Document Detail

Upper gastrointestinal findings detected by capsule endoscopy in obscure gastrointestinal bleeding.
MedLine Citation:
PMID:  19335029     Owner:  NLM     Status:  MEDLINE    
OBJECTIVE: We analyzed our experience with the use of capsule endoscopy in areas that can be explored with gastroscopy to justify obscure bleeding, as well as the outcome after a new recommended gastroscopy in order to determine if a second gastroscopy before the capsule study can provide any benefit in the management of this disease. METHODS: We retrospectively studied 82 patients who were explored with capsule endoscopy for obscure gastrointestinal bleeding who had undergone previously only one gastroscopy. Findings in the zones which were accessible by gastroscopy were normal, mild/known and severe/unknown. In the latter cases we recommended a second gastroscopy, and their treatment and outcome were subjected to further study. RESULTS: Capsule endoscopy did not find any unknown esophageal findings. In 63% of cases, no gastric or duodenal lesions were shown; in 20%, lesions were mild or had been previously diagnosed, and in 17%, a new gastroscopy was recommended due to the discovery of an unknown condition which could be the cause of the obscure bleeding. This new information brought about a change in treatment for 78% of patients in this group, all of whom improved from their illness. Capsule endoscopy found significant intercurrent alterations in the small intestine in only 14% of cases. CONCLUSIONS: The performance of a second gastroscopy, previous to capsule endoscopy, in the study of obscure gastrointestinal bleeding can offer benefits in diagnostic terms and may introduce therapeutic changes. A detailed analysis of the upper tract frames in intestinal capsule endoscopy studies is mandatory since it may provide relevant information with clinical impact on the management of these patients.
B Velayos; A Herreros de Tejada; L Fernández; R Aller; A Almaraz; L Del Olmo; F de la Calle; T Arranz; J M González
Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  Revista española de enfermedades digestivas : organo oficial de la Sociedad Española de Patología Digestiva     Volume:  101     ISSN:  1130-0108     ISO Abbreviation:  Rev Esp Enferm Dig     Publication Date:  2009 Jan 
Date Detail:
Created Date:  2009-04-01     Completed Date:  2009-06-03     Revised Date:  -    
Medline Journal Info:
Nlm Unique ID:  9007566     Medline TA:  Rev Esp Enferm Dig     Country:  Spain    
Other Details:
Languages:  eng; spa     Pagination:  11-9     Citation Subset:  IM    
Service of Digestive Diseases, Hospital Clínico de Valladolid, Spain.
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MeSH Terms
Aged, 80 and over
Capsule Endoscopy*
Gastrointestinal Hemorrhage / diagnosis*
Middle Aged
Prospective Studies
Retrospective Studies
Young Adult
Comment In:
Rev Esp Enferm Dig. 2009 Jan;101(1):1-10   [PMID:  19335028 ]

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