Background
Small-bowel enteroscopies (BEs) are tedious and prolonged, and their efficacy may
be affected by the timing of procedures.
Objective
We aimed to evaluate the differences in diagnostic yield, insertion depth, procedure
duration, therapeutic yield, and adverse events (AEs) of enteroscopies performed in
the morning versus the afternoon.
Design
Retrospective cohort study.
Setting
Tertiary referral center.
Patients
Patients who underwent BE for suspected small-bowel disease at a single institution
between January 2008 and August 2009.
Main Outcome Measurement
Differences in diagnostic yield, insertion depth, procedure duration, therapeutic
yield, and AEs between morning (started before noon) and afternoon (after noon) procedures.
Results
A total of 250 enteroscopies were performed on 250 patients, of which 125 patients
(50%) underwent a procedure in the morning and 125 patients (50%) underwent the procedure
in the afternoon. The diagnostic yield with anterograde enteroscopy was the same in
both the morning and afternoon (63.7% and 63.7%, respectively; P = .99). The procedure durations were also similar (42.4 ± 21.5 minutes vs 46.2 ±
22.4 minutes, respectively; P = .25). Similarly the diagnostic yield with retrograde enteroscopy was similar in
morning and afternoon (44.1% and 35.3%, respectively; P = .46). However, the procedure durations of retrograde BE were significantly shorter
in the morning compared with the afternoon (51.3 ± 21.3 minutes vs 66.6 ± 32.9 minutes,
respectively; P = .03). Therapeutic yield and AEs were similar.
Limitations
Retrospective study.
Conclusions
The timing of procedure, morning versus afternoon, did not affect the diagnostic and
therapeutic efficacy of BE in patients with suspected small-bowel disease.
Abbreviations:
APC (argon plasma coagulation), AE (adverse event), BE (small-bowel enteroscopy), DBE (double-balloon enteroscopy), SBE (single-balloon enteroscopy), SE (spiral enteroscopy)To read this article in full you will need to make a payment
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Article info
Publication history
Accepted:
August 27,
2012
Received:
July 2,
2012
Footnotes
DISCLOSURE: The authors disclosed no financial relationships relevant to this publication.
If you would like to chat with an author of this article, you may contact Dr Sanaka at [email protected]
Identification
Copyright
© 2013 American Society for Gastrointestinal Endoscopy. Published by Elsevier Inc. All rights reserved.
