TY - JOUR AU - Al-Bawardy, Badr; Piovezani Ramos, Guilherme; Lennon, Ryan J.; Gorospe, Emmanuel; Wong Kee Song, Louis M.; Bruining, David H.; Alexander, Jeffrey A.; Coelho-Prabhu, Nayantara; Fidler, Jeff L.; Rajan, Elizabeth TI - Outcomes of repeat balloon assisted enteroscopy in small-bowel bleeding SN - 2364-3722 SN - 2196-9736 PY - 2018 JO - Endosc Int Open JF - Endoscopy International Open LA - EN VL - 06 IS - 06 SP - E694 EP - E699 DA - 2018/05/25 AB - Background/aims The rate of recurrent small-bowel bleeding (SBB) remains high despite the advent of balloon assisted enteroscopy (BAE). The study aims were to determine: (1) the diagnostic and therapeutic yields, and adverse event rate of repeat BAE in SBB, and (2) the predictors of a positive repeat BAE.Methods A retrospective review of a BAE database was conducted. Patients who had > 1 BAE for SBB were included. Primary outcomes were diagnostic yield, therapeutic yield, and adverse events of repeat BAE. Secondary outcomes were predictors of a positive repeat BAE.Results A total of 175 patients (55 % men; mean age 64.1 ± 16.3 years) were included. The diagnostic and therapeutic yields of repeat BAE were 55 % and 42 %, respectively. Repeat BAE adverse events occurred in 5 % with self-limited abdominal pain being most common. Patients with a positive repeat BAE were significantly older than the negative group (68.6 ± 13.9 vs. 60.9 ± 17.1; P = 0.001) and were more likely to have cardiac comorbidities (OR 2.4, 95 %CI: 1.3 – 4.6; P = 0.01), chronic kidney disease (OR 2.3, 95 %CI: 1.1 – 4.9; P = 0.04), chronic obstructive pulmonary disease (OR 3.3, 95 %CI: 1.3 – 8.1; P = 0.01), positive initial BAE (OR 3.6, 95 %CI: 1.9 – 6.8; P < 0.001), and antegrade procedure (OR 3.3, 95 %CI: 1.7 – 6.1; P < 0.001). On multivariate analysis, a positive initial BAE and antegrade route were the only significant predictive factors.Conclusions Performing a repeat BAE for SBB appears safe and provided modest yields. A positive initial BAE and antegrade route were predictive of a positive repeat BAE. PB - © Georg Thieme Verlag KG DO - 10.1055/a-0599-6085 UR - http://www.thieme-connect.com/products/ejournals/abstract/10.1055/a-0599-6085 ER -