Predictors of Depth of Maximal Insertion at Double-Balloon Enteroscopy

The aim of this study was to determine the factors predictive of the depth of maximal insertion (DMI) at double-balloon enteroscopy (DBE). Eligible patients from the DBE database at our institution were stratified based on their anterograde or retrograde approach. The factors predictive of the DMI w...

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Bibliographic Details
Published in:Digestive diseases and sciences 2010-05, Vol.55 (5), p.1391-1395
Main Authors: Khashab, Mouen, Helper, Debra J., Johnson, Cynthia S., Chiorean, Michael V.
Format: Article
Language:English
Subjects:
Abdomen
Adult
Aged
Aged, 80 and over
Analysis of Variance
Biochemistry
Biological and medical sciences
Catheterization - methods
Clinical Competence
Digestive system. Abdomen
Endoscopy
Endoscopy, Gastrointestinal - methods
Feeding. Feeding behavior
Female
Fundamental and applied biological sciences. Psychology
Gastroenterology
Hepatology
Humans
Investigative techniques, diagnostic techniques (general aspects)
Male
Medical sciences
Medicine
Medicine & Public Health
Middle Aged
Oncology
Original Article
Regression Analysis
Transplant Surgery
Vertebrates: anatomy and physiology, studies on body, several organs or systems
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Summary:The aim of this study was to determine the factors predictive of the depth of maximal insertion (DMI) at double-balloon enteroscopy (DBE). Eligible patients from the DBE database at our institution were stratified based on their anterograde or retrograde approach. The factors predictive of the DMI were calculated using ANOVA, Spearman, univariate, and multivariate regression analysis. A total of 79 patients had 98 procedures, 67 anterograde and 31 retrograde. Fifty-eight (73%) had previous abdominal surgeries. The average anterograde DMI was 187.5 cm, retrograde 116.5 cm. In univariate regression analysis, a history of abdominal surgery and surgery excluding appendectomy were negative predictors of the DMI for both the anterograde and retrograde approaches ( P  
ISSN:0163-2116
1573-2568
DOI:10.1007/s10620-009-0849-6