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Volume 4 Issue 3 (May - June, 2016)

Original Articles

Exploring the Utility of Single Balloon Enteroscopy for Evaluating Suspected Small Bowel Diseases
Amit Agrawal, Anupama Bhatnagar

Background: Single Balloon Enteroscopy (SBE) represents an innovative approach to balloon-assisted enteroscopy, enabling deeper exploration of the small bowel and offering potential therapeutic applications alongside diagnostic capabilities. This study was conducted to examine the range of small bowel diseases and assess the effectiveness of therapeutic interventions. Material and methods: This cross-sectional study took place within the Department of Medical Gastroenterology, involving the inclusion of 100 patients who presented with suspected small bowel disease. Results: Out of the total 100 patients who underwent enteroscopy procedures, 40.25% underwent per-oral approach, 28.5% had per-rectal procedures, and 31.25% received a combination of both approaches. The predominant presenting symptoms included abdominal pain in 76% of cases, loose stools in 26%, and suspected gastrointestinal bleeding in 25%. Positive findings on CT Abdomen were observed in 40% of the cases. Enteroscopy revealed ileal lesions in 26.55% of patients, jejunal lesions in 22.75%, gastrointestinal stromal tumors (GIST) in 4.75%, and Dieulafoy's lesion in 2.5%. When combining jejunal and ileal findings, Crohn's disease was diagnosed in 58.5% of cases. Conclusion: SBE emerges as a safe and effective method for both diagnosing and treating small bowel diseases. It boasts a high diagnostic success rate, circumvents the need for complex surgeries, and offers a convenient means of conducting therapeutic procedures, even within the deeper regions of the small bowel.

 
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