Document Detail


Patient Burden and Patient Preference: Comparing Mr Enteroclysis, Capsule Endoscopy and Balloon-Assisted Enteroscopy.
MedLine Citation:
PMID:  22741615     Owner:  NLM     Status:  Publisher    
Abstract/OtherAbstract:
Background and aim:  To prospectively determine patient burden and patient preference for magnetic resonance enteroclysis (MRE), capsule endoscopy (CE) and balloon-assisted enteroscopy (BAE) in patients with suspected or known Crohn's disease (CD) or occult gastrointestinal bleeding (OGIB). Subjects and Methods:  Consecutive consenting patients with CD or OGIB underwent MRE, CE and BAE. CE was only performed if MRE showed no high-grade small bowel stenosis. Patient preference and burden was evaluated by means of standardized questionnaires at 5 moments in time. Results:  From January 2007 until March 2009, 76 patients were included (M/F 31/45; mean age 46.9 y; range 20.0-78.4y): 38 patients with OGIB and 38 with suspected or known CD. Seventeen patients did not undergo CE because of high-grade stenosis. Ninety-five percent (344/363) of the questionnaires were suitable for evaluation. CE was significantly favored over MRE and BAE with respect to bowel preparation, swallowing of the capsule (compared to insertion of the tube/scope), burden of the entire examination, duration and accordance with the pre-study information. CE and MRE were significantly preferred over BAE for clarity of explanation of the examination, and MRE was significantly preferred over BAE for bowel preparation, painfulness and burden of the entire examination. BAE was significantly favored over MRE for insertion of the scope and procedure duration. Pre- and post-study the order of preference was CE, MRE and BAE. Conclusion:  CE was preferred to MRE and BAE, it also had the lowest burden. MRE was preferred over BAE for clarity of explanation of the examination, bowel preparation, painfulness and burden of the entire examination, and BAE over MRE for scope insertion and study duration. © 2012 Journal of Gastroenterology and Hepatology Foundation and Blackwell Publishing Asia Pty Ltd.
Authors:
Bart Wiarda; Mark F J Stolk; Dimitri Heine; Peter Mensink; Mai Thieme; Ernst J Kuipers; Jaap Stoker
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Publication Detail:
Type:  JOURNAL ARTICLE     Date:  2012-6-28
Journal Detail:
Title:  Journal of gastroenterology and hepatology     Volume:  -     ISSN:  1440-1746     ISO Abbreviation:  -     Publication Date:  2012 Jun 
Date Detail:
Created Date:  2012-6-29     Completed Date:  -     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  8607909     Medline TA:  J Gastroenterol Hepatol     Country:  -    
Other Details:
Languages:  ENG     Pagination:  -     Citation Subset:  -    
Copyright Information:
© 2012 Journal of Gastroenterology and Hepatology Foundation and Blackwell Publishing Asia Pty Ltd.
Affiliation:
Departments of Radiology Gastroenterology, Medical Center Alkmaar, Alkmaar, Departments of Gastroenterology, St Antonius Hospital, Nieuwegein, Department of Gastroenterology & Hepatology, Erasmus MC-University Medical Center, Rotterdam, Department of Radiology, Academic Medical Center, Rotterdam, the Netherlands.
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