TREATMENT OF SMALL INTESTINAL BLEEDING BY DOUBLE-BALLOON ENTEROSCOPY

Nguyễn Hoài Nam1,2,, Đào Văn Long2
1 Department of Gastroenterology and Hepatology, Bach Mai Hospital
2 Hanoi Medical University

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Abstract

Double-balloon enteroscopy (DBE) is a new technique, which has been applied recently in Vietnam to treat overt small intestinal bleeding (OSIB). The study objective: to determine the rate of technique application, the successful hemostasis, and the re-bleeding rate of hemostasis therapeutic DBE in OSIB patients. Research method: progression description analysis. Results: the study was conducted on 84 patients with OSIB. There were 29/84 patients (34.5%) who received endoscopic hemostasis with 2 main techniques: clipping (51.5%) and electrocoagulation (39.4%). 100% of patients stopped bleeding after the endoscopic intervention, 6 patients were transferred to surgery for tumor lesions or Meckel's diverticulum and 23 patients were discharged from the hospital. Follow up of 23 patients with a mean period of 160.6 ± 86.5 weeks, 4/23 patients (17.4%) had recurrent bleeding. Conclusion: DBE hemostasis therapy was an effective method to treat OSIB.

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References

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