Document Detail


Clinical features predicting the detection of abnormalities by double balloon endoscopy in patients with suspected small bowel bleeding.
MedLine Citation:
PMID:  18086108     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
BACKGROUND AND AIM: Although double balloon endoscopy (DBE) has demonstrated a high diagnostic yield in suspected small bowel bleeding, it is not known whether DBE is of equal value to all patients with suspected small bowel bleeding or of greater benefit in selected subgroups. We aimed to determine whether any clinical features predict an increased likelihood of finding a lesion in patients with suspected small bowel bleeding. METHODS: We retrospectively analyzed clinical features of 43 consecutive patients (M : F = 26:17, age 13-82 years) who underwent DBE because of suspected small bowel bleeding. Data associated with DBE procedure were collected prospectively. Predictive factors for the detection of a lesion were determined by comparison of clinical features between patients with positive DBE findings and those with negative findings. RESULTS: Potential bleeding sources were discovered in 30 patients (69.8%) out of 43. Duration of bleeding was longer in patients with positive DBE findings than in those with negative findings (195 +/- 311 vs 18 +/- 17 days, P = 0.015). Number of bleeding episodes was higher in patients with positive DBE findings (2.2 +/- 1.2 vs 1.3 +/- 0.5, P = 0.011). The odds ratio for the detection of bleeding focus on DBE for patients with two or more bleeding episodes, relative to those with only one current bleeding episode was 5.67 (95% CI: 1.12-28.81, P = 0.036) in multivariate analysis. CONCLUSION: DBE may be the most useful in patients with suspected small bowel bleeding if they have a history of frequent bleeding episodes over a long period.
Authors:
Jeong-Sik Byeon; Jun-Won Chung; Kee Don Choi; Kwi-Sook Choi; Benjamin Kim; Seung-Jae Myung; Suk-Kyun Yang; Jin-Ho Kim
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Publication Detail:
Type:  Journal Article     Date:  2007-12-13
Journal Detail:
Title:  Journal of gastroenterology and hepatology     Volume:  23     ISSN:  1440-1746     ISO Abbreviation:  J. Gastroenterol. Hepatol.     Publication Date:  2008 Jul 
Date Detail:
Created Date:  2008-08-14     Completed Date:  2008-10-30     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  8607909     Medline TA:  J Gastroenterol Hepatol     Country:  Australia    
Other Details:
Languages:  eng     Pagination:  1051-5     Citation Subset:  IM    
Affiliation:
Department of Internal Medicine, University of Ulsan College of Medicine, Asan Medical Center, Seoul, Korea.
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MeSH Terms
Descriptor/Qualifier:
Adolescent
Adult
Aged
Aged, 80 and over
Blood Transfusion
Endoscopes, Gastrointestinal*
Endoscopy, Gastrointestinal / methods*
Equipment Design
Female
Gastrointestinal Hemorrhage / etiology,  pathology*,  therapy
Humans
Ileal Diseases / etiology,  pathology*,  therapy
Intestine, Small / pathology*
Jejunal Diseases / etiology,  pathology*,  therapy
Male
Middle Aged
Odds Ratio
Predictive Value of Tests
Recurrence
Retrospective Studies
Time Factors
Comments/Corrections
Comment In:
J Gastroenterol Hepatol. 2008 Jul;23(7 Pt 1):994-6   [PMID:  18707594 ]

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