Double-Balloon Enteroscopy in Elderly Patients: Is It Safe and Useful?
Background/AimsProviders may be hesitant to perform double-balloon enteroscopy (DBE) in the elderly because the increased number of co-morbidities in this population poses a greater risk of complications resulting from sedation. There are limited data on the use of DBE in the elderly. Here, we asses...
| Main Authors: | , , , , , , , , , , , , , |
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| Format: | Article |
| Language: | English |
| Published: |
Korean Association for the Study of Intestinal Diseases
2014-10-01
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| Series: | Intestinal Research |
| Subjects: | |
| Online Access: | http://www.irjournal.org/upload/pdf/ir-12-313.pdf |
| _version_ | 1819195723663540224 |
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| author | Dae Han Choi Seong Ran Jeon Jin-Oh Kim Hyun Gun Kim Tae Hee Lee Woong Cheul Lee Byung Soo Kang Jun-Hyung Cho Yunho Jung Wan Jung Kim Bong Min Ko Joo Young Cho Joon Seong Lee Moon Sung Lee |
| author_facet | Dae Han Choi Seong Ran Jeon Jin-Oh Kim Hyun Gun Kim Tae Hee Lee Woong Cheul Lee Byung Soo Kang Jun-Hyung Cho Yunho Jung Wan Jung Kim Bong Min Ko Joo Young Cho Joon Seong Lee Moon Sung Lee |
| author_sort | Dae Han Choi |
| collection | DOAJ |
| description | Background/AimsProviders may be hesitant to perform double-balloon enteroscopy (DBE) in the elderly because the increased number of co-morbidities in this population poses a greater risk of complications resulting from sedation. There are limited data on the use of DBE in the elderly. Here, we assessed the safety and efficacy of DBE in the elderly compared to those in younger patients.MethodsWe retrospectively analyzed the medical records of 158 patients who underwent 218 DBEs. Patients were divided into an elderly group (age ≥65 years; mean 71.4±5.4; n=34; 41 DBEs) and a younger group (age <65 years; mean 39.5±13.5; n=124; 177 DBEs).ResultsIn both groups, the most common indication for DBE was obscure gastrointestinal bleeding. Mucosal lesions (33.3% vs. 60.9%; P=0.002) were the most common finding in both groups, followed by tumors (30.8% vs. 14.1%; P=0.036). The elderly were more likely to receive interventional therapy (51.3% vs. 23.5%; P=0.001). The diagnostic yield of DBE was slightly higher in the elderly group (92.3% vs. 86.5%; P=0.422), but was not statistically significant. The therapeutic success rate of DBE was 100% in the elderly group compared to 87.5% in the younger group (P=0.536). The overall DBE complication rate was 1.8% overall, and this rate did not differ significantly between the groups (2.6% vs. 1.7%; P=0.548).ConclusionsDBE is safe and effective in the elderly, and has a high diagnostic yield and high therapeutic success rate. |
| first_indexed | 2024-12-23T02:17:18Z |
| format | Article |
| id | doaj.art-5a0ef063ba3e4f249943ce6e9e77810e |
| institution | Directory Open Access Journal |
| issn | 1598-9100 2288-1956 |
| language | English |
| last_indexed | 2024-12-23T02:17:18Z |
| publishDate | 2014-10-01 |
| publisher | Korean Association for the Study of Intestinal Diseases |
| record_format | Article |
| series | Intestinal Research |
| spelling | doaj.art-5a0ef063ba3e4f249943ce6e9e77810e2022-12-21T18:03:38ZengKorean Association for the Study of Intestinal DiseasesIntestinal Research1598-91002288-19562014-10-0112431331910.5217/ir.2014.12.4.31342Double-Balloon Enteroscopy in Elderly Patients: Is It Safe and Useful?Dae Han Choi0Seong Ran Jeon1Jin-Oh Kim2Hyun Gun Kim3Tae Hee Lee4Woong Cheul Lee5Byung Soo Kang6Jun-Hyung Cho7Yunho Jung8Wan Jung Kim9Bong Min Ko10Joo Young Cho11Joon Seong Lee12Moon Sung Lee13Department of Internal Medicine, Digestive Disease Center, Institute of Digestive Research, Soonchunhyang University College of Medicine, Seoul, Korea.Department of Internal Medicine, Digestive Disease Center, Institute of Digestive Research, Soonchunhyang University College of Medicine, Seoul, Korea.Department of Internal Medicine, Digestive Disease Center, Institute of Digestive Research, Soonchunhyang University College of Medicine, Seoul, Korea.Department of Internal Medicine, Digestive Disease Center, Institute of Digestive Research, Soonchunhyang University College of Medicine, Seoul, Korea.Department of Internal Medicine, Digestive Disease Center, Institute of Digestive Research, Soonchunhyang University College of Medicine, Seoul, Korea.Department of Internal Medicine, Digestive Disease Center, Institute of Digestive Research, Soonchunhyang University College of Medicine, Seoul, Korea.Department of Internal Medicine, Digestive Disease Center, Institute of Digestive Research, Soonchunhyang University College of Medicine, Seoul, Korea.Department of Internal Medicine, Digestive Disease Center, Institute of Digestive Research, Soonchunhyang University College of Medicine, Seoul, Korea.Department of Internal Medicine, Digestive Disease Center, Institute of Digestive Research, Soonchunhyang University College of Medicine, Seoul, Korea.Department of Internal Medicine, Digestive Disease Center, Institute of Digestive Research, Soonchunhyang University College of Medicine, Seoul, Korea.Department of Internal Medicine, Digestive Disease Center, Institute of Digestive Research, Soonchunhyang University College of Medicine, Seoul, Korea.Department of Internal Medicine, Digestive Disease Center, Institute of Digestive Research, Soonchunhyang University College of Medicine, Seoul, Korea.Department of Internal Medicine, Digestive Disease Center, Institute of Digestive Research, Soonchunhyang University College of Medicine, Seoul, Korea.Department of Internal Medicine, Digestive Disease Center, Institute of Digestive Research, Soonchunhyang University College of Medicine, Seoul, Korea.Background/AimsProviders may be hesitant to perform double-balloon enteroscopy (DBE) in the elderly because the increased number of co-morbidities in this population poses a greater risk of complications resulting from sedation. There are limited data on the use of DBE in the elderly. Here, we assessed the safety and efficacy of DBE in the elderly compared to those in younger patients.MethodsWe retrospectively analyzed the medical records of 158 patients who underwent 218 DBEs. Patients were divided into an elderly group (age ≥65 years; mean 71.4±5.4; n=34; 41 DBEs) and a younger group (age <65 years; mean 39.5±13.5; n=124; 177 DBEs).ResultsIn both groups, the most common indication for DBE was obscure gastrointestinal bleeding. Mucosal lesions (33.3% vs. 60.9%; P=0.002) were the most common finding in both groups, followed by tumors (30.8% vs. 14.1%; P=0.036). The elderly were more likely to receive interventional therapy (51.3% vs. 23.5%; P=0.001). The diagnostic yield of DBE was slightly higher in the elderly group (92.3% vs. 86.5%; P=0.422), but was not statistically significant. The therapeutic success rate of DBE was 100% in the elderly group compared to 87.5% in the younger group (P=0.536). The overall DBE complication rate was 1.8% overall, and this rate did not differ significantly between the groups (2.6% vs. 1.7%; P=0.548).ConclusionsDBE is safe and effective in the elderly, and has a high diagnostic yield and high therapeutic success rate.http://www.irjournal.org/upload/pdf/ir-12-313.pdfDouble-balloon enteroscopyElderlySafetyEfficacy |
| spellingShingle | Dae Han Choi Seong Ran Jeon Jin-Oh Kim Hyun Gun Kim Tae Hee Lee Woong Cheul Lee Byung Soo Kang Jun-Hyung Cho Yunho Jung Wan Jung Kim Bong Min Ko Joo Young Cho Joon Seong Lee Moon Sung Lee Double-Balloon Enteroscopy in Elderly Patients: Is It Safe and Useful? Intestinal Research Double-balloon enteroscopy Elderly Safety Efficacy |
| title | Double-Balloon Enteroscopy in Elderly Patients: Is It Safe and Useful? |
| title_full | Double-Balloon Enteroscopy in Elderly Patients: Is It Safe and Useful? |
| title_fullStr | Double-Balloon Enteroscopy in Elderly Patients: Is It Safe and Useful? |
| title_full_unstemmed | Double-Balloon Enteroscopy in Elderly Patients: Is It Safe and Useful? |
| title_short | Double-Balloon Enteroscopy in Elderly Patients: Is It Safe and Useful? |
| title_sort | double balloon enteroscopy in elderly patients is it safe and useful |
| topic | Double-balloon enteroscopy Elderly Safety Efficacy |
| url | http://www.irjournal.org/upload/pdf/ir-12-313.pdf |
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