| Changes over Time in Indications, Diagnostic Yield, and Clinical Effects of Double-Balloon Enteroscopy. | |
| | |
MedLine Citation:
|
PMID: 22801056 Owner: NLM Status: Publisher |
Abstract/OtherAbstract:
|
BACKGROUND & AIM: We performed a retrospective study to investigate changes, between different time periods, in the indications, diagnostic yield, and clinical impact of double-balloon enteroscopy (DBE). METHODS: We analyzed records from the database at Soonchunhyang University College of Medicine from all patients undergoing DBE between September 2004 and May 2011(181 DBEs, 133 patients). We compared DBE-related factors between the first (September 2004 to August 2006; 117 DBEs, 79 patients) and second stage (September 2006 to May 2011; 64 DBEs, 54 patients) of the study period. RESULTS: The number of DBEs performed decreased between stages. Obscure gastrointestinal bleeding (OGIB) was the most common indication for DBE during each stage (65.8% vs 50%; P =.06). Abnormalities in other modalities as the second indication increased significantly in the second stage compared to the first (11.4% vs 29.6%; P =.008). Between stages, use of computed tomography increased (53.8% vs 81.5%; P =.001) along with capsule endoscopy (29.1% vs 44.4%; P =.06). Mucosal lesions were the most common finding in each stage (56% and 53.1%; P =.686). The diagnostic yield of DBE was 89.3% in the first stage and 93.9% in the second (P =.384). In the first stage, DBE identified 86.4% of cases that had negative results from other modalities; in the second, it identified all cases (P =.3). Therapeutic plans were determined in 89.7% of patients based only on results from DBE. CONCLUSION: Between the time periods of 2004-2006 and 2006-2011, the clinical indications for DBEs and outcomes did not change. However the selectivity of the number of patients decreased between stages. |
| | |
Authors:
|
Seong Ran Jeon; Jin-Oh Kim; Hyun Gun Kim; Tae Hee Lee; Wan Jung Kim; Bong Min Ko; Joo Young Cho; Joon Seong Lee; Moon Sung Lee |
Related Documents
:
|
16336526 - Ultrasonographical evaluation of the achilles' tendon in psoriasis patients. 393036 - Topical methoxsalen photochemotherapy in the treatment of palmoplantar pustulosis and p... 22638876 - Nonaneurysmal subarachnoid hemorrhage: an update. 7908486 - Cutaneous vasculitis in psoriasis. 3354936 - Sitting oral-tracheal intubation. 6840166 - A naturalistic study of hypertension in a rural u.k. community. 2 years results. |
Publication Detail:
|
Type: JOURNAL ARTICLE Date: 2012-7-13 |
Journal Detail:
|
Title: Clinical gastroenterology and hepatology : the official clinical practice journal of the American Gastroenterological Association Volume: - ISSN: 1542-7714 ISO Abbreviation: - Publication Date: 2012 Jul |
Date Detail:
|
Created Date: 2012-7-17 Completed Date: - Revised Date: - |
Medline Journal Info:
|
Nlm Unique ID: 101160775 Medline TA: Clin Gastroenterol Hepatol Country: - |
Other Details:
|
Languages: ENG Pagination: - Citation Subset: - |
Copyright Information:
|
Copyright © 2012 AGA Institute. Published by Elsevier Inc. All rights reserved. |
Export Citation:
|
APA/MLA Format Download EndNote Download BibTex |
| MeSH Terms | |
Descriptor/Qualifier:
|
|
From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
Previous Document: Depressive symptoms enhance loss-minimization, but attenuate gain-maximization in history-dependent ...
Next Document: Patients with celiac disease have an increased risk for pancreatitis.