title: Double balloon enteroscopy: A 7-year experience at a tertiary care Centre.
abstract: BACKGROUND
  Double Balloon Enteroscopy (DBE) provides the opportunity not only to investigate but also apply endoscopic therapeutic interventions for small intestinal disturbances. The aim of this study is to assess the indications, diagnosis, therapeutic interventions, complications and safety in clinical practise of DBE procedures that have been performed in our clinic.
  
  
  METHODS
  The data of patients who had undergone DBE procedure in our clinic between October 2007 and December 2014 were retrospectively investigated. All features including indications, findings, histopathological results, applied interventions and complications due to procedure were noted.
  
  
  RESULTS
  A total of 297 patients, 160 (53,9%) male and 137 (46,1%) female were enrolled in the study. Total number of procedures for these 297 patients were 372 [256 (68,8%) oral and 116 (31,2%) anal]. Mean age of the patients was 46,9 (14-94) years. The most common indications were; obscure gastrointestinal (GI) bleeding (28,3%), iron deficiency anaemia (17,5% ) and abnormal findings in a prior imaging study (13,8%), respectively. The rate of new diagnosis with DBE was 11.8%, where the rate for confirmation of a possible diagnosis was 16.2%, rate of endoscopic treatment with definite diagnosis was 11%, rate for ruling out possible diagnosis or showing normal findings was 34.7% and rate for insufficient or unsuccessful procedures was 26.3%. Ulcers, inflammation and erosions (13%), polyposis syndromes (9.8%) and vascular pathologies (7.4%) were the most common endoscopic findings.
  
  
  CONCLUSIONS
  Our study shows that DBE has high efficacy for diagnosis and ability to perform treatment of small intestinal disturbances with safety.
authors.affiliation: Turkiye Yuksek Ihtisas Education and Research Hospital, Department of Gastroenterology, M.D.
authors.forename: Selçuk
authors.initials: S
authors.lastname: Dişibeyaz
authors.affiliation: Turkiye Yuksek Ihtisas Education and Research Hospital, Department of Gastroenterology, M.D.
authors.forename: Nuretdin
authors.initials: N
authors.lastname: Suna
authors.affiliation: Turkiye Yuksek Ihtisas Education and Research Hospital, Department of Gastroenterology, M.D.. Electronic address: ubarisk@gmail.com.
authors.forename: Ufuk Barış
authors.initials: UB
authors.lastname: Kuzu
authors.affiliation: Turkiye Yuksek Ihtisas Education and Research Hospital, Department of Gastroenterology, M.D.
authors.forename: Fatih
authors.initials: F
authors.lastname: Saygılı
authors.affiliation: Turkiye Yuksek Ihtisas Education and Research Hospital, Department of Gastroenterology, M.D.
authors.forename: Erkin
authors.initials: E
authors.lastname: Öztaş
authors.affiliation: Turkiye Yuksek Ihtisas Education and Research Hospital, Department of Gastroenterology, M.D.
authors.forename: Bülent
authors.initials: B
authors.lastname: Ödemiş
authors.affiliation: Turkiye Yuksek Ihtisas Education and Research Hospital, Department of Gastroenterology, M.D.
authors.forename: İbrahim Koral
authors.initials: İK
authors.lastname: Önal
authors.affiliation: Turkiye Yuksek Ihtisas Education and Research Hospital, Department of Gastroenterology, M.D.
authors.forename: Zeki Mesut Yalın
authors.initials: ZM
authors.lastname: Kılıç
authors.affiliation: Turkiye Yuksek Ihtisas Education and Research Hospital, Department of Gastroenterology, M.D.
authors.forename: Meral
authors.initials: M
authors.lastname: Akdoğan
authors.affiliation: Turkiye Yuksek Ihtisas Education and Research Hospital, Department of Gastroenterology, M.D.
authors.forename: Ertuğrul
authors.initials: E
authors.lastname: Kayaçetin
mesh_terms: D000293:Adolescent; D000328:Adult; D000368:Aged; D000369:Aged, 80 and over; D018798:Anemia, Iron-Deficiency / Q000000981:diagnostic imaging / Q000453:epidemiology*; D058582:Double-Balloon Enteroscopy; D005260:Female; D006471:Gastrointestinal Hemorrhage / Q000000981:diagnostic imaging / Q000453:epidemiology*; D006801:Humans; D007421:Intestine, Small / Q000473:pathology*; D008297:Male; D008875:Middle Aged; D012189:Retrospective Studies; D062606:Tertiary Care Centers; D014421:Turkey; D055815:Young Adult
keywords: Diagnosis and treatment; Double balloon enteroscopy; Small bowel