Document Detail


Diagnostic Yield of Capsule Endoscopy vs. Double-Balloon Endoscopy for Patients who have Undergone Total Enteroscopy with Obscure Gastrointestinal Bleeding.
MedLine Citation:
PMID:  22580642     Owner:  NLM     Status:  In-Data-Review    
Abstract/OtherAbstract:
Background/Aims: The usefulness of capsule endoscopy (CE) and of double-balloon endoscopy (DBE) for detection of small-bowel lesions is widely accepted. We compared CE- and DBE-based detection of small-bowel lesions in patients with obscure gastrointestinal bleeding (OGIB) who underwent total enteroscopy by both CE and DBE. Methodology: One hundred eighteen consecutive patients (70 men, 48 women; mean age 62.9±18.4 years) with OGIB underwent both CE and DBE. CE was performed and DBE was then performed within 1 week by both retrograde and antegrade approaches. Differences in detection rates were analyzed. Results: Overall, small-bowel lesions were detected by CE in 53 patients (44.9%) and by DBE in 63 patients (53.4%) (p=0.01); agreement between CE and DBE findings was good (kappa statistic=0.76). Total enteroscopy was achieved by both modalities in 54 patients; CE detected small-bowel lesions in 25 of these patients (46.3%), and DBE detected lesions in 28 of these patients (51.9%) (p=0.25); agreement between CE and DBE findings was very good (kappa statistic=0.88). Conclusions: Our data support preferential use of noninvasive CE for patients with OGIB and subsequent DBE examination in most cases.
Authors:
Takayoshi Shishido; Shiro Oka; Shinji Tanaka; Taiki Aoyama; Ikue Watari; Hiroki Imagawa; Shigeto Yoshida; Kazuaki Chayama
Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  Hepato-gastroenterology     Volume:  59     ISSN:  0172-6390     ISO Abbreviation:  Hepatogastroenterology     Publication Date:    2012 Jul-Aug
Date Detail:
Created Date:  2012-05-14     Completed Date:  -     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  8007849     Medline TA:  Hepatogastroenterology     Country:  Greece    
Other Details:
Languages:  eng     Pagination:  955-9     Citation Subset:  IM    
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