Aralik 2023
Çift balonlu enteroskopi: Tek merkez deneyimi
Double-balloon enteroscopy: The single center experience
- Ana Sayfa
- Sayılar
- Aralik 2023
- Çift balonlu enteroskopi: Tek merkez deneyimi...
Özet
Giris ve Amaç: Çift balonlu enteroskopi ince bagirsak anormalliklerinin tanisinin konulmasi ve girisimsel islemlerinin yapilmasinda önemli bir prosedürdür. Bu çalismada Dogu Karadeniz Bölgesi’ndeki çift balonlu enteroskopi islemi uygulanan hastalarin degerlendirilmesi planlandi. Gereç ve Yöntem: Bu çalismada Agustos 2017 - Ocak 2023 tarihleri arasinda; hastalarin çift balonlu enteroskopi yapilma endikasyonlari, demografik özellikleri, laboratuvar tetkikleri, görüntüleme yöntemleri, endoskopik bulgulari, histopatolojik sonuçlari, endoskopik girisimsel islemler ve komplikasyonlari retrospektif olarak degerlendirildi. Bulgular: Hastalarin 30’u (%56) erkek, 24’ü (%44) kadin olup, ortanca enteroskopi yapilma yasi 52 (17 - 84) /yildi. En sik çift balonlu enteroskopi yapilma endikasyonlari gizli gastrointestinal kanama (%28) ve asikar gastrointestinal kanama (%22) idi. Enteroskopide en sik izlenen lezyon ülser, inflamasyon veya mukozal lezyon (%17) ve en sik konulan tani Crohn hastaligi (%15) idi. Görüntüleme tetkikleri normal olan 10 hastanin 4’ünün (%40) endoskopi bulgulari anormal idi ve bu hastalar adenokarsinom (%10), polip (%10), anjiodisplazi (%10) ve Crohn hastaligi (%10) tanilari aldi. Endoskopi bulgulari normal olan, fakat görüntüleme yöntemlerinde anormallik izlenen 1 (%4) hastaya lenfoma tanisi konuldu. Çift balonlu enteroskopi yapilma endikasyonu gastrointestinal kanama olan hastalarda, siklikla tümöral (%11) ve vasküler lezyonlar (%11) izlendi ve bu hastalarin çoguna kanser ve anjiodisplazi tanisi konuldu. Gastrointestinal kanama disindaki nedenler ile çift balonlu enteroskopi yapilan hastalarda ise, en sik ülser, inflamasyon veya mukozal lezyon (%33) tespit edildi ve bu hastalarin çoguna Crohn hastaligi (%26) tanisi konuldu. Sonuç: Çift balonlu enteroskopi ince bagirsak hastaliklarinin tanisinin konulmasinda ve terapötik islemlerin yapilmasinda etkili ve güvenli bir prosedürdür. Bununla birlikte, ince bagirsak hastaligi için çift balonlu enteroskopi yaninda klinik ve radyolojik bulgularda dikkate alinmalidir.
Abstract
Background and Aims: Double-balloon enteroscopy is an important procedure for diagnosing small bowel abnormalities and performing interventional procedures. It was planned to evaluate the patients who underwent double-balloon enteroscopy in the Eastern Black Sea Region in this study. Materials and Methods: Patients who underwent double-balloon enteroscopy in our clinic between August 2017 and January 2023 were included in this study. Indications for double-balloon enteroscopy, demographic characteristics, laboratory tests, imaging methods, endoscopic findings, histopathological results, endoscopic interventional procedures and complications were evaluated retrospectively. Results: Thirty (56%) of the patients were male and 24 (44%) were female, and the median age at which enteroscopy was performed was 52 (17 - 84) /year. The most common indications for double-balloon enteroscopy were occult gastrointestinal bleeding (28%) and overt gastrointestinal bleeding (22%). The most common lesion observed in enteroscopy was ulcer, inflammation or mucosal lesion (17%) and most common diagnosis was Crohn’s disease (15%). Endoscopic findings of 4 (40%) of 10 patients with normal imaging examinations were abnormal, and these patients were diagnosed with adenocarcinoma (10%), polyp (10%), angiodysplasia (10%) and Crohn’s disease (10%). Lymphoma was diagnosed in 1 (4%) patient with normal endoscopy findings but abnormal imaging methods. Tumor (11%) and vascular lesions (11%) were frequently observed in patients with gastrointestinal bleeding indication for double-balloon enteroscopy, and these patients were frequently diagnosed with cancer and angiodysplasia. In patients who underwent double-balloon enteroscopy for reasons other than gastrointestinal bleeding, the most common lesions were ulcer, inflammation or mucosal lesion (33%), and most of these patients (26%) were diagnosed with Crohn’s disease. Conclusion: Double-balloon enteroscopy is an effective and safe procedure for diagnosing small bowel diseases and performing therapeutic procedures. However, clinical and radiological findings should be considered in addition to double-balloon enteroscopy for small bowel diseases.
