Small bowel polypectomy by double balloon enteroscopy: Correlation with prior capsule endoscopy.

AIM To investigate the feasibility of small bowel polypectomy using double balloon enteroscopy and to evaluate the correlation with capsule endoscopy (CE). METHODS This is a retrospective review of a single tertiary hospital. Twenty-five patients treated by enteroscopy for small bowel polyps diagnosed by CE or other imaging techniques were included. The correlation between CE and enteroscopy (correlation coefficient of Kendall for the number of polyps, intra-class coefficient for the size and coefficient of correlation kappa for the location) was evaluated. RESULTS There were 31 polypectomies and 12 endoscopic mucosal resections with limited morbidity and no mortality. Histological analysis revealed 27 hamartomas, 6 adenomas and 3 lipomas. Strong agreement between CE and optical enteroscopy was observed for both location (Kappa value: 0.90) and polyp size (Kappa value: 0.76), but only moderate agreement was found for the number of polyps (Kendall value: 0.47). CONCLUSION Double balloon enteroscopy is safe for performing polypectomy. Previous CE is useful in selecting the endoscopic approach and to predicting the difficulty of the procedure.

[1]  Anastasios Koulaouzidis,et al.  QuickView in small-bowel capsule endoscopy is useful in certain clinical settings, but QuickView with Blue Mode is of no additional benefit , 2012, European journal of gastroenterology & hepatology.

[2]  K. Sugano,et al.  Nonsurgical management of small-bowel polyps in Peutz-Jeghers syndrome with extensive polypectomy by using double-balloon endoscopy. , 2011, Gastrointestinal endoscopy.

[3]  A. May,et al.  Complications in and performance of double-balloon enteroscopy (DBE): results from a large prospective DBE database in Germany , 2011, Endoscopy.

[4]  T. Yeh,et al.  Balloon-Assisted Enteroscopy with Prophylactic Polypectomy for Peutz-Jeghers Syndrome: Experience in Taiwan , 2011, Digestive Diseases and Sciences.

[5]  Z. Liao,et al.  Fields of applications, diagnostic yields and findings of OMOM capsule endoscopy in 2400 Chinese patients. , 2010, World journal of gastroenterology.

[6]  E. Kuipers,et al.  Endoscopic therapy of small-bowel polyps by double-balloon enteroscopy in patients with Peutz-Jeghers syndrome. , 2010, Gastrointestinal endoscopy.

[7]  A. Ferko,et al.  Comparison of intraoperative enteroscopy and double-balloon enteroscopy for the diagnosis and treatment of Peutz-Jeghers syndrome , 2010, Surgical Endoscopy.

[8]  R. Marmo,et al.  Degree of concordance between double-balloon enteroscopy and capsule endoscopy in obscure gastrointestinal bleeding: a multicenter study , 2009, Endoscopy.

[9]  P. Dario,et al.  Capsule endoscopy: progress update and challenges ahead , 2009, Nature Reviews Gastroenterology &Hepatology.

[10]  C. Cellier.  Obscure gastrointestinal bleeding: role of videocapsule and double-balloon enteroscopy. , 2008, Best practice & research. Clinical gastroenterology.

[11]  A. Gasbarrini,et al.  Complications of double balloon enteroscopy: a multicenter survey , 2007, Endoscopy.

[12]  A. May,et al.  [Peutz-Jeghers syndrome: endoscopic detection and treatment of small bowel polyps by double-balloon enteroscopy]. , 2007, Zeitschrift fur Gastroenterologie.

[13]  P. Malfertheiner,et al.  Feasibility of double-balloon enteroscopy-assisted chromoendoscopy of the small bowel in patients with familial adenomatous polyposis. , 2007, Endoscopy.

[14]  E. Kuipers,et al.  Double-Balloon Enteroscopy: Indications, Diagnostic Yield, and Complications in a Series of 275 Patients with Suspected Small-Bowel Disease , 2006, Endoscopy.

[15]  G. Gay,et al.  Outcome of Capsule Endoscopy in Determining Indication and Route for Push-and-Pull Enteroscopy , 2006, Endoscopy.

[16]  P. Malfertheiner,et al.  Diagnostic and Therapeutic Impact of Double-balloon Enteroscopy , 2006, Endoscopy.

[17]  A. Gasbarrini,et al.  The European experience with double-balloon enteroscopy: indications, methodology, safety, and clinical impact. , 2005, Gastrointestinal endoscopy.

[18]  T. Moriyama,et al.  Performance of antegrade double-balloon enteroscopy: comparison with push enteroscopy. , 2005, Gastrointestinal endoscopy.

[19]  A. Gasbarrini,et al.  Push-and-pull enteroscopy in the small bowel using the double-balloon technique: results of a prospective European multicenter study. , 2005, Endoscopy.

[20]  A. May,et al.  Push-and-pull enteroscopy using the double-balloon technique: method of assessing depth of insertion and training of the enteroscopy technique using the Erlangen Endo-Trainer. , 2005, Endoscopy.

[21]  Hironori Yamamoto,et al.  Clinical outcomes of double-balloon endoscopy for the diagnosis and treatment of small-intestinal diseases. , 2004, Clinical gastroenterology and hepatology : the official clinical practice journal of the American Gastroenterological Association.

[22]  K. Sugano,et al.  New system of double-balloon enteroscopy for diagnosis and treatment of small intestinal disorders. , 2003, Gastroenterology.

[23]  T. Ponchon,et al.  Diagnostic value of endoscopic capsule in patients with obscure digestive bleeding: blinded comparison with video push-enteroscopy. , 2003, Endoscopy.

[24]  A. May,et al.  Double-Balloon Enteroscopy: Preliminary Experience in Patients with Obscure Gastrointestinal Bleeding or Chronic Abdominal Pain , 2003, Endoscopy.

[25]  K. Schulmann,et al.  Value of capsule endoscopy for the detection of small bowel polyps in patients with hereditary polyposis syndromes (FAP, PJS, FJP) , 2003 .

[26]  Charles J. Lightdale,et al.  The Paris endoscopic classification of superficial neoplastic lesions: esophagus, stomach, and colon: November 30 to December 1, 2002. , 2003, Gastrointestinal endoscopy.

[27]  P. Boor,et al.  Peutz-Jeghers syndrome: 78-year follow-up of the original family , 1999, The Lancet.

[28]  N. Petrelli,et al.  Intraoperative small bowel enteroscopy in familial adenomatous and familial juvenile polyposis. , 1995, Gastrointestinal endoscopy.