Journal of Gastroenterology

, Volume 44, Issue 4, pp 271–276 | Cite as

Double-balloon enteroscopy in Crohn’s disease patients suspected of small bowel activity: findings and clinical impact

  • P. B. F. Mensink
  • M. J. Groenen
  • H. R. van Buuren
  • E. J. Kuipers
  • C. J. van der Woude
Original Article—Alimentary Tract

Abstract

Introduction

It is estimated that 10–30% of patients with Crohn’s disease (CD) have small bowel (SB) involvement, but the exact frequency and clinical relevance of these findings is unknown. Double-balloon enteroscopy (DBE) enables endoscopic visualization of the SB. In this study we evaluated whether DBE is a feasible technique for detection of CD localized in the SB in CD patients with clinical suspicion of SB lesions and whether these findings have clinical impact.

Methods

Retrospectively we analyzed 52 DBE procedures in 40 CD patients (16 males, mean age 40 years, mean duration of CD 15 years). Included patients had clinical suspicion of small bowel CD activity, including persistent abdominal discomfort (n = 27), iron deficiency anemia (n = 9) and/or hypomagnesemia (n = 4).

Results

Active small bowel CD was found in 24 (60%) patients, leading to a change in therapy in 18 patients (75%). After a mean follow-up of 13 months, 15 (83%) had persistent clinical improvement with a significant drop of mean CDAI from 178 to 90, after a mean follow-up of 13 months.

Conclusions

DBE is a useful diagnostic tool for the evaluation of SB lesions in CD patients. The significance of these findings is emphasized by the fact that adjustment of therapy in the majority of these patients leads to significant and sustained clinical improvement.

Keywords

Crohn’s disease Small bowel Enteroscopy Double-balloon enteroscopy 

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Copyright information

© Springer 2009

Authors and Affiliations

  • P. B. F. Mensink
    • 1
  • M. J. Groenen
    • 1
  • H. R. van Buuren
    • 1
  • E. J. Kuipers
    • 1
  • C. J. van der Woude
    • 1
  1. 1.Department of Gastroenterology and HepatologyErasmus MC University Medical CenterRotterdamThe Netherlands

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