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

S. A. Gabriel; V. S. Krushelnitskiy; A. T. Kortieva; V. Yu. Dynko; A. Ya. Guchetl; R. M. Tlekhuray; V. V. Ignatenko

doi:10.31146/1682-8658-ecg-184-12-45-48

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

S. A. Gabriel, V. S. Krushelnitskiy, A. T. Kortieva, V. Yu. Dynko, A. Ya. Guchetl, R. M. Tlekhuray, V. V. Ignatenko

https://doi.org/10.31146/1682-8658-ecg-184-12-45-48

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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.

Keywords

small intestine, balloon-assisted enteroscopy, neoplasms of the small intestine

About the Authors

S. A. Gabriel

State Budgetary Institution of Health Care “Region Clinic Hospital Nr 2” Health Ministry of Krasnodar Region; Federal State Budgetary Educational Institution of Higher Education “Kuban State Medical University” Health Ministry of Russian Federation
Russian Federation

Sergei. A. Gabriel, Chief physician, professor MD

Krasnodar, 350012,

st. Mitrofana Sedina, 4, Krasnodar, Krasnodar Region, 350063,

V. S. Krushelnitskiy

Vladimir. S. Krushelnitskiy, Endoscopy department doctor

Krasnodar, 350012,

st. Mitrofana Sedina, 4, Krasnodar, Krasnodar Region, 350063,

A. T. Kortieva

State Budgetary Institution of Health Care “Region Clinic Hospital Nr 2” Health Ministry of Krasnodar Region
Russian Federation

Alena. T. Kortieva, Endoscopy department doctor

Krasnodar, 350012

V. Yu. Dynko

Viktor. Yu. Dynko, Head of endoscopy department, PhD

Krasnodar, 350012,

st. Mitrofana Sedina, 4, Krasnodar, Krasnodar Region, 350063,

A. Ya. Guchetl

Aleksandr. Yа. Guchetl, Head of center for endoscopic diagnostic and treatment methods, PhD

Krasnodar, 350012,

st. Mitrofana Sedina, 4, Krasnodar, Krasnodar Region, 350063,

R. M. Tlekhuray

Ruslan. M. Tlekhuray, Endoscopy department doctor, PhD

Krasnodar, 350012,

st. Mitrofana Sedina, 4, Krasnodar, Krasnodar Region, 350063,

V. V. Ignatenko

Vasiliy. V. Ignatenko, Surgeon of the surgery department No. 3 (coloproctology), PhD

Krasnodar, 350012,

st. Mitrofana Sedina, 4, Krasnodar, Krasnodar Region, 350063,

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Review

For citations:

Gabriel S.A., Krushelnitskiy V.S., Kortieva A.T., Dynko V.Yu., Guchetl A.Ya., Tlekhuray R.M., Ignatenko V.V. Possibilities of diagnostic and therapeutic balloon-assisted enteroscopy in a multidisciplinary hospital. Experimental and Clinical Gastroenterology. 2020;(12):45-48. (In Russ.) https://doi.org/10.31146/1682-8658-ecg-184-12-45-48

This work is licensed under a Creative Commons Attribution 4.0 License.

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Experimental and Clinical Gastroenterology

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

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Abstract

Keywords

About the Authors

References

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