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2017 ; 11
(4
): 520-527
Nephropedia Template TP
gab.com Text
Twit Text FOAVip
Twit Text #
English Wikipedia
Comparison of the Efficacy and Safety of Single- versus Double-Balloon
Enteroscopy Performed by Endoscopist Experts in Single-Balloon Enteroscopy: A
Single-Center Experience and Meta-Analysis
#MMPMID28395505
Kim TJ
; Kim ER
; Chang DK
; Kim YH
; Hong SN
Gut Liver
2017[Jul]; 11
(4
): 520-527
PMID28395505
show ga
BACKGROUND/AIMS: Studies concerning the efficacy and safety of single-balloon
enteroscopy (SBE) compared with that of double-balloon enteroscopy (DBE) often
appear to be conflicting. However, previous studies were performed by
endoscopists who were less experienced in SBE compared with DBE. METHODS: We
performed a retrospective analysis of SBE and DBE data performed by a single
enteroscopist, with expertise in SBE, using a prospective balloon-assisted
enteroscopy registry from 2013 to 2015. Furthermore, we performed a comprehensive
literature search and meta-analysis of available studies, including the current
study, to clarify the efficacy and safety of SBE versus DBE. RESULTS: A total of
65 procedures in 44 patients with SBE and 74 procedures in 69 patients with DBE
were analyzed. There were no significant differences in diagnostic yield (61.1%
vs 77.3%, respectively, p=0.397), therapeutic yield (39.1% vs 31.8%,
respectively, p=0.548), and complication rate (4.4% vs 2.3%, p=1.000). In the
meta-analysis, which included four randomized controlled trials and three
observational studies, there were no significant differences in the pooled
relative risk and odds ratio for diagnostic and therapeutic yield and
complications of SBE compared with those of DBE. CONCLUSIONS: The performance of
SBE appears to be similar to that of DBE in terms of diagnostic and therapeutic
yield and complications.
|Adult
[MESH]
|Aged
[MESH]
|Clinical Competence/*statistics & numerical data
[MESH]
|Comparative Effectiveness Research
[MESH]
|Double-Balloon Enteroscopy/*statistics & numerical data
[MESH]
|Female
[MESH]
|Gastroenterologists/*statistics & numerical data
[MESH]
|Humans
[MESH]
|Intestinal Diseases/*surgery
[MESH]
|Male
[MESH]
|Middle Aged
[MESH]
|Prospective Studies
[MESH]
|Retrospective Studies
[MESH]
|Single-Balloon Enteroscopy/*statistics & numerical data
[MESH]