indications for DBE were melena/hematochezia (36 cases), abdominal pain (15 cases), diarrhea (3 cases), stool change (1 case), weight loss (1 case), vomiting (2 cases), and debilitation (1 case). The average duration of symptoms was 33.34 ± 64.24 mo. Twenty-seven patients suffered from age-related diseases. Severe complications were not found during and after DBE. Comparison between systolic and diastolic blood pressure before and after DBE was statistically significant (mean ± SD, P < 0.01, P < 0.05, respectively). Small bowel pathologies were found by DBE in 35 patients, definite diagnoses were made in 31 cases, and detection rate and diagnostic yield for DBE were 68.6% and 60.8%, respectively. CONCLUSION: DBE is a safe and effective method for gastrointestinal examination in the aged population. Aging alone is not a risk factor for elderly patients with suspicious gastrointestinal diseases and thorough preparation prior to the DBE procedure should be made for individuals with multiple diseases especially cardiopulmonary disorders.

关键词： Double balloon enteroscopy capsule endos-copy Small bowel diseases Multiple systematic diseases

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