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Uruguayan Medical Journal

ISSN: 1688-0390

Vol.31 - Nº 2 - Jun. 2015

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New technique for diagnosis and treatment of small intestine in Uruguay. First 20 double balloon enteroscopies.

Rev Med Urug 2015; 31: 92-96
Full text (spanish) |  Full text (spanish) (New windows, pdf) | Abstract


Introduction: the capsule endoscopy video and the double balloon enteroscopy have dramatically changed diagnosis and treatment of small intestine pathologies.

Objective: to assess the diagnostic and therapeutic usefulness of double balloon enteroscopy in small intestine diseases.

Patients, material and method: we conducted a retrospective, descriptive study on the first 20 double balloon enteroscopies performed in our endoscopy service. Patients were referred for suspicion of small intestine pathology, and they had previous endoscopic exams or imagenology. An EN-450, 2,000 mm long Fujinon and TS-12140 overtube videoenteroscopy was used.

Results: 20 double balloon enteroscopies were performed in 19 patients (14 men, average age was 58.6 years old). Oral approach was chosen in 15 procedures and the anal in four, a patient required double approach. The most frequent indication was search for intestine bleeding of unknown origin, and the most common finding was angiodysplasias, which were treated with argon gas coagulation.

Conclusions: double balloon enteroscopies is a useful and necessary tool for the diagnosis and treatment of small intestine pathologies, and we were able to provide our patients with a therapy solution that was not available until recently.