典型文献
Achieving Total Enteroscopy by Consecutive Bidirectional Double-balloon Enteroscopy Procedures
文献摘要：
Objective:To investigate the feasibility and safety of achieving total enteroscopy by consecutive bidirectional double-balloon enteroscopy(DBE)procedures.Methods:The demographic data,indication,initial insertion route,examination time for each insertion and the entire procedure,total enteroscopy rate,diagnostic yield and adverse events of patients who attempted to achieve total enteroscopy by consecutive bidirectional DBE procedures from January 2014 to December 2019 were retrospectively analyzed.Results:A total of 189 patients were included,and the total enteroscopy rate was 87.3％.Initiating the DBE procedure via the retrograde approach as the initial insertion route achieved a higher total enterosocpy rate(90.9％vs.78.9％,P=0.023),with shorter overall examination time(134.2±36.2 vs.156.9±47.6 min,P=0.017)and shorter examination time for the opposite insertion route(23.8±19.9 vs.53.1±27.6 min,P=0.000)compared with anteograde approach as the initial insertion route.The overall diagnostic yield was 37.6％.The diagnostic yield for successfully achieving total enteroscopy was higher,when compared to the yield for not successfully achieving total enteroscopy(39.4％vs.25％,P=0.029).The overall rate of adverse events was 2.1％(4/189).There was no significant difference in adverse event rate between the overall examination time≥2 h group and＜2 h group(2.1％vs.2.0％,P=0.593).Conclusion:Consecutive bidirectional DBE procedure is an effective and safe strategy for achieving total enteroscopy with a considerable success rate.This may be a promising option and alternative to traditional methods,and helpful to more promptly establish a definite diagnosis.The retrograde approach,as the initial insertion route,is preferred in clinical practice.
文献关键词：
中图分类号：
作者姓名：
Liang ZHAO;An-ning YIN;Fei LIAO;Yi-juan DING;Hong-gang YU
作者机构：
Department of Gastroenterology,Renmin Hospital of Wuhan University,Wuhan 430060,China
文献出处：
引用格式：
[1]Liang ZHAO;An-ning YIN;Fei LIAO;Yi-juan DING;Hong-gang YU-.Achieving Total Enteroscopy by Consecutive Bidirectional Double-balloon Enteroscopy Procedures)[J].当代医学科学(英文),2022(01):144-149
A类：
Enteroscopy,Initiating,enterosocpy,anteograde
B类：
Achieving,Total,by,Consecutive,Bidirectional,Double,balloon,Procedures,Objective,investigate,feasibility,safety,achieving,total,enteroscopy,consecutive,bidirectional,double,DBE,procedures,Methods,demographic,data,indication,initial,insertion,route,examination,each,entire,diagnostic,yield,adverse,events,patients,who,attempted,from,January,December,were,retrospectively,analyzed,Results,included,was,via,retrograde,approach,achieved,higher,shorter,overall,opposite,compared,successfully,when,not,There,significant,difference,between,group,Conclusion,effective,strategy,considerable,This,may,promising,option,alternative,traditional,methods,helpful,more,promptly,establish,definite,diagnosis,preferred,clinical,practice
AB值：
0.399145
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