Application of double-balloon enteroscopy in jejunal diverticular bleeding

Table 1 Demographics of 10 patients with jejunal diverticular bleeding

No.	Age (yr)/sex	Symptoms	Hb (g/dL)	Drugs	CT	CE	Barium	Angiography
1	64/M	Melena and hematochezia	8.9	-	Negative	-	Diverticulosis	-
2	61/F	Melena and hematochezia	9.8	NSAIDs	-	-	Diverticula	-
3	80/M	Melena	11	NSAIDs	Negative	-	Diverticula	Negative
4	95/F	Melena	11.2	Coumadin	Negative	r/o right colonic bleeding	Negative	-
5	18/M	Dizziness	10	-	-	-	r/o P-J syndrome	-
6	83/M	Hematochezia	11.1	NSAIDs	-	-	Diverticula	-
7	81/F	Hematochezia	10.9	-	-	Diverticular bleeding	Diverticula	Negative
8	73/M	Melena	10.7	-	-	-	-	-
9	58/F	Melena	10.3	Clopidogrel	Negative	Diverticular	-	-
10	74/F	Melena	9.6	-	Negative	Diverticular	diverticular	Negative

CT: Computed tomography; CE: Capsule enteroscopy; NSAID: Non-steroidal anti-inflammatory drug; P-J: Peutz-Jeghers.

Table 2 Enteroscopy and double-balloon enteroscopy findings

No.	Route	Findings	Management	Follow-up timed (mo)	Outcome
1	Per-oral	Ulcer with SRH on the margin	Injection therapy	16	Recurrent bleeding after 7 mo, second DBE therapy performed
2	Per-oral	Ulcer with SRH on the margin	Injection therapy	14	Surgical intervention for large diverticulum
3	Per-oral	Dieulafoy-like lesion on the fold	Hemoclipping	9	Surgical intervention for failure of endoscopic treatment
4	Per-oral	Ulcer with SRH on the margin	Injection therapy	19	No recurrence
5	Per-oral	Ulcer with SRH on the margin	Injection therapy	22	No recurrence
6	Per-oral	Ulcer with SRH on the margin	Injection therapy	9	No recurrence
7	Per-oral	Dieulafoy-like lesion on the fold	Hemoclipping	8	No recurrence
8	Per-oral	Dieulafoy-like lesion on the fold	Injection therapy and hemoclipping	9	No recurrence
9	Per-oral	Ulcer with SRH on the margin	Injection therapy	32	No recurrence
10	Per-oral	Dieulafoy-like lesion on the fold	Hemoclipping	9	No recurrence

SRH: Stigmata of recent hemorrhage.