Systematic Reviews
Copyright ©The Author(s) 2016.
World J Gastroenterol. Oct 28, 2016; 22(40): 8999-9011
Published online Oct 28, 2016. doi: 10.3748/wjg.v22.i40.8999
Table 4 Balloon assisted enteroscopy cases with procedure related perforation
StudyDemographicsSite and characteristics of perforationTherapyProcedureOutcome after perforation
Despott et al[33]Long standing CD (> 30 yr) with 5 prior SB resections currently on azathioprine and steroids3 jejunal strictures (2 inflammatory, 1 fibrotic) with severe ulcerations at stricture sitesDilated to maximum of 16.5 mmDBE - Technically difficult due to adhesion-related angulations and fixation, and strictures were significantly ulceratedPerforation diagnosed within 8 h, patient had laparotomy and temporary jejunostomy. Patient made full recovery and jejunostomy was reversed.
Gill et al[34]Retained video capsule in patient with known CDNon-obstructing jejunal stricture with mild inflammation and ulceration at the stricture siteDilated to 15 mmDBE - otherwise not specifiedUnderwent surgery, outcome otherwise not specified.
Gill et al[34]Known CD patient had previously responded well to dilation up to 15 mmDistal obstructing ileal stricture with mild inflammation and ulceration at the stricture siteDilated to 15 mmDBE - otherwise not specifiedUnderwent surgery, outcome otherwise not specified.
Halloran et al[35]Known CD patient who had undergone prior surgical resection.Scarred bowel loop adhesion siteNot specifiedDBE - Perforation occurred with overtube advancement and straightening of a scarred bowel loopOutcome not specified.
Ding et al[85]Known CD patientSB stricture, otherwise not specifiedDilation related perforation, otherwise not specifiedDBE - Dilation related perforation, otherwise not specifiedPerforation diagnosed within 12 h, patient had laparotomy and resection with ileostomy.
Bartel et al[49]Retained video capsule in patient with known CDSB stricture, otherwise not specifiedNot specifiedDBE - Otherwise not specifiedEmergent surgical intervention, otherwise outcome not specified.
Rahman et al[48]Known CD patientUlcer at anastomosis siteNot specifiedDBE - Perforation directly related to ulcer at anastomosisPatient made full recovery after surgical resection and primary reanastomosis.
Navaneethan et al[94]Known CD patientNot specifiedNot specifiedNot specifiedUnderwent surgery, outcome otherwise not specified
Arihiro et al[96]Known CD patientSB stricture, otherwise not specifiedDilation related perforation, otherwise not specifiedSBE - Dilation related perforation, otherwise not specifiedPatient improved over time without any surgical intervention.
Hirai et al[91]Known CD patientSB stricture, otherwise not specifiedDilation related perforation, otherwise not specifiedDBE - Dilation related perforation, otherwise not specifiedPatient had emergency partial ileal resection and made a full recovery.
CD: Crohn’s disease; SB: Small bowel; DBE: Double balloon enteroscopy; SBE: Single balloon enteroscopy.