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Copyright ©2008 The WJG Press and Baishideng. All rights reserved.
World J Gastroenterol. Mar 28, 2008; 14(12): 1936-1940
Published online Mar 28, 2008. doi: 10.3748/wjg.14.1936
Double-balloon enteroscopy reliably directs surgical intervention for patients with small intestinal bleeding
Mou-Bin Lin, Lu Yin, Jian-Wen Li, Wei-Guo Hu, Qian-Jian Qian
Mou-Bin Lin, Lu Yin, Jian-Wen Li, Wei-Guo Hu, Qian-Jian Qian, Department of Surgery, Ruijin Hospital, Shanghai 200025, China
Author contributions: Lin MB wrote the paper and organized the figures and patient data; Li JW dealt with the statistical data; Hu WG and Qian QJ helped write, organize, and correct the paper; Lu Y supervised the writing and organization process.
Correspondence to: Yin Lu, Department of Surgery, Ruijin Hospital, 197 Ruijin Er Lu, Shanghai 200025, China. lmbin@hotmail.com
Telephone: +86-13341675889
Fax: +86-21-54650226
Received: April 4, 2007
Revised: December 24, 2007
Published online: March 28, 2008

AIM: To evaluate preoperative double-balloon enteroscopy for determining bleeding lesions of small intestine, thus directing selective surgical intervention.

METHODS: We retrospectively reviewed 56 patients who underwent double-balloon enteroscopy to localize intestinal bleeding prior to surgical intervention, and compared enteroscopic findings with those of intraoperation to determine the accuracy of enteroscopy in identifying and localizing the sites of small intestinal bleeding.

RESULTS: Double-balloon enteroscopy was performed in all 56 patients in a 30-mo period. A possible site of blood loss was identified in 54 (96%) patients. Enteroscopy provided accurate localization of the bleeding in 53 (95%) of 56 patients, but failed to disclose the cause of bleeding in 4 (7%). There was one case with negative intraoperative finding (2%). Resection of the affected bowel was carried out except one patient who experienced rebleeding after operation. Gastrointestinal stromal tumor (GIST) was most frequently diagnosed (55%).

CONCLUSION: Double-balloon enteroscopy is a safe, reliable modality for determining bleeding lesion of small intestine. This technique can be used to direct selective surgical intervention.

Keywords: Double-balloon enteroscopy, Small intestine bleeding, Surgery