Comparison of double balloon enteroscopy in adults and children

Table 1 Demographic features of double balloon enteroscopy patients

Indications for DBE	Procedure time (mean, min)	n	Sex	Oral/anal
Chronic abdominal pain	64.8	11	3 F/8 M	Oral approach DBE 1Patient oral + anal approach DBE
Anemia	62.5	4	1 F/3 M	Oral approach DBE
Diarrhea	73.5	8	4 F/4 M	Oral approach DBE
Bleeding	66	9	6 F/3 M	Oral approach DBE
Evaluation of anastomosis line	38	2	1 F/1 M	Oral approach DBE
Chronic vomiting	64	1	1 M	Oral approach DBE

¹Diffuse jejunal angiodysplasia was noted in a female patient being investigated for anemia etiology. F: Female; M: Male; DBE: Double balloon enteroscopy.

Table 2 Comparison of double balloon enteroscopy findings and final diagnosis of study population

	Pediatric (n = 5)	Adult (n = 30)	P
Male/female	4/1	16/14	< 0.05
Procedure time (min, 95%CI)	74 (65-89)	114 (76-125)	< 0.05
Route	5 oral	29 oral, 1 anal + oral
Findings/intervention (n)	Multiple polyps (2) /polypectomy	Diffuse gastric angiodysplasia (1)/APC
		1Diffuse jejunal angiodysplasia in (1) /APC
		Ulceration in bulbus (1)
		Scalloping of the folds in bulbus and bowel mucosa (3)
		Ulceration crater in jejunum with 8-9 mm diameter covered with white exudate (1)
		Multiple polyps (3)/polypectomy
		Polyp (1)/polypectomy
		anastomotic stricture (1)/balloon dilation
Final diagnosis (n)	Irritable bowel syndrome (3)	Angiodysplasia (2)
	PJS (2)	Peptic ulcer (1)
		Celiac disease (3)
		Metastatic carcinoma (1)
		Anastomotic stricture (1)
		PJS (3)
		Adenomatous polyp (1)
		No definitive diagnosis (18)
Minor complications (n)	Sore throat (4)	Abdominal discomfort (21)
	Abdominal discomfort (3)	Hyperamylasemia (5)
		Sore throat (4)
Major complications (n)	None	Perforation (1)

Argon plasma coagulation (APC) was performed, unfortunately intestinal perforation identified after the procedure. PJS: Peutz–Jeghers syndrome.

Table 3 Demographic features of pediatric patients

Patient	Complaint	Age (yr)/gender	Enteroscopy findings	Intervention	Final diagnosis
1	Abdominal pain / Diarrhea	12/male	Normal mucosa	-	Irritable bowel syndrome
2	Abdominal pain	11.6/male	Multiple polyps	Polypectomy	Peutz-Jeghers syndrome
3	Anemia	12/female	Multiple polyps	Polypectomy	Peutz-Jeghers syndrome
4	Abdominal pain	10/male	Normal mucosa	-	Irritable bowel syndrome
5	Abdominal pain	10 yr and 5 mo/male	Normal mucosa	-	Irritable bowel syndrome