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- W1996186665 abstract "Background: Although double balloon enteroscopy (DBE) is becoming an increasingly popular procedure in adult, there were few data on pediatric experience with DBE in the published literature. Aim: The aim of our study was to evaluate the safety and efficacy of DBE in pediatrics. Methods: This is a retrospective case study using our DBE database. A database analysis was performed on all children (younger than 18 years old) who underwent DBE at Jichi Medical University Hospital from September 2000 to October 2008 selected from total of 825 patients. Clinical utility was qualified based on the influence of DBE on therapy. Results: A total of 92 procedures were performed on 48 children (27 boys; 21 girls) with a median age (range) of 12.5 (4-18) years. DBE was performed under general anesthesia on 43 procedures and under conscious sedation on 49 procedures.The main indication for DBE was the treatment of stricture of biliary anastomosis which was complication after a living donor liver transplantation with establishment of Roux-en-Y hepaticojejunostomy (n=23). Forty-three endoscopic retrograde cholangiography using DBE were performed and success rate was 60% (26/43). The other indication was obscure gastrointestinal bleeding (n=10), and the lesions responsible for the bleeding were found in 7 patients (70%). Further indications were surveillance and treatment of hereditary polyposis syndromes (n= 5), abdominal pain (n=4), and inflammatory bowel disease (n=2). The clinical management was modified in 33 patients (69%). Postpolypectomy bleeding occurred in one case, but the other complications such as perforation and pancreatitis were not experienced. Conclusions: DBE is a safe and clinically useful endoscopic procedure also in pediatrics." @default.
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- W1996186665 date "2009-04-01" @default.
- W1996186665 modified "2023-10-18" @default.
- W1996186665 title "Safety and Efficacy of Double Balloon Enteroscopy in Pediatrics" @default.
- W1996186665 doi "https://doi.org/10.1016/j.gie.2009.03.051" @default.
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