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The aim of our study was to compare the utility and safety of SBE and DBE in pediatric patients.
The benefit of balloon-assisted enteroscopy (BAE) had been recently documented in pediatric patients, but no study has compared the use of single-balloon enteroscopy (SBE) and double-balloon enteroscopy (DBE) in pediatric patients to date. The aim of our study was to compare the utility and safety of SBE and DBE in pediatric patients. This retrospective study enrolled patients younger than 18 years between January 2015 and May 2024. Inverse probability of treatment-weighted (IPTW) adjustment was used to address the imbalance in variables. The outcomes included diagnostic yield, positive rate, complete enteroscopy, therapeutic yield, procedure times and complications.
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| Label | Type | Description | Intervention Names |
|---|---|---|---|
| SBE group |
| ||
| DBE group |
|
| Name | Type | Description | Arm Group Labels | Other Names |
|---|---|---|---|---|
| single-bollon enteroscopy | Device | one group use single-balloon enteroscopy (SBE) in pediatric patients |
|
| Measure | Description | Time Frame |
|---|---|---|
| diagnostic yield | Diagnostic yield was defined as the percentage of procedures with a disease-specific definitive endoscopic diagnosis. | From Baseline to the finish of enteroscopy |
| Measure | Description | Time Frame |
|---|---|---|
| Positive rate | Positive rate as the proportion of patients with positive findings among all patients receiving BAE. | from baseline to the finish of enterscopy |
| Complete enteroscopy | Complete enteroscopy was defined as intubation of the entire small bowel by unidirectional (antegrade or retrograde route) or bidirectional enteroscopy. |
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Inclusion Criteria:
Exclusion Criteria: (1) refusal for consent; (2) contraindication for deep sedation; (3) patients with incomplete clinical data and endoscopic information; (4) oral enteroscopy cannot pass the pylorus, and anal enteroscopy cannot pass the ileocecal valve.
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pediatric patients (≤18 years) with suspected small bowel disease who underwent BAE
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| Facility | Status | City | State | ZIP | Country | Contacts |
|---|---|---|---|---|---|---|
| Qilu Hospital of Shandong University | Jinan | Shandong | 250012 | China |
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| double-bollon enteroscopy | Device | one group use double-bollon enteroscopy |
|
| start to the finish of the enteroscopy |
| Therapeutic yield | Therapeutic yield was defined as the proportion of enteroscopies in which a therapeutic intervention was undertaken. | frome baselin to finish of the enteroscopy |
| procedure time | from start to finish of the enteroscopy | from start to finish of the enteroscopy |
| adverse events | Adverse reactions refer to bleeding, perforation, aspiration pneumonia, acute pancreatitis and other conditions related to double-balloon enteroscopy. | From first day until 30 days |