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conferenceseries
.com
Volume 7, Issue 7 (Suppl)
J Gastrointest Dig Syst
ISSN: 2161-069X JGDS, an open access journal
Gastroenterologists 2017
December 14-15, 2017
December 14-15, 2017 Dubai, UAE
11
th
World
Gastroenterologists Summit
Diagnostic yield, safety and efficacy of push enteroscopy in children
Anil Darbari, Carmen Cuffari and Anthony Kalloo
Children’s National Health System, USA
D
espite advances in radiological techniques, diagnosis and some therapeutic approach still require access to the small bowel.
Crohn’s disease may involve chronic inflammation of small bowel only in 5-15% of cases. Advances in imaging techniques
such as intravenous gadolinium enhanced MRI of abdomen may identify more of the isolated small bowel disease. While
wireless capsule endoscopy has provided an interesting access to endoscopy of the small bowel, obtaining biopsies and other
therapeutic maneuvers necessitate intubation of the deep small bowel regions. Studies of the use of enteroscopy in children are
few. We reviewed the use of push enteroscopy and its safety and diagnostic yield in children. We report first 26 children who
underwent the push enteroscopy procedure. Their mean age was 12.2 years (range 8-18 years). Histologic diagnosis resulted in
a change of medical management in 76.9% of patients following push enteroscopy. Biopsies were within the reach of a standard
upper endoscopy in 30.7% of cases only. Procedure duration and recovery times after push enteroscopy were comparable to
those of upper endoscopy. The procedure is safe to perform in children and the diagnostic yield far surpasses that of a standard
upper endoscopy with access to the proximal small bowel. We review the literature on access of the small bowel using other
modalities of enteroscopy such as single and double balloon enteroscopy techniques.
ADarbari@childrensnational.orgJ Gastrointest Dig Syst 2017, 7:7 (Suppl)
DOI: 10.4172/2161-069X-C1-062