Document Detail


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
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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.
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