DEEP ENTEROSCOPY UTILITY AND SAFETY IN CHILDREN FROM A MEXICAN NATIONAL REFERRAL CENTER

Aims The main objective was to evaluate clinical utility of Double Balloon Enteroscopy in Mexican children.

Methods Retrospective study of all pediatric patients (< 18 years old) that underwent DBE in a National Medical Referral Center in Mexico City

Results Fourteen patients were included (8 girls and 6 boys). Mean age was 11 ±4 years (range = 6–17 years). The first DBE in children was performed in May 2013 and the last one in February 2019. Gastrointestinal bleeding was the main indication for DBE accounting for 10 cases, two cases were related to Peutz-Jeghers (PJ), ileal stenosis and Roux-en-Y hepaticojejunostomy accounted for one case each. Four patients had a complete small bowel examination. All the procedures were performed under general anesthesia, and no complications were reported.

Conclusions DBE is a safe and useful tool in pediatric patients for the evaluation of the small bowel, especially in children with gastrointestinal bleeding with no evident cause in gastroscopy and colonoscopy.