Obscure_GI_Bleed_不明原因消化道出血.pptVIP

Superior yield to other diagnostic modalities in both active and inactive obscure GI bleeds Study Sens (%) Spec (%) PPV (%) NPV (%) Pennazio 2004, Gastroenterol 88.9 95 97 82.6 Hartmann 2005, GIE 95 75 95 86 * Marmo, APT 2005, Triester, AJG 2005, Saperas AJG 2007 Double Balloon Enteroscopy Double Balloon Enteroscopy (DBE) 1st described in 2001 200-cm enteroscope 140-cm overtube Double Balloon Enteroscopy (DBE) Antegrade approach:mean distance ? 240 +/- 100 cm mean time ? 72.5 +/- 23 min Retrograde approach:mean distance ? 140 +/- 90 cm mean time ? 75 +/- 28 min How Effectiv