An Evaluation Of Small Bowel Disease Diagnosed And Treated By Double-Balloon Enteroscopy

ObjectiveEvaluate the value of double-balloon enteroscopy in diagnosing and treating intestinal disease. MethodsThe Double-balloon enteroscopy was used for 39 patients. Among which 22 cases were patients with obscure gastrointestinal bleeding, and numbers of intestinal obstruction, abdominal pain, abdominal distension, diarrhea, anaemia of unkown causes were 7, 5, 3, 1 and 1 cases. According of the sufferer condition decided enteroscopy via oral or rectum. Once it couldn't found disease in one side , we would observe the small bowel in another side. Among which 2 cases were examined via two sides and 1 case were examined via abdominal wall orificium fistulae. Sedatives were used by most of patients. The vital sign and complacation of patients were closely observed during examination. The symptoms of patients, small bowel enteroscopy results, other examination results, pathological results, final diognosis, therapy and operation were recorded in detail and analysised. Results①The totle detection rate of small bowel disease of the study is 84.6%. 90.9% of patients with obscure gastrointestinal bleeding were detected . The positive rate of patients with other symptoms is 76. 5%. The totle kinds of small bowel disease are nine,such as AVM(21.2%), tumor(21.2%), ankylenteron(21.2%), Crohn disease(18.2%), polyp of small intestine and diverticula of intestine(9.1%), parasitic disease(6.1%), lymphangiectasis of intestine(6.1%), blue rubber bleb nevus syndrome(3.0%), marginal ulcer(3.0%). ②Vascular malformation and small bowel tumor were the main reasons. The main reason of intestinal obstrction was ankylenteron after operation. ③Beacause of the variety of Crohn Disease, it could be found in every kinds of patients with various symptoms. Most of patients had their pathological diagnosis. ④ Most of patients could endure the examination and had no special sense and complacation. During and after the examination, most of patients could feel unwell of pars laryngea pharyngis and lightly pain of abdomen. There were few suffering in patients who were accepted anaesthesia. ⑤The time of enteroscopy reached to jejunal—ileum transitional area, middle portion of ileum and terminal ileum is (45±15)min, (60±15)min and(70±15)min. ⑥The patient who had been accepted anaesthesia were quiet in examination. The algesic score was between 0 and 2. The process couldnot be remebered after the examination. After 4-9 minutes of drug withdrawal, the patients could awake completely. The time of consciousness is (10±5)min. ConclusionsDouble—balloon enteroscopy is a safe examination. Compared with other traditional examinations, the double-balloon enteroscopy has more higher detection rate in patients with obscue gastrointestinal bleeding and other small bowel diseases. It aslo has advantures of reliable, effective diagnostic modality and therapy under enteroscopy.