title: Small bowel polypectomy by double balloon enteroscopy: Correlation with prior capsule endoscopy.
abstract: OBJECTIVE
  To investigate the feasibility of small bowel polypectomy using double balloon enteroscopy and to evaluate the correlation with capsule endoscopy (CE).
  
  
  METHODS
  This is a retrospective review of a single tertiary hospital. Twenty-five patients treated by enteroscopy for small bowel polyps diagnosed by CE or other imaging techniques were included. The correlation between CE and enteroscopy (correlation coefficient of Kendall for the number of polyps, intra-class coefficient for the size and coefficient of correlation kappa for the location) was evaluated.
  
  
  RESULTS
  There were 31 polypectomies and 12 endoscopic mucosal resections with limited morbidity and no mortality. Histological analysis revealed 27 hamartomas, 6 adenomas and 3 lipomas. Strong agreement between CE and optical enteroscopy was observed for both location (Kappa value: 0.90) and polyp size (Kappa value: 0.76), but only moderate agreement was found for the number of polyps (Kendall value: 0.47).
  
  
  CONCLUSIONS
  Double balloon enteroscopy is safe for performing polypectomy. Previous CE is useful in selecting the endoscopic approach and to predicting the difficulty of the procedure.
authors.affiliation: Gabriel Rahmi, Elia Samaha, Camille Lorenceau-Savale, Bruno Landi, Joël Edery, Thibault Manière, Jean-Marc Canard, Georgia Malamut, Christophe Cellier, Department of Gastroenterology and Endoscopy, University Rene-Descartes, Georges Pompidou European Hospital, 75015 Paris, France.
authors.forename: Gabriel
authors.initials: G
authors.lastname: Rahmi
authors.forename: Elia
authors.initials: E
authors.lastname: Samaha
authors.forename: Camille
authors.initials: C
authors.lastname: Lorenceau-Savale
authors.forename: Bruno
authors.initials: B
authors.lastname: Landi
authors.forename: Joël
authors.initials: J
authors.lastname: Edery
authors.forename: Thibault
authors.initials: T
authors.lastname: Manière
authors.forename: Jean-Marc
authors.initials: JM
authors.lastname: Canard
authors.forename: Georgia
authors.initials: G
authors.lastname: Malamut
authors.forename: Gilles
authors.initials: G
authors.lastname: Chatellier
authors.forename: Christophe
authors.initials: C
authors.lastname: Cellier
keywords: Capsule endoscopy; Correlation; Double balloon enteroscopy; Polypectomy; Small bowel polyps