| Diagnostic yield and clinical outcomes after capsule endoscopy in 100 consecutive patients with obscure gastrointestinal bleeding. | |
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MedLine Citation:
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PMID: 16825907 Owner: NLM Status: MEDLINE |
Abstract/OtherAbstract:
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OBJECTIVES: The endoscopic capsule is a useful tool for visualizing the small bowel in patients with obscure gastrointestinal bleeding. In this study the authors evaluated the diagnostic aid provided by the endoscopic capsule, the factors predicting a significant finding and their impact on the patients' clinical evolution. METHODS: A total of 100 patients (52 men and 48 women, average age 64.4 years) underwent capsule endoscopy. Of this group, 52 patients presented with obscure-overt bleeding and 48 with obscure-occult bleeding. After an average follow-up time of 11.4 months, the clinical outcome was evaluated in 95 patients. RESULTS: The endoscopic capsule identified significant findings in 68% of patients. The most common diagnosis (33.8%) was angiodysplasias. The most important factor predicting significant findings was the previous need for transfusion in the overt bleeding group. As the result of the findings, a specific intervention was made in 75.8% of patients. At the end of follow-up, the clinical outcome was considered positive in 71.6% of patients. Capsule retention occurred in one patient, who required surgery. CONCLUSION: In patients with obscure gastrointestinal bleeding, capsule endoscopy provides a high degree of diagnostic aid. The best candidates for this procedure are patients with obscure-overt bleeding who have required blood transfusions. Capsule endoscopy has a positive influence on an important proportion of patients, whether oriented towards new diagnostic techniques or towards a definitive treatment. |
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Authors:
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Emilio Estévez; Benito González-Conde; José Luis Vázquez-Iglesias; Maria de Los Angeles Vázquez-Millán; Sonia Pértega; Pedro A Alonso; Joan Clofent; Eva Santos; José Luis Ulla; Eloy Sánchez |
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Publication Detail:
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Type: Clinical Trial; Journal Article |
Journal Detail:
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Title: European journal of gastroenterology & hepatology Volume: 18 ISSN: 0954-691X ISO Abbreviation: Eur J Gastroenterol Hepatol Publication Date: 2006 Aug |
Date Detail:
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Created Date: 2006-07-07 Completed Date: 2007-04-03 Revised Date: 2009-10-16 |
Medline Journal Info:
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Nlm Unique ID: 9000874 Medline TA: Eur J Gastroenterol Hepatol Country: England |
Other Details:
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Languages: eng Pagination: 881-8 Citation Subset: IM |
Affiliation:
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Department of Gastroenterology, Complexo Hospitalario Juan Canalejo, A Coruña, Spain. estevez@canalejo |
Export Citation:
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| MeSH Terms | |
Descriptor/Qualifier:
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Adolescent Adult Aged Aged, 80 and over Blood Transfusion Capsule Endoscopy* Female Follow-Up Studies Gastrointestinal Hemorrhage / diagnosis*, etiology*, therapy Humans Male Middle Aged Predictive Value of Tests Prospective Studies ROC Curve Treatment Outcome |
| Comments/Corrections | |
Comment In:
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Eur J Gastroenterol Hepatol. 2006 Aug;18(8):873-4
[PMID:
16825904
]
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From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine
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