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Volume 15
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10.3390/diagnostics15030336
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Article

Effectiveness of Double Balloon Enteroscopy in the Diagnosis and Treatment of Small Bowel Varices

by
Suleyman Dolu
1,*,
Mehmet Emin Arayici
2,
Soner Onem
3,
Ilker Buyuktorun
1,
Huseyin Dongelli
4,
Goksel Bengi
1 and
Mesut Akarsu
5
1
Department of Gastroenterology, Faculty of Medicine, Dokuz Eylül University, Izmir 35340, Turkey
2
Department of Biostatistics and Medical Informatics, Faculty of Medicine, Dokuz Eylül University, Izmir 35340, Turkey
3
Department of Gastroenterology, Samsun Training and Research Hospital, Samsun 55090, Turkey
4
Department of Internal Medicine, Faculty of Medicine, Dokuz Eylül University, Izmir 35340, Turkey
5
Private Gastroenterology Clinic, Izmir 35535, Turkey
*
Author to whom correspondence should be addressed.
Diagnostics 2025, 15(3), 336; https://doi.org/10.3390/diagnostics15030336
Submission received: 31 December 2024 / Revised: 28 January 2025 / Accepted: 30 January 2025 / Published: 31 January 2025
(This article belongs to the Special Issue Endoscopy in Diagnosis of Gastrointestinal Disorders—2nd Edition)
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Abstract

Background/Aims: Double balloon enteroscopy (DBE) is an innovative method for the diagnosis and management of small bowel (SB) diseases. SB varices are rare disorders, and their diagnosis and treatment can be challenging for clinicians. This study evaluates the use of double balloon enteroscopy (DBE) in diagnosing and treating small bowel varices. Materials and Methods: SB varices were detected in 28 out of 900 double balloon enteroscopy procedures over an 18-year period. Eleven cases of SB varices of various etiologies, diagnosed via DBE, are described. The characteristics of SB varices and endoscopic procedural details were evaluated. Results: A retrospective investigation of 750 patients identified eleven patients (eight males and three females; median age 59 years, range 40–80 years) with small bowel varices. The most common site of SB varices was the jejunum. At least one abdominopelvic surgical procedure had been previously performed on five patients. Endotherapy by DBE was administered to nine patients (seven emergent and two prophylactic). Post-endotherapy, three patients experienced bleeding that required re-endotherapy. Endoscopic therapy for small bowel varices included injection sclerotherapy in eight cases (six with cyanoacrylate and two with polidocanol) and injection sclerotherapy plus hemoclipping in one case. Conclusions: SB varices can present a diagnostic challenge for clinicians. DBE is a valuable tool for both the diagnosis and management of small bowel varices.
Keywords: double balloon enteroscopy; small bowel; ectopic varices; endotherapy; diagnosis double balloon enteroscopy; small bowel; ectopic varices; endotherapy; diagnosis

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MDPI and ACS Style

Dolu, S.; Arayici, M.E.; Onem, S.; Buyuktorun, I.; Dongelli, H.; Bengi, G.; Akarsu, M. Effectiveness of Double Balloon Enteroscopy in the Diagnosis and Treatment of Small Bowel Varices. Diagnostics 2025, 15, 336. https://doi.org/10.3390/diagnostics15030336

AMA Style

Dolu S, Arayici ME, Onem S, Buyuktorun I, Dongelli H, Bengi G, Akarsu M. Effectiveness of Double Balloon Enteroscopy in the Diagnosis and Treatment of Small Bowel Varices. Diagnostics. 2025; 15(3):336. https://doi.org/10.3390/diagnostics15030336

Chicago/Turabian Style

Dolu, Suleyman, Mehmet Emin Arayici, Soner Onem, Ilker Buyuktorun, Huseyin Dongelli, Goksel Bengi, and Mesut Akarsu. 2025. "Effectiveness of Double Balloon Enteroscopy in the Diagnosis and Treatment of Small Bowel Varices" Diagnostics 15, no. 3: 336. https://doi.org/10.3390/diagnostics15030336

APA Style

Dolu, S., Arayici, M. E., Onem, S., Buyuktorun, I., Dongelli, H., Bengi, G., & Akarsu, M. (2025). Effectiveness of Double Balloon Enteroscopy in the Diagnosis and Treatment of Small Bowel Varices. Diagnostics, 15(3), 336. https://doi.org/10.3390/diagnostics15030336

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