A Case of Blind Loop Syndrome Caused by Infection with Giardia duodenalis Diagnosed with Double Balloon Enteroscopy

Background and Aim: Small-bowel neuroendocrine neoplasm (sbNEN) diagnosis has improved with double-balloon enteroscopy (DBE). DBE efficacy in the detection of sbNENs is unknown. We aimed to report the experience at a single referral center for NENs. Methods: All consecutive patients with a suspected sbNEN selected for diagnostic DBE were enrolled. Results: Between 2011 and 2016, 25 patients were referred for a suspected sbNEN. In 15/25 patients, a primary NEN was detected outside the small bowel; in 4, NEN was excluded. After extensive workup, 6 patients (4 males, median age 50 years) underwent DBE (3 anterograde, 2 retrograde, and 1 both; median time: 60 min; median insertion 200 cm). DBE was positive in 3 patients: one had an ileal 2-cm NEN G1, one had an ileal 1.3-cm NEN G1, and one had an ileal 1-cm NEN G2, all surgically removed. Of the 3 other patients, one had a metastatic NEN of unknown primary, the other two had small intestinal NENs, both surgically removed (1.6-cm G1 and G2 NEN). DBE showed a sensitivity of 60% and, in absence of false-positive results, a specificity of 100%. Accuracy resulted 67%. No complications were observed. Conclusions: In line with data from the literature, the present series showed that DBE is a safe and effective procedure in the diagnosis of sbNENs. Further studies are needed to better clarify the diagnostic role of DBE in the neuroendocrine tumor setting and its relationship with other techniques.

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Sa1605 Double-Balloon Enteroscopy in Children With Suspected Small Bowel Disease

Gastrointestinal Endoscopy ◽

10.1016/j.gie.2011.03.340 ◽

2011 ◽

Vol 73 (4) ◽

pp. AB221

Author(s):

J. Antonio Quiros ◽

Sarah Boushey ◽

Elizabeth A. Ruben ◽

Brandy Lu ◽

Phil McDonald

Keyword(s):

Small Bowel ◽

Bowel Disease ◽

Small Bowel Disease ◽

Double Balloon Enteroscopy ◽

Balloon Enteroscopy ◽

Double Balloon

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Capsule Endoscopy Predicts the Success and Route of Insertion for Double Balloon Enteroscopy

Gastrointestinal Endoscopy ◽

10.1016/j.gie.2008.03.720 ◽

2008 ◽

Vol 67 (5) ◽

pp. AB263-AB264

Author(s):

Vaibhav Mehendiratta ◽

Mitchell Conn ◽

Anthony Infantolino ◽

Michael C. Dimarino ◽

Leo C. Katz ◽

...

Keyword(s):

Capsule Endoscopy ◽

Double Balloon Enteroscopy ◽

Balloon Enteroscopy ◽

Double Balloon

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An Endoscopic Analysis of Ulcers of Small Intestine Detected By Double Balloon Enteroscopy

Gastrointestinal Endoscopy ◽

10.1016/j.gie.2009.03.452 ◽

2009 ◽

Vol 69 (5) ◽

pp. AB203

Author(s):

Tae Hee Lee ◽

Jin-Oh Kim ◽

Wan Jung Kim ◽

Hyun Gun Kim ◽

Won Young Cho ◽

...

Keyword(s):

Small Intestine ◽

Double Balloon Enteroscopy ◽

Balloon Enteroscopy ◽

Double Balloon

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Superior mesenteric artery thrombosis related to double balloon enteroscopy in a patient with Crohn's disease

Clinics and Research in Hepatology and Gastroenterology ◽

10.1016/j.clinre.2012.09.006 ◽

2013 ◽

Vol 37 (1) ◽

pp. e40-e41 ◽

Cited By ~ 1

Author(s):

Aydin Şeref Köksal ◽

Ismail Hakki Kalkan ◽

Serkan Torun ◽

Bülent Ödemiş ◽

Zeki Mesut Yalin Kiliç ◽

...

Keyword(s):

Crohn’S Disease ◽

Crohn's Disease ◽

Superior Mesenteric Artery ◽

Mesenteric Artery ◽

Double Balloon Enteroscopy ◽

Balloon Enteroscopy ◽

Double Balloon ◽

Artery Thrombosis

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