Details

Autor(en) / Beteiligte

• He, Qiong
• Zhang, Qiang
• Li, Jian-Dong
• Wang, Ya-Dong
• Wan, Tian-Mo
• Chen, Zhen-Yu
• Pan, De-Shou
• Cai, Jian-Qun
• Liu, Si-De
• Xiao, Bing
• Zhang, Ya-Li
• Jiang, Bo
• Bai, Yang
• Zhi, Fa-Chao

Titel

Double balloon enteroscopy in the old： Experience from China

Ist Teil von

• World journal of gastroenterology : WJG, 2012-06, Vol.18 (22), p.2859-2866

Ort / Verlag

United States: Baishideng Publishing Group Co., Limited

Erscheinungsjahr

2012

Quelle

MEDLINE

Beschreibungen/Notizen

• 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 sub-sequently 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 popula- tion. 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 cardio- pulmonary disorders.