KMID : 0988920140120040313
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Intestinal Research 2014 Volume.12 No. 4 p.313 ~ p.319
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Double-Balloon Enteroscopy in Elderly Patients: Is It Safe and Useful?
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Choi Dae-Han
Jeon Seong-Ran Kim Jin-Oh Kim Hyun-Gun Lee Tae-Hee Lee Woong-Cheul Kang Byung-Soo Cho Jun-Hyung Jung Yun-Ho Kim Wan-Jung Ko Bong-Min Cho Joo-Young Lee Joon-Seong Lee Moon-Sung
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Abstract
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Background/Aims: Providers may be hesitant to perform double-balloon enteroscopy (DBE) in the elderly because the increased number of co-morbidities in this population poses a greater risk of complications resulting from sedation. There are limited data on the use of DBE in the elderly. Here, we assessed the safety and efficacy of DBE in the elderly compared to those in younger patients.
Methods: We retrospectively analyzed the medical records of 158 patients who underwent 218 DBEs. Patients were divided into an elderly group (age ¡Ã65 years; mean 71.4¡¾5.4; n=34; 41 DBEs) and a younger group (age <65 years; mean 39.5¡¾13.5; n=124; 177 DBEs).
Results: In both groups, the most common indication for DBE was obscure gastrointestinal bleeding. Mucosal lesions (33.3% vs. 60.9%; P=0.002) were the most common finding in both groups, followed by tumors (30.8% vs. 14.1%; P=0.036). The elderly were more likely to receive interventional therapy (51.3% vs. 23.5%; P=0.001). The diagnostic yield of DBE was slightly higher in the elderly group (92.3% vs. 86.5%; P=0.422), but was not statistically significant. The therapeutic success rate of DBE was 100% in the elderly group compared to 87.5% in the younger group (P=0.536). The overall DBE complication rate was 1.8% overall, and this rate did not differ significantly between the groups (2.6% vs. 1.7%; P=0.548).
Conclusions: DBE is safe and effective in the elderly, and has a high diagnostic yield and high therapeutic success rate. (Intest Res 2014;12:313-319)
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KEYWORD
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Double-balloon enteroscopy, Elderly, Safety, Efficacy
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