Significance of the clinical characteristics of obscure gastrointestinal bleeding in selecting the best route of insertion for balloon assisted enteroscopy
LI Shanshan
MAO Gaoping
NING Shoubin
ZHU Ming
JIN Xiaowei
Abstract：Objective To investigate the clinical effect and significance of clinical characteristics of patients with obscure gastrointestinal bleeding (OGIB) in selecting the route of insertion for balloon assisted enteroscopy (BAE). Methods Data of 222 inpatients with OGIB from the Air Force General Hospital who had undergone BAE between September 2003 and March 2015 were retrospectively analyzed. They were classified into two groups: anterograde approach and retrograde approach. The clinical features and outcomes of BAE and complications were compared. Results The overall diagnostic yield of BAE was 130 lesions (58.56%). Our results showed that patients with melena, especially with tarry stools, had a higher diagnostic yield with the transoral approach, while the transanal approach worked better for maroon-colored stools or bright red stools. The difference was statistically significant (P<0.05). Conclusion For patients of OGIB, the color of stools can determine the route of insertion, which can improve the detection rate of bleeding lesion efficiently.
Keywords：Obscure gastrointestinal bleedingBalloon assisted enteroscopyMelenaBloody stoolsThe route of insertion
Publication Date：2016-01-01
Online Publishing Date：2025-08-15(First online date of this platform, not the publication date of the document)
Pages：4( 178-181 )