title: Open-Access Single Balloon Enteroscopy: A Tertiary Care Experience.
abstract: OBJECTIVE
  To compare single balloon enteroscopy (SBE) between patients seen in consultation by a member of our gastroenterology team with those performed as open-access cases.
  
  
  METHODS
  Retrospective study of all patients who underwent SBE at a single tertiary care center from April 2008 to January 2012. Open- and closed-access procedures were compared in terms of diagnostic and therapeutic yield, adverse events, and procedural success.
  
  
  RESULTS
  A total of 125 SBEs were performed on 125 patients. The mean age was 63.1 (53% men) years. In all, 43 procedures were performed open access and 82 after face-to-face consultation. Indications included anemia/gastrointestinal bleeding (110), abdominal pain (8), and other (7). Diagnostic yield for open- and closed-access procedures was 53% and 60%, respectively (P = 0.501) and therapeutic yield was 37% and 52%, respectively (P = 0.11). Overall technical success was 91% with no difference between the groups (P = 0.27). There were no major adverse events in either group.
  
  
  CONCLUSIONS
  SBE can be performed as an open-access procedure without compromise to safety or diagnostic yield.
authors.affiliation: From the Division of Gastroenterology and Hepatology and the Department of Public Health Science, Medical University of South Carolina, Charleston.
authors.forename: Nathan
authors.initials: N
authors.lastname: Holman
authors.affiliation: From the Division of Gastroenterology and Hepatology and the Department of Public Health Science, Medical University of South Carolina, Charleston.
authors.forename: Kristin
authors.initials: K
authors.lastname: Wallace
authors.affiliation: From the Division of Gastroenterology and Hepatology and the Department of Public Health Science, Medical University of South Carolina, Charleston.
authors.forename: J Matthew
authors.initials: JM
authors.lastname: Moore
authors.affiliation: From the Division of Gastroenterology and Hepatology and the Department of Public Health Science, Medical University of South Carolina, Charleston.
authors.forename: Andrew S
authors.initials: AS
authors.lastname: Brock
mesh_terms: D015746:Abdominal Pain / Q000175:diagnosis* / Q000209:etiology*; D000293:Adolescent; D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D016099:Endoscopy, Gastrointestinal; D005260:Female; D006471:Gastrointestinal Hemorrhage / Q000175:diagnosis* / Q000209:etiology*; D006801:Humans; D008297:Male; D008875:Middle Aged; D012017:Referral and Consultation; D012189:Retrospective Studies; D062606:Tertiary Care Centers; D055815:Young Adult