Double-balloon enteroscopy: Experience with an innovative endoscopic technique at the Hospital Universitario de la Fundación Santa Fe de Bogotá

• Published in: Revista de Gastroenterología de México (English Edition) 2020-01, Vol.85 (1), p.25-31
• Main Authors: Rey, A.M., Reyes, G.A., Sierra, F., Patarroyo, O.J., Ardila, A.F., Prada, L.P.
• Format: Article
• Language: English
• Subjects: Enteroscopia; Enteroscopy; Gastrointestinal bleeding; Intestino delgado; Sangrado digestivo; Small bowel; Video capsule; Videocápsula
• ISSN: 2255-534X; 2255-534X
• DOI: 10.1016/j.rgmxen.2019.01.008

Double-balloon enteroscopy is a recently introduced endoscopic method that enables complete visualization of the small bowel, as well as biopsy sampling and therapeutic interventions in that part of the intestine. The aim of the present study was to describe the experience acquired at our hospital to determine the characteristics of the patients that underwent the procedure. A descriptive, cross-sectional study was conducted on all patients above 18 years of age admitted to the Hospital Universitario de la Fundación Santa Fe de Bogotá for double-balloon enteroscopy, within the time frame of January 2013 to December 2017. The study sample included 93 procedures in 73 patients. Mean patient age was 57.91 years, with a similar number of men and women. There were no severe complications. The most frequent indication for the enteroscopy was gastrointestinal bleeding (overt or occult), presenting in 49.46% of the patients, followed by chronic diarrhea (16.13%). Video capsule endoscopy was the previous study most frequently performed (53.76%). Anterograde double-balloon enteroscopy was carried out in 49 patients and 44 patients underwent the retrograde procedure. A total of 86.02% of the enteroscopies were diagnostic procedures and 13.98% were therapeutic. Normal enteroscopy was the most frequent finding (59.68%), followed by the presence of ulcers (15.05%). Our results were similar to those reported worldwide, with respect to indications, insertion route, and insertion depth, and there were no severe complications. La enteroscopia de doble balón es un método endoscópico recientemente introducido que permite la completa visualización, toma de biopsias e instauración de medidas terapéuticas del intestino delgado. Mediante este estudio, se busca describir la experiencia adquirida en nuestra institución con el fin de determinar las características de los pacientes que fueron llevados a esta intervención. Se realizó un estudio descriptivo de corte transversal donde se incluyeron todos los pacientes mayores de 18 años que ingresaron al Hospital Universitario de la Fundación Santa Fe de Bogotá para la realización de enteroscopia de doble balón desde el 01 de enero de 2013 hasta el 31 de diciembre de 2017. La muestra recolectada fue de 93 procedimientos en 73 pacientes, la media de edad fue de 57.91 años, la proporción de varones y mujeres fue muy similar, y no se presentaron complicaciones graves. Con respecto a la indicación para la realización de la enteroscopia, la