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Double- Versus Single-balloon Enteroscopy for Obscure Small-bowel Bleeding

Phase 4
Conditions
Small-Bowel Disorders
Interventions
Procedure: Double-balloon enteroscopy
Procedure: Single-balloon enteroscopy
Registration Number
NCT01176864
Lead Sponsor
Shanghai Changzheng Hospital
Brief Summary

Double-balloon enteroscopy (DBE) is now an established method for diagnostic and therapeutic small-bowel endoscopy. Single-balloon enteroscopy (SBE) has been introduced to simplify the technique. A prospective randomized study was carried out to compare the two methods in obscure small bowel bleeding

Detailed Description

Th e double-balloon enteroscopy (DBE) system, developed by Dr Yamamoto, was presented for the fi rst time in Japan in 2001. The system has become established throughout the world for diagnostic and therapeutic small-bowel examinations, and it is now used universally in routine clinical work.

Another balloon enteroscopy system was recently introduced in which only one balloon is attached at the tip of the overtube; the method is therefore known as SBE. SBE is a simplification of the double balloon method, and its value has already been confirmed for difficult colonoscopies. The question of whether similar results can be achieved with the single balloon method in the more complex situation of the small bowel has not yet been answered.

Recruitment & Eligibility

Status
UNKNOWN
Sex
All
Target Recruitment
100
Inclusion Criteria
  1. suspected or known small-bowel bleeding
  2. age: 16-70
Exclusion Criteria
  1. pregnancy
  2. coagulation disorders
  3. prior surgery of the small bowel and colon

Study & Design

Study Type
INTERVENTIONAL
Study Design
SINGLE_GROUP
Arm && Interventions
GroupInterventionDescription
Double-balloon enteroscopyDouble-balloon enteroscopyDBE for suspected or known small-bowel bleeding
Single-balloon enteroscopySingle-balloon enteroscopySBE for suspected or known small-bowel bleeding
Primary Outcome Measures
NameTimeMethod
whether the complete enteroscopy is achieved?2 hours

the rate of complete enteroscopy in both groups.

Secondary Outcome Measures
NameTimeMethod
Preparation time2 hours
Investigation time2 hours
side effects2 days
Diagnostic yield2 hours

Trial Locations

Locations (1)

Shanghai changzheng Hospital

🇨🇳

Shanghai, Shanghai, China

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