Impact of balloon-assisted enteroscopy on the diagnosis and management of suspected and established small-bowel XXXX .

@entity1 @entity548 @entity1066 @entity7017 @entity29 @entity30
UNASSIGNED: Background and aims: The role of recently developed balloon-assisted enteroscopy (BAE) in small-bowel @entity30 ( @entity30 ) is not well established. The purpose of this study is to determine the clinical impact of BAE on @entity1 with suspected and @entity30 . Methods: This study included 22 @entity1 (group A) with suspected small-bowel @entity30 and 43 @entity1 (group B) with @entity30 with or without previous surgery, who underwent BAE, in a prospective BAE registry of a US academic medical institution. All underwent abdominal imaging studies including computed tomography (CT) or magnetic resonance (MR) enterography before BAE. The main outcome measurements were diagnostic yield and clinical outcomes. Results: In total, 78 BAE procedures were carried out in 65 @entity1 . In group A (n=22, 25 BAE procedures), enteroscopy led to a diagnosis of @entity30 in six @entity1 (27.3%). Non-steroidal anti-inflammatory drug-related @entity7017 was diagnosed in three @entity1 (13.6%), whereas no lesions were found in the remaining 13 @entity1 . In group B (n=43, 53 BAE procedures) enteroscopy revealed active intestinal inflammation with @entity1066 and/or luminal stenosis in 18 @entity1 (41.9%), which led to a change and escalation of medical therapy. Five @entity1 without active @entity1066 underwent successful dilation of @entity29 with resulting resolution of obstructive symptoms. Of the 78 BAE procedures, two @entity1 (2.6%) had @entity548 complications which were successfully treated conservatively. One @entity1 (1.3%) underwent surgery due to procedure-related perforation. Conclusions: The use of BAE may help improve management in @entity1 with suspected and @entity30 .
