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首页> 外文期刊>Gut and Liver >Comparison of the Efficacy and Safety of Single- versus Double-Balloon Enteroscopy Performed by Endoscopist Experts in Single-Balloon Enteroscopy: A Single-Center Experience and Meta-Analysis
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Comparison of the Efficacy and Safety of Single- versus Double-Balloon Enteroscopy Performed by Endoscopist Experts in Single-Balloon Enteroscopy: A Single-Center Experience and Meta-Analysis

机译：内镜专家在单气囊肠镜检查中对单气囊和双气囊肠镜的有效性和安全性进行比较：单中心经验和荟萃分析

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Background/Aims Studies concerning the efficacy and safety of single-balloon enteroscopy (SBE) compared with that of double-balloon enteroscopy (DBE) often appear to be conflicting. However, previous studies were performed by endoscopists who were less experienced in SBE compared with DBE. Methods We performed a retrospective analysis of SBE and DBE data performed by a single enteroscopist, with expertise in SBE, using a prospective balloon-assisted enteroscopy registry from 2013 to 2015. Furthermore, we performed a comprehensive literature search and meta-analysis of available studies, including the current study, to clarify the efficacy and safety of SBE versus DBE. Results A total of 65 procedures in 44 patients with SBE and 74 procedures in 69 patients with DBE were analyzed. There were no significant differences in diagnostic yield (61.1% vs 77.3%, respectively, p=0.397), therapeutic yield (39.1% vs 31.8%, respectively, p=0.548), and complication rate (4.4% vs 2.3%, p=1.000). In the meta-analysis, which included four randomized controlled trials and three observational studies, there were no significant differences in the pooled relative risk and odds ratio for diagnostic and therapeutic yield and complications of SBE compared with those of DBE. Conclusions The performance of SBE appears to be similar to that of DBE in terms of diagnostic and therapeutic yield and complications.
机译：背景/目的有关单气囊肠镜（SBE）与双气囊肠镜（DBE）的功效和安全性的研究通常似乎相互矛盾。但是，以前的研究是由内镜医师进行的，与DBE相比，他们对SBE的经验较少。方法我们采用前瞻性球囊辅助肠镜登记系统，对2013年至2015年由一名具有SBE专业知识的肠镜专家进行的SBE和DBE数据进行回顾性分析。此外，我们对现有研究进行了全面的文献检索和荟萃分析，包括当前的研究，以阐明SBE与DBE的疗效和安全性。结果分析了44例SBE患者中的65例手术和69例DBE患者中的74例手术。诊断产率（分别为61.1％和77.3％，p = 0.397），治疗产率（分别为39.1％和31.8％，p = 0.548）和并发症发生率（4.4％和2.3％，p = 1.000）。在荟萃分析中，包括四项随机对照试验和三项观察性研究，与DBE相比，SBE的诊断和治疗产率及并发症的相对危险度和比值比的总和无显着差异。结论SBE的诊断和治疗效果及并发症方面与DBE相似。

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