| Capsule endoscopy changes patient management in routine clinical practice. | |
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MedLine Citation:
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PMID: 17357836 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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Our objective was to evaluate the diagnostic yield and effect of capsule endoscopy on patient management in routine clinical practice. Three hundred examinations were performed (176 females; mean age, 51 years), with a median follow-up of 17 months. Indications included overt bleeding (n=55), anemia (n=104), suspected Crohn's disease (n=68), celiac disease (n=35), suspected functional symptoms (n=23), polyposis (n=5), and miscellaneous (n=10). The overall diagnostic yield was 39%, but it was notably higher in overt bleeders, 66%, compared to 46% in the anemia group (P<0.025), 32% in the suspected Crohn's group (P<0.001), and 17% in the functional group (P<0.001). As a result of capsule endoscopy, management was altered in 26% of patients. This study shows that capsule endoscopy has both a high diagnostic yield and an impact on subsequent patient management. These data further support the role of capsule endoscopy in routine clinical practice. |
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Authors:
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Reena Sidhu; David S Sanders; Kapil Kapur; David P Hurlstone; Mark E McAlindon |
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Publication Detail:
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Type: Evaluation Studies; Journal Article Date: 2007-03-15 |
Journal Detail:
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Title: Digestive diseases and sciences Volume: 52 ISSN: 0163-2116 ISO Abbreviation: Dig. Dis. Sci. Publication Date: 2007 May |
Date Detail:
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Created Date: 2007-04-18 Completed Date: 2007-06-22 Revised Date: - |
Medline Journal Info:
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Nlm Unique ID: 7902782 Medline TA: Dig Dis Sci Country: United States |
Other Details:
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Languages: eng Pagination: 1382-6 Citation Subset: AIM; IM |
Affiliation:
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Gastroenterology & Liver Unit, Royal Hallamshire Hospital, Glossop Road, Sheffield, S10 2JF, United Kingdom. reena_sidhu@yahoo.com |
Export Citation:
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| MeSH Terms | |
Descriptor/Qualifier:
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Adolescent Adult Aged Aged, 80 and over Anemia / diagnosis*, therapy Capsule Endoscopy* / adverse effects Celiac Disease / diagnosis*, therapy Child Crohn Disease / diagnosis*, therapy Female Follow-Up Studies Gastrointestinal Hemorrhage / diagnosis*, therapy Gastrointestinal Neoplasms / diagnosis*, therapy Humans Intestinal Polyposis / diagnosis*, therapy Male Middle Aged Predictive Value of Tests Prospective Studies |
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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