Double balloon enteroscopy for pediatric inflammatory bowel disease

Pediatrics International, 05/15/2012

Uchida K et al. – The present study demonstrated that double balloon enteroscopy (DBE) is a safe and effective procedure in the case of limited number of pediatric patients with inflammatory bowel disease (IBD).

Methods

  • A total of 106 DBE procedures in 67 patients were performed at Mie University Hospital from January 2008 to June 2011.
  • Of these, 17 procedures in 12 children and adolescents with established or suspected Crohn's disease (CD) were included in this study.

Results

  • The mean age was 12.9 years old (range, 3–19 years).
  • Patients 15 years old or younger had general anesthesia.
  • The procedures included the oral approach (n=9), the anal approach (n=4), and the ileostomal approach (n=4).
  • The mean procedure duration was 60 min.
  • In all patients with established CD, it is very useful to select the medical or surgical modalities on therapeutic decision-making.
  • The procedure tolerance was acceptable and recovery was uneventful in all cases. No serious complications were encountered in series.

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