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ORIGINAL RESEARCH article

Front. Med.

Sec. Gastroenterology

Volume 12 - 2025 | doi: 10.3389/fmed.2025.1612974

Risk Factors of Incomplete Balloon-Assisted Enteroscopy With An Analysis of 943 Patients: A Retrospective Study

Provisionally accepted
Jun  LiuJun LiuMeng  WanMeng WanPeng  WangPeng WangJing  GuoJing GuoYanbo  YuYanbo YuXiuli  ZuoXiuli Zuo*
  • Qilu Hospital, Shandong University, Jinan, China

The final, formatted version of the article will be published soon.

Background: Balloon-assisted enteroscopy (BAE) plays an important role in the diagnosis and therapy of small bowel diseases. Complete enteroscopy is considered an objective quality indicator of enteroscopy. However, there are limited studies on the factors associated with complete BAE. This study aimed to determine the factors affecting complete BAE.All adult patients with indications for BAE were investigated at a tertiary medical center from January 2019 to December 2022. Their medical records and BAE procedure-associated data were reviewed and analyzed. Risk factors of incomplete enteroscopy were investigated using univariate analysis and multivariable logistic regression analysis.A total of 943 patients meeting the eligibility criteria were analyzed. Among these, 558 patients achieved complete enteroscopy. In multivariable logistic regression analysis, single-balloon enteroscopy (SBE) [odds ratio (OR) = 2.35, 95% confidence 2 interval (CI): 1.79-3.09, P < 0.001], male sex (OR = 1.62, 95% CI: 1.22-2.15, P = 0.001), intestinal surgery (OR = 2.26, 95% CI: 1.79-3.09, P = 0.003), and body mass index (BMI) ≥ 28 kg/m 2 (OR = 1.20, 95% CI: 1.07-1.34, P = 0.002) were independent predictors of incomplete enteroscopy.This retrospective study identified SBE, male sex, intestinal surgery, and BMI ≥ 28 kg/m 2 as independent risk factors for incomplete enteroscopy.

Keywords: Complete enteroscopy, Risk factors, Balloon-assisted enteroscopy, Double-Balloon Enteroscopy, Single-balloon enteroscopy

Received: 16 Apr 2025; Accepted: 18 Jun 2025.

Copyright: © 2025 Liu, Wan, Wang, Guo, Yu and Zuo. This is an open-access article distributed under the terms of the Creative Commons Attribution License (CC BY). The use, distribution or reproduction in other forums is permitted, provided the original author(s) or licensor are credited and that the original publication in this journal is cited, in accordance with accepted academic practice. No use, distribution or reproduction is permitted which does not comply with these terms.

* Correspondence: Xiuli Zuo, Qilu Hospital, Shandong University, Jinan, China

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