Impact of Urgent Double-Balloon Enteroscopy on the Short-Term and Long-Term Outcomes in Overt Small Bowel Bleeding

Rintaro Hashimoto; Masato Nakahori; Tomoki Matsuda

doi:10.1007/s10620-019-05627-1

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Impact of Urgent Double-Balloon Enteroscopy on the Short-Term and Long-Term Outcomes in Overt Small Bowel Bleeding

Journal article

Peer reviewed

Impact of Urgent Double-Balloon Enteroscopy on the Short-Term and Long-Term Outcomes in Overt Small Bowel Bleeding

Rintaro Hashimoto, Masato Nakahori and Tomoki Matsuda

Digestive diseases and sciences, Vol.64(10), pp.2933-2938

10/01/2019

DOI: 10.1007/s10620-019-05627-1

PMID: 30997580

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Abstract

Double-balloon enteroscopy (DBE) is a safe and useful procedure for managing small bowel bleeding. However, there are limited studies regarding the preferable timing of DBE and its impact on long-term outcomes. We aimed to evaluate the association between the timing of DBE and the long-term outcomes of patients suspected of having overt small bowel bleeding who underwent DBE. We retrospectively reviewed a prospectively collected database of patients who underwent DBE procedures between May 2004 and April 2016. The electronic medical records were reviewed, and interviews were conducted via mail and telephone. One-hundred sixty-five patients could be followed up. The bleeding source was detected during the initial DBE (DBE-positive group) for 102 patients. Sixty-three patients had no definite lesion during the initial DBE (DBE-negative group). Urgent DBE (DBE within 24 h after the last bleeding episode) was performed more often for the DBE-positive group (50/102; 49.0%) than for the DBE-negative group (10/63; 16.1%) (p < 0.0001). Nine patients in the DBE-positive group underwent curative surgery after diagnosis. Among the remaining DBE-positive patients, 38 of 93 (40.9%) had recurrent bleeding during 2675 days of follow-up. Twenty-one of 63 patients (33.3%) in the DBE-negative group had recurrent bleeding during 2490 days of follow-up. There was no significant difference between the two groups in terms of intervals without rebleeding (p = 0.17). Urgent DBE at the initial bleeding episode was useful for detecting lesions. However, the rebleeding rate was not dependent on the initial DBE results.

Double-Balloon Enteroscopy - adverse effects

Double-Balloon Enteroscopy - methods

Electronic Health Records - statistics & numerical data

Female

Follow-Up Studies

Gastrointestinal Hemorrhage - diagnosis

Gastrointestinal Hemorrhage - epidemiology

Gastrointestinal Hemorrhage - surgery

Humans

Intestine, Small - diagnostic imaging

Intestine, Small - pathology

Japan - epidemiology

Long Term Adverse Effects - epidemiology

Male

Middle Aged

Recurrence

Retrospective Studies

Time

Time-to-Treatment - standards

Details

Title: Subtitle: Impact of Urgent Double-Balloon Enteroscopy on the Short-Term and Long-Term Outcomes in Overt Small Bowel Bleeding
Creators: Rintaro Hashimoto - Sendai Kousei Hospital
Masato Nakahori - Sendai Kousei Hospital
Tomoki Matsuda - Sendai Kousei Hospital
Resource Type: Journal article
Publication Details: Digestive diseases and sciences, Vol.64(10), pp.2933-2938
DOI: 10.1007/s10620-019-05627-1
PMID: 30997580
ISSN: 0163-2116
eISSN: 1573-2568
Language: English
Date published: 10/01/2019
Academic Unit: Internal Medicine
Record Identifier: 9984695683502771

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9 Times Cited - Web of Science