Research Article
Balloon-Assisted Enteroscopy for Retrieval of Small Intestinal Foreign Bodies: A KASID Multicenter Study
Table 1
Clinical characteristics according to foreign body retrieval results using balloon-assisted enteroscopy.
| | Variables | Retrieval success
() | Retrieval failure
() | Total
() |
| | Age (yr), median (range) | 62 (32-92) | 55 (19-86) | 57 (19-92) | | Male ( (%)) | 11 (64.7%) | 12 (70.6%) | 23 (67.6%) | | Presence of small bowel-involved disease ( (%)) | | | | | Crohn’s disease | 3 (17.6%) | 5 (29.4%) | 8 (23.5%) | | Small-bowel malignancy | 2 (11.8%) | 2 (11.8%) | 4 (11.8%) | | NSAID-induced enteropathy | 1 (5.9%) | 2 (11.8%) | 3 (8.8%) | | Previous abdominal surgery ( (%)) | 7 (41.2%) | 9 (52.9%) | 16 (47.1%) | | Roux-en-Y hepaticojejunostomy | 1 (5.9%) | 1 (5.9%) | 2 (5.9%) | | Pylorus-preserving Whipple | 1 (5.9%) | 2 (11.8%) | 3 (8.8%) | | Total gastrectomy with esophagojejunostomy | 1 (5.9%) | 1 (5.9%) | 2 (5.9%) | | Right hemicolectomy | 2 (11.8%) | 0 | 2 (5.9%) | | Appendectomy | 0 | 2 (11.8%) | 2 (5.9%) | | Small-bowel resection and anastomosis | 0 | 2 (11.8%) | 2 (5.9%) | | Hepatectomy, cholecystojejunal anastomosis | 0 | 1 (5.9%) | 1 (2.9%) | | Nephrectomy | 1 (5.9%) | 0 | 1 (2.9%) | | Cholecystectomy | 1 (5.9%) | 0 | 1 (2.9%) | | Retained material ( (%)) | | | | | Capsule endoscope | 7 (41.2%) | 11 (64.7%) | 18 (52.9%) | | Self-expandable metal stent | 3 (17.6%) | 2 (11.8%) | 5 (14.7%) | | Biliary drainage catheter | 3 (17.6%) | 1 (5.9%) | 4 (11.8%) | | Gallstone | 2 (11.8%) | 1 (5.9%) | 3 (8.8%) | | Embolization coil | 0 | 1 (5.9%) | 1 (2.9%) | | Needle | 1 (5.9%) | 0 | 1 (2.9%) | | Razor blade | 0 | 1 (5.9%) | 1 (2.9%) | | Intragastric bariatric balloon | 1 (5.9%) | 0 | 1 (2.9%) | | Size of retained material (mm), median (range) | | | | | Length | 26 (10-120) | 26 (20-220) | 26 (10-220) | | Diameter | 11 (1-50) | 11 (1-20) | 11 (1-50) | | Duration of retention (days), median (range) | 8 (1-23) | 15 (0-364) | 10 (0-364) | | Presence of symptoms ( (%)) | 14 (82.4%) | 6 (35.3%) | 20 (58.8%) | | Presence of obstructive sign ( (%)) | 8 (47.1%) | 2 (11.8%) | 10 (29.4%) | | Location ( (%)) | | | | | Jejunum | 11 (64.7%) | 5 (29.4%) | 16 (47.1%) | | Ileum | 6 (35.3%) | 11 (64.7%) | 17 (50.0%) | | Indeterminate | 0 | 1 (5.9%) | 1 (2.9%) | | Route of enteroscopy ( (%)) | | | | | Anterograde | 13 (76.5%) | 8 (47.1%) | 21 (61.8%) | | Retrograde | 3 (17.6%) | 7 (41.2%) | 10 (29.4%) | | Bidirectional | 1 (5.9%) | 2 (11.8%) | 3 (8.8%) | | Types of enteroscopy ( (%)) | | | | | Double-balloon | 12 (70.6%) | 14 (82.4%) | 26 (76.5%) | | Single-balloon | 5 (29.4%) | 3 (17.6%) | 8 (23.5%) | | Procedure time (minutes), median (range) | 70 (20-250) | 83 (29-234) | 75 (20-250) | | Balloon dilation ( (%)) | 2 (11.8%) | 4 (23.5%) | 6 (17.6%) | | Procedure-related complications ( (%)) | 0 | 2 (11.8%) | 2 (5.9%) | | Perforation | 0 | 1 (5.9%) | 1 (2.9%) | | Pancreatitis | 0 | 1 (5.9%) | 1 (2.9%) |
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BAE: balloon-assisted enteroscopy; NSAID: nonsteroidal anti-inflammatory drug.
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