Brief Article
Copyright ©2011 Baishideng Publishing Group Co., Limited. All rights reserved.
World J Gastroenterol. Jul 7, 2011; 17(25): 3049-3053
Published online Jul 7, 2011. doi: 10.3748/wjg.v17.i25.3049
Coordination and nursing care of pediatric patients undergoing double balloon enteroscopy
Jie Wu, Cui-Fang Zheng, Ying Huang, Cai-Hong Shao, Ying-Kit Leung
Jie Wu, Cui-Fang Zheng, Ying Huang, Cai-Hong Shao, Ying-Kit Leung, Department of Gastroenterology, Children’s Hospital of Fudan University, Shanghai 201102, China
Author contributions: Wu J and Zheng CF contributed equally to this work; Huang Y, Shao CH and Leung YK designed the study; Wu J, Zheng CF and Huang Y performed the majority of experiments; Zheng CF, Wu J, Huang Y and Leung YK were involved in editing the manuscript.
Correspondence to: Dr. Ying Huang, Department of Gastroenterology, Children’s Hospital of Fudan University, No. 399 Wan-Yuan Road, Shanghai 201102, China. yhuang815@163.com
Telephone: +86-21-64931727   Fax: +86-21-64931901
Received: December 18, 2010
Revised: March 2, 2011
Accepted: March 9, 2011
Published online: July 7, 2011
Abstract

AIM: To review safety, efficacy, and proper nursing care of double-balloon enteroscopy (DBE) in pediatric patients with small intestinal disease.

METHODS: Our study included 37 patients with abdominal pain, diarrhea, passage of blood in the stools, and other symptoms, who underwent DBE from December 2006 to July 2010. DBE was retrograde in 36 procedures, antegrade in six, and from both ends in five. The diagnostic significance and salient points in nursing care are discussed in this article.

RESULTS: At least one lesion was discovered in 28 out of 37 patients, which yielded a positive diagnosis in 75.7% of cases. Good bowel preparation and skilled nursing care not only shortened the procedure time, but could also alleviate patient discomfort and enhance the quality of examination. No serious procedure-related complications were observed in any cases.

CONCLUSION: DBE is a new modality of endoscopic procedure that improves the standard of diagnosis and treatment of small bowel diseases in children. Good nursing care is essential to the successful execution of the procedure.

Keywords: Children, Double-balloon enteroscopy, Nursing care, Small intestinal disease