Fukumoto A, Manabe N, Tanaka S, Yamaguchi T, Matsumoto Y, Chayama K. Usefulness of EUS with double-balloon enteroscopy for diagnosis of small-bowel diseases.
Gastrointest Endosc 2007;
65:412-20. [PMID:
17321241 DOI:
10.1016/j.gie.2006.08.045]
[Citation(s) in RCA: 20] [Impact Index Per Article: 1.2] [Reference Citation Analysis] [Abstract] [MESH Headings] [Track Full Text] [Journal Information] [Submit a Manuscript] [Subscribe] [Scholar Register] [Received: 03/02/2006] [Accepted: 08/28/2006] [Indexed: 02/08/2023]
Abstract
BACKGROUND
Until recently, EUS of the small bowel has been performed only in limited regions because of difficulties in endoscopically approaching the small bowel. Double-balloon enteroscopy (DBE) now permits investigation of the entire small bowel.
OBJECTIVE
To evaluate the usefulness of EUS with DBE for diagnosis of small-bowel diseases.
DESIGN
Pilot study.
SETTING
All patients were examined at Hiroshima University Hospital.
PATIENTS
EUS with DBE was performed in 20 consecutively analyzed patients (14 men, 6 women; mean age, 47.6 +/- 3.8 years). DBE was performed to investigate obscure GI bleeding (n = 12), small-bowel diseases suggested by other modalities (n = 7), recurring ileus (n = 1), or follow-up (n = 1).
INTERVENTIONS
Endoscopic biopsies were performed as clinically indicated.
MAIN OUTCOME MEASUREMENTS
EUS image quality for various types of small-bowel diseases and comparison with abdominal US.
RESULT
Protruding lesions were detected in 7 examinations, ulcerative lesions in 7, and no abnormalities in 7. EUS could be performed in 20 of 21 examinations. These images were adequately detailed evaluations and with more detail than US images in 16 examinations.
LIMITATION
Small nonblinded study.
CONCLUSIONS
EUS with DBE offers high-resolution cross-sections of small-bowel lesions and may contribute to the diagnosis of small-bowel diseases.
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