Possibilities of diagnostic and therapeutic balloon-assisted enteroscopy in a multidisciplinary hospital

Abstract

The aim of investigation: to assess the possibilities of diagnostic and therapeutic BAE in a multidisciplinary hospital.Materials and Methods: The analysis of the findings was carried out in 32 patients who underwent 40 diagnostic and 17 therapeutic procedures. Small bowel ulcers were detected in 6 patients, angioectasias in 5. One patient with subcompensated jejunal stricture in the suprastenotic section was found to have a bezoar foreign body. In 17 patients, tumors of a different nature were identified: carcinoids in 4, gastrointestinal-stromal tumors (GIST) in 6 patients, adenocarcinomas in 7 patients. One patient was diagnosed with varicose veins of the jejunum, complicated by bleeding. In 9 patients, polyps of the jejunum and ileum were identified. Reoperations were planned in 6 patients.Results: When conducting therapeutic balloon-assisted enteroscopy, the following types of endoscopic treatment were used: endoscopic clipping (angiectasia-4 and ulcers-2), argon plasma coagulation was used in 1 case, endoscopic polypectomy was performed in 9 patients, destruction of the bezoar with a diathermic loop and balloon dilatation strictures in one case. Patients who had a pathology that was not subject to endoscopic treatment were operated on.Conclusion: The availability of modern equipment significantly expands the capabilities of clinicians in the differential diagnosis of pathological conditions of the small intestine and allows for minimally invasive treatment, shortening the rehabilitation period due to the reduction of surgical trauma.