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dc.contributor.authorVarayu Prachayakulen_US
dc.contributor.authorMorakod Deesomsaken_US
dc.contributor.authorPitulak Aswakulen_US
dc.contributor.authorSomchai Leelakusolvongen_US
dc.contributor.otherMahidol Universityen_US
dc.contributor.otherSamitivej Hospital (Sukhumvit)en_US
dc.date.accessioned2018-10-19T05:22:28Z-
dc.date.available2018-10-19T05:22:28Z-
dc.date.issued2013-06-22en_US
dc.identifier.citationBMC Gastroenterology. Vol.13, No.1 (2013)en_US
dc.identifier.issn1471230Xen_US
dc.identifier.other2-s2.0-84879100712en_US
dc.identifier.urihttps://www.scopus.com/inward/record.uri?partnerID=HzOxMe3b&scp=84879100712&origin=inwarden_US
dc.identifier.urihttp://repository.li.mahidol.ac.th/dspace/handle/123456789/32289-
dc.description.abstractBackground: The advent of double-balloon enteroscopy has enabled more accurate diagnosis and treatment of small bowel disorders. Single-balloon enteroscopy permits visualization of the entire small intestine less often than does double-balloon enteroscopy. However, the relative clinical advantages of the 2 methods remain controversial. This study therefore aimed to identify the indications for and therapeutic impact of performing single-balloon enteroscopy.Methods: We retrospectively reviewed prospectively collected data from adults who underwent single-balloon enteroscopy from January 2007 through November 2011 and analyzed their baseline characteristics, endoscopic findings, pathological diagnoses, and clinical outcomes.Results: A total of 145 procedures were performed in 116 patients with a mean age of 58.1 ± 17.7 years (range, 18-89 years). The most common indications for performing single-balloon enteroscopy were overt gastrointestinal (GI) bleeding, chronic diarrhea, and occult GI bleeding, accounting for 57.9%, 12.4%, and 9.7% of the patients, respectively. The area of interest was achieved in 80.7% of the cases, with a 5.5% rate of technical failure. An overall positive finding was detected in 65.5% of the cases, of which 33.8% were ulcers and erosions; 8.3%, masses; and 3.4%, angiodysplasia. The diagnostic yields were 42.9%, 52.4%, 78.6%, 50.0%, and 25.0% for patients with overt GI bleeding, occult GI bleeding, abdominal pain, chronic diarrhea, and abnormal imaging results, respectively. Therapeutic procedures were performed in 11% of patients with GI bleeding and achieved a therapeutic yield of 14.6% with a minor complication rate of 11.7%.Conclusions: Single-balloon enteroscopy was effective for the diagnosis and treatment of small bowel disorders, especially in patients who presented with abdominal pain, GI bleeding, or focal abnormalities on imaging scans. © 2013 Prachayakul et al.; licensee BioMed Central Ltd.en_US
dc.rightsMahidol Universityen_US
dc.source.urihttps://www.scopus.com/inward/record.uri?partnerID=HzOxMe3b&scp=84879100712&origin=inwarden_US
dc.subjectMedicineen_US
dc.titleThe utility of single-balloon enteroscopy for the diagnosis and management of small bowel disorders according to their clinical manifestations: A retrospective reviewen_US
dc.typeArticleen_US
dc.rights.holderSCOPUSen_US
dc.identifier.doi10.1186/1471-230X-13-103en_US
Appears in Collections:Scopus 2011-2015

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