Endoscopy 2018; 50(04): S115
DOI: 10.1055/s-0038-1637371
ESGE Days 2018 ePoster Podium presentations
20.04.2018 – Enteroscopy
Georg Thieme Verlag KG Stuttgart · New York

EFFECTIVITY AND SAFETY OF DOUBLE BALLOON ENDOSCOPY IN PATIENTS WITH OVERT ONGOING OBSCURE GASTROINTESTINAL BLEEDING IN EMERGENCY FASHION

S Hülagu
1   Kocaeli University, Gastroenterology, Kocaeli, Turkey
,
G Sirin
1   Kocaeli University, Gastroenterology, Kocaeli, Turkey
,
AE Duman
1   Kocaeli University, Gastroenterology, Kocaeli, Turkey
,
H Yılmaz
1   Kocaeli University, Gastroenterology, Kocaeli, Turkey
,
Z Islamoglu
1   Kocaeli University, Gastroenterology, Kocaeli, Turkey
,
A Celebi
1   Kocaeli University, Gastroenterology, Kocaeli, Turkey
› Author Affiliations
Further Information

Publication History

Publication Date:
27 March 2018 (online)

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Aims:

Double balloon endoscopy (DBE) has been transforming the diagnostic and therapeutic approach for small intestinal diseases. Among the various modalities, emergency BAE examination is allegedly effective in diagnosing and treating patients with overt ongoing obscure gastrointestinal bleeding (OGIB). We aimed that to evaluate whether there is a really demonstrative efficacy and safety of the emergency DBE examination.

Methods:

We performed 1021 DBE examinations in a total of 784 patients for probing the small intestine between september 2007 and September 2017. Among them, 278 patients with OGIB were enrolled in this study (143 men and 135 women, with an age range of 19 – 99 years, and a mean of 61.4 years). Patients who presented after the lapse of more than 24 hours from confirming gastrointestinal tract bleeding were classified as overt previous OGIB. Patients with overt ongoing OGIB and overt previous OGIB underwent to conventional upper and lower endoscopy before enteroscopy procedure. Then performed emergency DBE in all patients fulfilled our selection criteria. We used the double balloon endoscopy manufactured by Fuji Film Co, Japan in all procedures.

Results:

Patients with overt ongoing OGIB accounted for 11.5% of the total number of patients with OGIB (32/278). The incidence of small intestinal lesions responsible for bleeding in patients with overt ongoing and overt previous OGIB was 87.5% (28/32) and 47.1% (32/68) respectively. On the other hand the incidence of extraintestinal origin for OGIB (gastric or colonic angioectasia, etc) was markedly higher in those with overt previous OGIB compared to overt ongoing OGIB (p < 0.05). None of the patients enrolled in this study developed severe complications due to endoscopic examination.

Conclusions:

DBE examination which performed in emergency fashion is a safe and effective option for patients with overt ongoing OGIB.