Endoscopy 2009; 41(8): 715-717
DOI: 10.1055/s-0029-1214974
Case report

© Georg Thieme Verlag KG Stuttgart · New York

A retrospective analysis of emergency double-balloon enteroscopy for small-bowel bleeding

K.  Mönkemüller[*] 1 , 2 , H.  Neumann[*] 1 , F.  Meyer3 , R.  Kuhn3 , P.  Malfertheiner1 , L.  C.  Fry1 , 2
  • 1Department of Internal Medicine, Gastroenterology, and Infectious Diseases, Marienhospital, Bottrop, Germany
  • 2Division of Gastroenterology, Hepatology and Infectious Diseases, Otto von Guericke University, Magdeburg, Germany
  • 3Department of Surgery, Otto von Guericke University, Magdeburg, Germany
Weitere Informationen

Publikationsverlauf

submitted21 January 2009

accepted after revision18 May 2009

Publikationsdatum:
10. August 2009 (online)

Although the role of emergency esophagogastroduodenoscopy (EGD) and colonoscopy for upper and lower gastrointestinal bleeding (GIB) is well defined, there are no data on the concept of emergency double-balloon enteroscopy (DBE) for small-bowel bleeding. The aim of this study was to retrospectively evaluate the concept of emergency DBE in overt obscure GIB and assess its impact on patient management. A total of 17 emergency DBEs for overt obscure GIB were carried out in ten patients (six women, four men; mean age 68 years, range 35 – 83). The following diagnoses were made: actively bleeding Dieulafoy lesions of the small bowel, n = 2; bleeding tumors, n = 4 (carcinoids n = 2, adenocarcinoma n = 1, lipoma n = 1); bleeding angiodysplasias and/or large arteriovenous malformation (AVM), n = 2; multiple ulcers, n = 1; and no diagnosis, n = 1. Endoscopic therapies included argon plasma coagulation (n = 6), injection of epinephrine (n = 3), and use of fibrin glue (n = 1). It appears that emergency DBE is technically feasible, facilitates both diagnosis and therapy and enables management of patients with massive overt obscure GIB. This study is a first step in establishing the concept of emergency DBE for patients with suspected small-bowel bleeding.

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1 Both authors contributed equally.

K. MönkemüllerMD, PhD, FASGE 

Department of Gastroenterology, Hepatology and Infectious Diseases
Marienhospital Bottrop

Josef-Albers-Str. 70
46236 Bottrop
Germany

Fax: +49-391-6713105

eMail: klaus.moenkemueller@mhb-bottrop.de