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Double balloon enteroscopy in children: a case series highlighting risks, and a review of the literature
  1. Melissa Jensen1,
  2. Krupa Mysore2,
  3. Rami El-Abiad3,
  4. Riad Rahhal1
  1. 1Division of Pediatric Gastroenterology, University of Iowa Children's Hospital, Iowa City, Iowa, USA
  2. 2Department of Pediatrics, University of Iowa Children's Hospital, Iowa City, Iowa, USA
  3. 3Department of Internal Medicine, Division of Gastroenterology, University of Iowa, Iowa City, Iowa, USA
  1. Correspondence to Dr Riad Rahhal, Division of Pediatric Gastroenterology, University of Iowa Children's Hospital, 2869 JPP, Iowa City, IA 52242, USA; riad-rahhal{at}uiowa.edu

Abstract

Aim Double balloon enteroscopy (DBE) is a relatively new endoscopic technique that allows endoscopic access into the small intestine. It has been studied in adults, but the literature remains scarce in the paediatric age group.

Methods We retrospectively assessed our experience with DBE in children.

Results We describe four procedures performed on three patients. The diagnostic yield was high (100%) with one major complication (perforation) encountered. A review of the benefits and risks in this cohort, and the available literature is included.

Conclusions DBE is a promising endoscopic modality in children, but some aspects remain unanswered. There is a great need for a prospective study to better assess benefit and risk in this population.

  • Endoscopic Procedures
  • Paediatric Gastroenterology

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