Rahmi G, Samaha E, Lorenceau-Savale C, Landi B, Edery J, Manière T, Canard JM, Malamut G, Chatellier G, Cellier C. Small bowel polypectomy by double balloon enteroscopy: Correlation with prior capsule endoscopy. World J Gastrointest Endosc 2013; 5(5): 219-225 [PMID: 23678374 DOI: 10.4253/wjge.v5.i5.219]
Corresponding Author of This Article
Christophe Cellier, Professor, Department of Gastroenterology and Endoscopy, University Rene-Descartes, Georges Pompidou European Hospital, 20 rue Leblanc, 75015 Paris, France. christophe.cellier@egp.aphp.fr
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Brief Article
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World J Gastrointest Endosc. May 16, 2013; 5(5): 219-225 Published online May 16, 2013. doi: 10.4253/wjge.v5.i5.219
Small bowel polypectomy by double balloon enteroscopy: Correlation with prior capsule endoscopy
Gabriel Rahmi, Elia Samaha, Camille Lorenceau-Savale, Bruno Landi, Joël Edery, Thibault Manière, Jean-Marc Canard, Georgia Malamut, Gilles Chatellier, Christophe Cellier
Gabriel Rahmi, Elia Samaha, Camille Lorenceau-Savale, Bruno Landi, Joël Edery, Thibault Manière, Jean-Marc Canard, Georgia Malamut, Christophe Cellier, Department of Gastroenterology and Endoscopy, University Rene-Descartes, Georges Pompidou European Hospital, 75015 Paris, France
Gilles Chatellier, Department of Clinical Epidemiology, European Hospital Georges Pompidou, University Rene-Descartes, 75015 Paris, France
Author contributions: Rahmi G contributed to drafting of the article, achievement of capsule endoscopy and double balloon enteroscopy; Rahmi G, Samaha E, Lorenceau-Savale C, Landi B, Edery J, Manière T, Canard JM, Malamut G and Cellier C contributed to achievement of capsule endoscopy and double balloon enteroscopy, proofreading and corrections of the article; Chatellier G contributed to statistical analysis, proofreading and corrections of the article.
Correspondence to: Christophe Cellier, Professor, Department of Gastroenterology and Endoscopy, University Rene-Descartes, Georges Pompidou European Hospital, 20 rue Leblanc, 75015 Paris, France. christophe.cellier@egp.aphp.fr
Telephone: +33-1-56093538 Fax: +33-1-56093456
Received: March 23, 2012 Revised: July 13, 2012 Accepted: March 15, 2013 Published online: May 16, 2013
Abstract
AIM: To investigate the feasibility of small bowel polypectomy using double balloon enteroscopy and to evaluate the correlation with capsule endoscopy (CE).
METHODS: This is a retrospective review of a single tertiary hospital. Twenty-five patients treated by enteroscopy for small bowel polyps diagnosed by CE or other imaging techniques were included. The correlation between CE and enteroscopy (correlation coefficient of Kendall for the number of polyps, intra-class coefficient for the size and coefficient of correlation kappa for the location) was evaluated.
RESULTS: There were 31 polypectomies and 12 endoscopic mucosal resections with limited morbidity and no mortality. Histological analysis revealed 27 hamartomas, 6 adenomas and 3 lipomas. Strong agreement between CE and optical enteroscopy was observed for both location (Kappa value: 0.90) and polyp size (Kappa value: 0.76), but only moderate agreement was found for the number of polyps (Kendall value: 0.47).
CONCLUSION: Double balloon enteroscopy is safe for performing polypectomy. Previous CE is useful in selecting the endoscopic approach and to predicting the difficulty of the procedure.
