Abstract

HERNANDEZ GARCES, Héctor Rubén et al. Double-balloon enteroscope for the diagnosis of small intestine diseases in children. Rev Cubana Pediatr [online]. 2010, vol.82, n.4, pp. 41-51. ISSN 1561-3119.

INTRODUCTION. The double balloon enteroscope (DBE) is a new method allows the whole visualization of the small intestine lumen. The objective of present research was to assess the experience in the carrying out of this technique in children seen in the Pediatric Endoscopy Service of the Cuban Institute of Gastroenterology. METHODS. A retrospective and descriptive study was conducted to assess the accuracy, effectiveness and extent of the double balloon enteroscope screening in the diagnosis of small intestine diseases in children. Eight patients were studied by means of physical examination and negative complementary ones of small intestine disease, seen between November, 2008 and October, 2009. In three patients there was the clinical and radiological suspicion of Crohn's disease; in other three the suspicion of small intestine tumor and remainder were seen due to hidden bleeding of intestinal origin. RESULTS. Seven procedures were applied by retrograde route and two by the anterograde one, other patient undergoes total enteroscopy using both routes. The main extent of the oral DBE was of 62,5 min with an interval of 60 to 65min and by anal route it was of 50,7 min with an interval of 45 to 60 min. In all cases it was possible to identify some lesion explaining the symptoms. CONCLUSION. Double balloon enteroscope is a safe method for the diagnosis of small intestine disease in children.

Keywords : Double balloon enteroscope; small intestine; children.

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