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Balloon-Assisted Enteroscopy for Retrieval of Small Intestinal Foreign Bodies: A KASID Multicenter Study
Joint Authors
Byeon, Jung Sik
Yang, Dong-Hoon
Choi, Kee Don
Ye, Byong Duk
Kim, Jeongseok
Lee, Beom Jae
Ham, Nam Seok
Oh, Eun Hye
Eun, Chang Soo
Kim, Jin-Soo
Source
Gastroenterology Research and Practice
Issue
Vol. 2020, Issue 2020 (31 Dec. 2020), pp.1-9, 9 p.
Publisher
Hindawi Publishing Corporation
Publication Date
2020-05-19
Country of Publication
Egypt
No. of Pages
9
Main Subjects
Abstract EN
Background and Aims.
Balloon-assisted enteroscopy (BAE) can be used to retrieve small intestinal foreign bodies (FBs).
Here, we aimed at exploring the clinical usefulness of BAE for the retrieval of small intestinal FBs.
Methods.
We retrospectively reviewed the medical records of 34 patients who underwent BAE to retrieve small intestinal FBs at 3 tertiary referral centers between April 2005 and June 2017.
Results.
The retained materials included capsule endoscopes (CEs; n=18 [52.9%]), self-expandable metal stents (SEMSs; n=5 [14.7%]), biliary drainage catheters (n=4 [11.8%]), gallstones (n=3 [8.8%]), an embolization coil (2.9%), a needle, an intragastric bariatric balloon, and a razor blade.
FBs were located or stuck in the ileum (n=17 [50%]), jejunum (n=16 [47.1%]), and an undetermined small intestinal segment (n=1).
Seventeen cases of FBs (50%; 7 CEs, 3 biliary drainage catheters, 3 SEMSs, 2 gallstones, 1 intragastric balloon, and 1 needle) were successfully retrieved enteroscopically.
FBs of 4 asymptomatic patients (3 CEs and 1 razor blade) passed spontaneously.
The remaining 13 patients underwent surgery for persistent or symptomatic FBs: 12 were successfully removed and 1 CE removal procedure failed due to severe peritoneal adhesions.
The presence of symptoms was the only independent predictor of successful retrieval using BAE (odds ratio 13.40, 95% confidence interval 1.10–162.56, P=0.042).
BAE-related complications such as bowel perforation and acute pancreatitis occurred in 2 patients (5.9%).
Conclusions.
BAE can be the first option for FB removal in the small intestine.
The presence of symptoms was associated with successful enteroscopic retrieval.
American Psychological Association (APA)
Kim, Jeongseok& Lee, Beom Jae& Ham, Nam Seok& Oh, Eun Hye& Choi, Kee Don& Ye, Byong Duk…[et al.]. 2020. Balloon-Assisted Enteroscopy for Retrieval of Small Intestinal Foreign Bodies: A KASID Multicenter Study. Gastroenterology Research and Practice،Vol. 2020, no. 2020, pp.1-9.
https://search.emarefa.net/detail/BIM-1166777
Modern Language Association (MLA)
Kim, Jeongseok…[et al.]. Balloon-Assisted Enteroscopy for Retrieval of Small Intestinal Foreign Bodies: A KASID Multicenter Study. Gastroenterology Research and Practice No. 2020 (2020), pp.1-9.
https://search.emarefa.net/detail/BIM-1166777
American Medical Association (AMA)
Kim, Jeongseok& Lee, Beom Jae& Ham, Nam Seok& Oh, Eun Hye& Choi, Kee Don& Ye, Byong Duk…[et al.]. Balloon-Assisted Enteroscopy for Retrieval of Small Intestinal Foreign Bodies: A KASID Multicenter Study. Gastroenterology Research and Practice. 2020. Vol. 2020, no. 2020, pp.1-9.
https://search.emarefa.net/detail/BIM-1166777
Data Type
Journal Articles
Language
English
Notes
Includes bibliographical references
Record ID
BIM-1166777