Abstract

LANDAETA, J et al. Videoenteroscopia de balón único con prototipo Olympus: experiencia preliminar. Gen [online]. 2011, vol.65, n.3, pp.204-206. ISSN 0016-3503.

Introduction: The single balloon enteroscopy is a safe technique with high diagnostic and therapeutic yield. However, there is the difficulty to manage attachments while the greater the depth of insertion. Objective: To show benefits in the diagnosis and treatment of diseases of the small bowel using a prototype Olympus with 3.2 mm channel. Patients and Methods: 18 procedures in 13 patients. December 2009-April 2010. We used the prototype Olympus SIF 180 JY X, with 3.2 mm channel and external canal irrigation. Standard endoscopic accessories were used for colonoscopy. Recorded demographic data, indications, route of access, procedure time, insertion depth, and therapeutic findings. Results: 13 patients: 9 women, 4 men, mean age: 47.61 years. Main indications: obscure gastrointestinal bleeding (4), chronic diarrhea (4), polyposis syndrome (3). Procedures. 13 antegrade, 4 retrograde, combined 1. Average Time: 40.46 minutes antegrade, retrograde 36.35 minutes. Depth of insertion: 201.53 cm antegrade, retrograde 95 cm. Study normal: 46.15% of patients, positive findings: 53.84%, with active bleeding lymphangioma (1), Dieulafoy lesion (1), celiac disease (1), Crohn's (1), polyposis (3). Therapeutics 5 (27.7%) clips (2), adrenaline injection + argon (1), polypectomy (1), dilatation of stenosis (1). There were no complications. Conclusion: The prototype Olympus SIF 180 JY X has therapeutic channel allows the use of standard endoscopic accessories more easily slip deeper insertion and external irrigation canal which enhances the visibility of the field. Both features favor the therapeutic procedures.

Keywords : Single balloon enteroscopy; Therapeutic procedures.