首页|Double balloon enteroscopy in the old: Experience from China

Double balloon enteroscopy in the old: Experience from China

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  • NETL
  • NSTL
  • 万方数据
  • 维普
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 analysis.RESULTS: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 de bilitation (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.

Double balloon enteroscopyCapsule endoscopySmall bowel diseasesMultiple systematic diseases

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

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Guangdong Provincial Key Laboratory of Gastroenterology, Nanfang Hospital, Southern Medical University, 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 Gastroenterol ogy, Nanfang Hospital, Southern Medical University, Guangzhou 510515, Guangdong Province, China

2012

10.3748/wjg.v18.i22.2859

世界胃肠病学杂志(英文版)
太原消化病研治中心

世界胃肠病学杂志(英文版)

SCI
影响因子：1.001
ISSN：1007-9327
年,卷(期)：2012.(22)
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