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Year : 2015  |  Volume : 43  |  Issue : 1  |  Page : 16-21

Push enteroscopy in the management of suspected small-bowel diseases: A 2-year retrospective study

Department of Internal Medicine, Gastroenterology and Hepatology Unit, Tanta University, Egypt

Correspondence Address:
Mohamed Abd El-Raouf Tawfik
Lecturer of internal medicine, GI endoscopy and Hepatology Unit, Internal Medicine Department, Tanta University, Tanta
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DOI: 10.4103/1110-1415.154560

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Background and study aims Small-intestinal lesions still represent a challenge with respect to their diagnosis and treatment. The detection of small bowel mass lesions (SBMLs) has been difficult due to the limited visualization of small-bowel esophagogastroduodenoscopy and colonoscopy. In this study, we aimed to assess the efficacy of push enteroscopy in diagnosis and therapy in the gastroenterology and endoscopy center of Tanta University hospital. Patients and methods In the period from January 2012 to December 2013, 14 patients with different indications, referred to the Tanta endoscopy center, a division of the internal medicine department and one of the most important centers in Delta Nile in Egypt, underwent examination by push enteroscope. Results The overall diagnostic yield for patients with suspected small-bowel disease was 57% and for patients with both occult and overt obscure bleeding 63%. Ectopic Jejunal varices was the most common diagnosis in patients with gastrointestinal blood loss. Patients with active overt gastrointestinal bleeding had a higher diagnostic yield. The procedure was tolerated well and no complications occurred. Conclusion Additional endoscopic evaluation of the proximal small bowel by push enteroscopy should be considered in all patients with negative or nonspecific findings on esophagogastroduodenoscopy and colonoscopy and with persistent bleeding, especially when a balloon-assisted enteroscopy is not readily available and capsule endoscopy (CE) is expensive.

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