{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2024,8,20]],"date-time":"2024-08-20T07:15:47Z","timestamp":1724138147724},"reference-count":0,"publisher":"Georg Thieme Verlag KG","issue":"08","license":[{"start":{"date-parts":[[2020,7,21]],"date-time":"2020-07-21T00:00:00Z","timestamp":1595289600000},"content-version":"vor","delay-in-days":0,"URL":"https:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Endosc Int Open"],"published-print":{"date-parts":[[2020,8]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:p>\n          Objective and study aims\u2002Patients with left-ventricular assist devices (LVADs) have an increased risk of gastrointestinal bleeding, especially from the small bowel, often necessitating evaluation with balloon-assisted enteroscopy (BAE). Our study aimed to assess the periprocedural safety and utility of BAE for gastrointestinal bleeding in patients with LVADs.<\/jats:p><jats:p>\n          Patients and methods\u2002This was a multicenter retrospective cohort study of adults with LVADs who underwent BAE between January 2007 to December 2018.<\/jats:p><jats:p>\n          Results\u2002Thirty-four patients underwent a total of 46 BAEs (9 were single-balloon enteroscopies [SBEs] and 37 were double-balloon enteroscopies [DBEs]). Mean age of patients was 66.4\u200a\u00b1\u200a8.3 years. Patients tolerated anesthesia well, without complications. There were no complications from the BAE itself. One patient required repeat BAE due to a progressive drop in hemoglobin and another patient developed paroxysmal supraventricular tachycardia. One patient died within 72 hours of the procedure due to worsening of LVAD\u200athrombosis. Diagnostic yields were 69.6\u200a% for all procedures, 73.0\u200a% for DBE and 55.6\u200a% for SBE (P\u200a=\u200a0.309). Therapeutic yields were 67.4\u200a% overall: 73.0\u200a% for DBE and 44.4\u200a% for SBE (P\u200a=\u200a0.102). In those that presented with overt gastrointestinal bleeding, DBE had a higher diagnostic yield compared to SBE (84.2\u200a% vs. 42.9\u200a%; P\u200a=\u200a0.057) and a significantly higher therapeutic yield (84.2\u200a% vs. 28.6\u200a%; p\u200a=\u200a0.014).<\/jats:p><jats:p>\n          Conclusions\u2002This is the largest multicenter study of patients with LVADs who underwent DBE. BAE appears to be a safe and useful modality for the evaluation of gastrointestinal bleeding in these patients.<\/jats:p>","DOI":"10.1055\/a-1181-8340","type":"journal-article","created":{"date-parts":[[2020,7,21]],"date-time":"2020-07-21T22:31:05Z","timestamp":1595370665000},"page":"E1002-E1008","source":"Crossref","is-referenced-by-count":3,"title":["Utility and safety of balloon-assisted enteroscopy in patients with left ventricular assist devices: a retrospective multicenter study"],"prefix":"10.1055","volume":"08","author":[{"given":"Badar M.","family":"Hasan","sequence":"additional","affiliation":[{"name":"Department of Gastroenterology, Cleveland Clinic Florida, Weston, Florida, United States"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Charles","family":"McMahon","sequence":"additional","affiliation":[{"name":"Department of Internal Medicine, Division of Gastroenterology, Loyola University Medical Center, Chicago, Illinois, United States"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Rumman A.","family":"Khalid","sequence":"additional","affiliation":[{"name":"Department of Gastroenterology, Cleveland Clinic Florida, Weston, Florida, United States"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Yasar","family":"Colak","sequence":"additional","affiliation":[{"name":"Department of Gastroenterology, Cleveland Clinic Florida, Weston, Florida, United States"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Daniel C.","family":"Mayorga","sequence":"additional","affiliation":[{"name":"Department of Gastroenterology, Cleveland Clinic Florida, Weston, Florida, United States"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Ahmed","family":"Elkafrawy","sequence":"additional","affiliation":[{"name":"Department of Gastroenterology and Hepatology, Saint Luke\u02bcs Hospital of Kansas City\/University of Missouri Kansas City (UMKC), Missouri, United States"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Kanwarpreet","family":"Tandon","sequence":"additional","affiliation":[{"name":"Department of Gastroenterology, Cleveland Clinic Florida, Weston, Florida, United States"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Muhammad","family":"Shafiq","sequence":"additional","affiliation":[{"name":"Department of Internal Medicine, The University of Kansas Medical Center, Kansas City, Kansas, United States"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Ishtiaq","family":"Hussain","sequence":"additional","affiliation":[{"name":"Department of Gastroenterology, Cleveland Clinic Florida, Weston, Florida, United States"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Tolga","family":"Erim","sequence":"additional","affiliation":[{"name":"Department of Gastroenterology, Cleveland Clinic Florida, Weston, Florida, United States"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Fernando","family":"Castro","sequence":"additional","affiliation":[{"name":"Department of Gastroenterology, Cleveland Clinic Florida, Weston, Florida, United States"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Roger","family":"Charles","sequence":"additional","affiliation":[{"name":"Department of Gastroenterology, Cleveland Clinic Florida, Weston, Florida, United States"}],"role":[{"role":"author","vocabulary":"crossref"}]},{"given":"Rajiv","family":"Chhabra","sequence":"additional","affiliation":[{"name":"Department of Gastroenterology and Hepatology, Saint Luke\u02bcs Hospital of Kansas City\/University of Missouri Kansas City (UMKC), Missouri, United States"}],"role":[{"role":"author","vocabulary":"crossref"}]}],"member":"194","published-online":{"date-parts":[[2020,7,21]]},"container-title":["Endoscopy International Open"],"original-title":[],"language":"en","link":[{"URL":"http:\/\/www.thieme-connect.de\/products\/ejournals\/pdf\/10.1055\/a-1181-8340.pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2020,7,21]],"date-time":"2020-07-21T22:31:08Z","timestamp":1595370668000},"score":1,"resource":{"primary":{"URL":"http:\/\/www.thieme-connect.de\/DOI\/DOI?10.1055\/a-1181-8340"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2020,7,21]]},"references-count":0,"journal-issue":{"issue":"08","published-online":{"date-parts":[[2020,7,21]]},"published-print":{"date-parts":[[2020,8]]}},"URL":"https:\/\/doi.org\/10.1055\/a-1181-8340","relation":{},"ISSN":["2364-3722","2196-9736"],"issn-type":[{"value":"2364-3722","type":"print"},{"value":"2196-9736","type":"electronic"}],"subject":[],"published":{"date-parts":[[2020,7,21]]}}}