First successful antegrade single-balloon enteroscopy in a 3-year-old with occult XXXX .

@entity1 @entity32 @entity1712 @entity417 @entity4988 @entity548 @entity75
BACKGROUND: Balloon enteroscopy is an emerging technique to allow access to the small intestine for both diagnostic and therapeutic purposes. To date, there have been few published data documenting the safety and efficacy of balloon enteroscopy in small @entity1 . OBJECTIVE: To describe our experience with single-balloon enteroscopy (SBE) in a 37-month-old toddler with occult @entity548 . DESIGN: A single case report. SETTING: A free-standing, academic @entity1 's hospital in Denver, Colorado. @entity1 : The @entity1 was a 37-month-old, 13.5-kg toddler with persistent heme-positive stools, severe @entity417 , and @entity4988 . Previous workup was significant for @entity32 in the antrum and a video capsule study showing @entity75 in the small bowel. INTERVENTION: An antegrade SBE was performed with the @entity1 under general endotracheal anesthesia, with biopsy specimens obtained from identified lesions in the jejunum and ileum. MAIN OUTCOME MEASUREMENTS: Complications and successful treatment of symptoms were the primary endpoints. RESULTS: The procedure was performed successfully in 85 minutes, passing an estimated 200 cm beyond the pylorus, without complications. Identification of the lesions as consistent with @entity1712 led to successful treatment with an elimination diet and corticosteroids. LIMITATIONS: The primary limitation of this study is that it is a single case report. Therefore, it is difficult to make a generalized statement regarding the safety and efficacy of balloon enteroscopy in toddlers of this size. CONCLUSIONS: Antegrade SBE can be a well-tolerated and effective procedure to evaluate occult @entity548 in @entity1 as young as 3 years of age. Further study is needed to better establish safety parameters for balloon enteroscopy in small pediatric @entity1 .
