Utility of double-balloon enteroscopy in patients with left ventricular assist devices and obscure overt gastrointestinal bleeding

Adam L. Edwards; Klaus Mönkemüller; Salpy V. Pamboukian; James F. George; C. M. Wilcox; Shajan Peter

doi:10.1055/s-0034-1377512

Utility of double-balloon enteroscopy in patients with left ventricular assist devices and obscure overt gastrointestinal bleeding

Adam L. Edwards, Klaus Mönkemüller, Salpy V. Pamboukian, James F. George, C. M. Wilcox, Shajan Peter

Research output: Contribution to journal › Article › peer-review

13 Scopus citations

Abstract

Obscure overt gastrointestinal bleeding (OGIB) is a challenge in patients with left ventricular assist devices (LVADs). We evaluated the utility and safety of double-balloon enteroscopy (DBE) in patients with LVADs in an observational consecutive-patient cohort from a single tertiary referral center. Ten patients with LVADs underwent thirteen DBEs for obscure OGIB. The first OGIB event necessitating DBE occurred after a mean of 512â€Š±â€Š363 days of LVADâ€Šsupport. All patients underwent DBE, eleven anterograde and two retrograde, with a mean insertion depth 176â€Š±â€Š85â€Šcm. Diagnostic yield was 69â€Š% with the primary bleeding lesion most frequently found in the mid-bowel. The most common lesions were arteriovenous malformations. Therapeutic yield with argon plasma coagulation (APC), epinephrine injection, and/or hemoclip placement was 89â€Š%. There were no procedure-related complications. DBE in patients with LVADs has good diagnostic yield and high therapeutic yield for obscure OGIB and is safe and well tolerated.

Original language	English
Pages (from-to)	986-988
Number of pages	3
Journal	Endoscopy
Volume	46
Issue number	11
DOIs	https://doi.org/10.1055/s-0034-1377512
State	Published - 14 Jul 2014
Externally published	Yes

Access to Document

10.1055/s-0034-1377512

Cite this

@article{c1fb1567dcd046c6b8c4b92e7426b26b,

title = "Utility of double-balloon enteroscopy in patients with left ventricular assist devices and obscure overt gastrointestinal bleeding",

abstract = "Obscure overt gastrointestinal bleeding (OGIB) is a challenge in patients with left ventricular assist devices (LVADs). We evaluated the utility and safety of double-balloon enteroscopy (DBE) in patients with LVADs in an observational consecutive-patient cohort from a single tertiary referral center. Ten patients with LVADs underwent thirteen DBEs for obscure OGIB. The first OGIB event necessitating DBE occurred after a mean of 512{\^a}€{\v S}±{\^a}€{\v S}363 days of LVAD{\^a}€{\v S}support. All patients underwent DBE, eleven anterograde and two retrograde, with a mean insertion depth 176{\^a}€{\v S}±{\^a}€{\v S}85{\^a}€{\v S}cm. Diagnostic yield was 69{\^a}€{\v S}% with the primary bleeding lesion most frequently found in the mid-bowel. The most common lesions were arteriovenous malformations. Therapeutic yield with argon plasma coagulation (APC), epinephrine injection, and/or hemoclip placement was 89{\^a}€{\v S}%. There were no procedure-related complications. DBE in patients with LVADs has good diagnostic yield and high therapeutic yield for obscure OGIB and is safe and well tolerated.",

author = "Edwards, {Adam L.} and Klaus M{\"o}nkem{\"u}ller and Pamboukian, {Salpy V.} and George, {James F.} and Wilcox, {C. M.} and Shajan Peter",

note = "Publisher Copyright: {\textcopyright} Georg Thieme Verlag KG Stuttgart - New York.",

year = "2014",

month = jul,

day = "14",

doi = "10.1055/s-0034-1377512",

language = "English",

volume = "46",

pages = "986--988",

journal = "Endoscopy",

issn = "0013-726X",

publisher = "Georg Thieme Verlag",

number = "11",

}

TY - JOUR

T1 - Utility of double-balloon enteroscopy in patients with left ventricular assist devices and obscure overt gastrointestinal bleeding

AU - Edwards, Adam L.

AU - Mönkemüller, Klaus

AU - Pamboukian, Salpy V.

AU - George, James F.

AU - Wilcox, C. M.

AU - Peter, Shajan

N1 - Publisher Copyright: © Georg Thieme Verlag KG Stuttgart - New York.

PY - 2014/7/14

Y1 - 2014/7/14

N2 - Obscure overt gastrointestinal bleeding (OGIB) is a challenge in patients with left ventricular assist devices (LVADs). We evaluated the utility and safety of double-balloon enteroscopy (DBE) in patients with LVADs in an observational consecutive-patient cohort from a single tertiary referral center. Ten patients with LVADs underwent thirteen DBEs for obscure OGIB. The first OGIB event necessitating DBE occurred after a mean of 512â€Š±â€Š363 days of LVADâ€Šsupport. All patients underwent DBE, eleven anterograde and two retrograde, with a mean insertion depth 176â€Š±â€Š85â€Šcm. Diagnostic yield was 69â€Š% with the primary bleeding lesion most frequently found in the mid-bowel. The most common lesions were arteriovenous malformations. Therapeutic yield with argon plasma coagulation (APC), epinephrine injection, and/or hemoclip placement was 89â€Š%. There were no procedure-related complications. DBE in patients with LVADs has good diagnostic yield and high therapeutic yield for obscure OGIB and is safe and well tolerated.

AB - Obscure overt gastrointestinal bleeding (OGIB) is a challenge in patients with left ventricular assist devices (LVADs). We evaluated the utility and safety of double-balloon enteroscopy (DBE) in patients with LVADs in an observational consecutive-patient cohort from a single tertiary referral center. Ten patients with LVADs underwent thirteen DBEs for obscure OGIB. The first OGIB event necessitating DBE occurred after a mean of 512â€Š±â€Š363 days of LVADâ€Šsupport. All patients underwent DBE, eleven anterograde and two retrograde, with a mean insertion depth 176â€Š±â€Š85â€Šcm. Diagnostic yield was 69â€Š% with the primary bleeding lesion most frequently found in the mid-bowel. The most common lesions were arteriovenous malformations. Therapeutic yield with argon plasma coagulation (APC), epinephrine injection, and/or hemoclip placement was 89â€Š%. There were no procedure-related complications. DBE in patients with LVADs has good diagnostic yield and high therapeutic yield for obscure OGIB and is safe and well tolerated.

UR - http://www.scopus.com/inward/record.url?scp=84911913093&partnerID=8YFLogxK

U2 - 10.1055/s-0034-1377512

DO - 10.1055/s-0034-1377512

M3 - Article

C2 - 25290096

AN - SCOPUS:84911913093

SN - 0013-726X

VL - 46

SP - 986

EP - 988

JO - Endoscopy

JF - Endoscopy

IS - 11

ER -

Utility of double-balloon enteroscopy in patients with left ventricular assist devices and obscure overt gastrointestinal bleeding

Abstract

Access to Document

Fingerprint

Cite this