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- W2364682823 abstract "Objective To evaluate the diagnostic yield and therapeutic impact of double-balloon enteroscopy (DBE) on the management of patients with obscure gastrointestinal bleeding (OGIB). Methods The patients with overt or occult OGIB admitted to our hospital from Dec 2003 to Jan 2005, who underwent DBE after negative standard upper and lower endoscopies, were retrospectively analyzed. Demographic, clinical, procedural and management outcome data were collected. Results One hundred and fifty two patients (73 women, 79 men) were studied, with a mean age of 48 years. Seventeen patients presented with occult OGIB while 135 patients had overt OGIB. A total of 191 DBEs were performed with a mean procedure duration of 63.8 minutes. Antegrade and retrograde approaches were performed in 60 and 53 patients respectively, and 39 patients had a combination of both routes. DBE demonstrated a potential bleeding site in 115 (75.7%) patients (102 overt, 13 occult). Five (3.3%) lesions were found within the reach of a standard upper endoscope. Forty-four(38.3%) patients had surgery procedures after DBE exam. The management of 83.5% of patients with positive findings was altered due to DBE. The procedure was well tolerated, only 23(15.1%)patients experiencing mild self-limited mucosal bleeding during the procedure. Conclusions DBE has a high diagnostic yield and therapeutic impact on OGIB patients with previously negative upper and lower endoscopiec results." @default.
- W2364682823 created "2016-06-24" @default.
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- W2364682823 date "2006-01-01" @default.
- W2364682823 modified "2023-09-24" @default.
- W2364682823 title "Diagnostic yield of double-balloon enteroscopy in a large cohort of patients with obscure gastrointestinal bleeding" @default.
- W2364682823 hasPublicationYear "2006" @default.
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