Dolu Suleyman, Arayici Mehmet Emin, Onem Soner, Buyuktorun Ilker, Dongelli Huseyin, Bengi Goksel, Akarsu Mesut
Department of Gastroenterology, Faculty of Medicine, Dokuz Eylül University, Izmir 35340, Turkey.
Department of Biostatistics and Medical Informatics, Faculty of Medicine, Dokuz Eylül University, Izmir 35340, Turkey.
Diagnostics (Basel). 2025 Jan 31;15(3):336. doi: 10.3390/diagnostics15030336.
Double balloon enteroscopy (DBE) is an innovative method for the diagnosis and management of small bowel (SB) diseases. SB varices are rare disorders, and their diagnosis and treatment can be challenging for clinicians. This study evaluates the use of double balloon enteroscopy (DBE) in diagnosing and treating small bowel varices. SB varices were detected in 28 out of 900 double balloon enteroscopy procedures over an 18-year period. Eleven cases of SB varices of various etiologies, diagnosed via DBE, are described. The characteristics of SB varices and endoscopic procedural details were evaluated. A retrospective investigation of 750 patients identified eleven patients (eight males and three females; median age 59 years, range 40-80 years) with small bowel varices. The most common site of SB varices was the jejunum. At least one abdominopelvic surgical procedure had been previously performed on five patients. Endotherapy by DBE was administered to nine patients (seven emergent and two prophylactic). Post-endotherapy, three patients experienced bleeding that required re-endotherapy. Endoscopic therapy for small bowel varices included injection sclerotherapy in eight cases (six with cyanoacrylate and two with polidocanol) and injection sclerotherapy plus hemoclipping in one case. SB varices can present a diagnostic challenge for clinicians. DBE is a valuable tool for both the diagnosis and management of small bowel varices.
双气囊小肠镜检查（DBE）是诊断和治疗小肠疾病的一种创新方法。小肠静脉曲张是罕见疾病，其诊断和治疗对临床医生而言可能具有挑战性。本研究评估双气囊小肠镜检查（DBE）在诊断和治疗小肠静脉曲张中的应用。在18年期间的900例双气囊小肠镜检查操作中，检测到28例小肠静脉曲张。描述了经DBE诊断的11例各种病因的小肠静脉曲张病例。评估了小肠静脉曲张的特征和内镜操作细节。对750例患者进行回顾性调查，确定了11例（8例男性和3例女性；中位年龄59岁，范围40 - 80岁）患有小肠静脉曲张的患者。小肠静脉曲张最常见的部位是空肠。5例患者此前至少接受过一次腹部盆腔外科手术。9例患者（7例急诊和2例预防性）接受了DBE内镜治疗。内镜治疗后，3例患者出现出血，需要再次内镜治疗。小肠静脉曲张的内镜治疗包括8例注射硬化疗法（6例使用氰基丙烯酸酯，2例使用聚多卡醇）和1例注射硬化疗法加血管夹钳夹术。小肠静脉曲张对临床医生来说可能是一个诊断难题。DBE是诊断和治疗小肠静脉曲张的一种有价值的工具。
