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논문 기본 정보

자료유형
학술저널
저자정보
Gao Ye (Department of Gastroenterology Changhai Hospital Naval Medical University Shanghai China) Xin Lei (Department of Gastroenterology Changhai Hospital Naval Medical University Shanghai China) Zhang Yi-Tong (Department of Gastroenterology Changhai Hospital Naval Medical University Shanghai China) Guo Xiao-Rong (Department of Gastroenterology Changhai Hospital Naval Medical University Shanghai China) Meng Qian-Qian (Department of Gastroenterology Changhai Hospital Naval Medical University Shanghai China) Li Zhao-Shen (Department of Gastroenterology Changhai Hospital Naval Medical University Shanghai China) Liao Zhuan (Department of Gastroenterology Changhai Hospital Naval Medical University Shanghai China)
저널정보
거트앤리버 발행위원회 Gut and Liver Gut and Liver 제15권 제2호
발행연도
2021.1
수록면
262 - 272 (11page)

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초록· 키워드

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Background/Aims: Single-balloon enteroscopy (SBE) has been widely used in diagnosing small bowel disease. We conducted this study to systematically appraise its technical and clinical performance. Methods: Studies on SBE published by September 2018 were systematically searched. Technical and clinical performance data were collected and analyzed with descriptive or meta-analysis methods. Results: In total, 54 articles incorporating 4,592 patients (6,036 procedures) were included. Regarding technical parameters, the pooled insertion depths (IDs) for anterograde and retrograde SBE were 209.2 cm and 98.1 cm, respectively. The pooled retrograde ID in Asian countries was significantly greater than that in Western countries (129.0 cm vs 81.1 cm, p<0.001). The pooled anterograde and retrograde procedure times were 57.6 minutes and 65.1 minutes, respectively. The total enteroscopy rate was 21.9%, with no significant difference between Asian and Western countries. Clinically, the pooled diagnostic yield of SBE was 62.3%. Obscure gastrointestinal bleeding (OGIB) was the most common indication (50.0%), with a diagnostic yield of 59.5%. Vascular lesions were the most common findings in Western OGIB patients (76.9%) but not in Asian ones (31.0%). The rates of severe and mild adverse events were 0.5% and 2.5%, respectively. Conclusions: SBE is technically efficient and is clinically effective and safe, but total enteroscopy is relatively difficult to achieve with this technique. Etiologies of OGIB in Asian countries differ from those in Western countries.
#Single-balloon enteroscopy #Systematic review #Meta-analysis #Diagnosis #Total enteroscopy

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참고문헌 (61)

참고문헌 신청
Manno M / 2012 / Single balloon enteroscopy : technical aspects and clinical applications / World J Gastrointest Endosc 4:28~32 google schola Iddan G / 2000 / Wireless capsule endoscopy / Nature 405:417 google schola Yamamoto H / 2001 / Total enteroscopy with a nonsurgical steerable double-balloon method / Gastrointest Endosc 53:216~220 google schola Xin L / 2011 / Indications, detectability, positive findings, total enteroscopy, and complications of diagnostic double-balloon endoscopy : a systematic review of data over the first decade of use / Gastrointest Endosc 74:563~570 google schola Lenz P / 2017 / Single-balloon enteroscopy / Gastrointest Endosc Clin N Am 27:123~131 google schola

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