Tags

Type your tag names separated by a space and hit enter

Clinical impact of capsule endoscopy on further strategy and long-term clinical outcome in patients with obscure bleeding.
Gastrointest Endosc. 2008 Jul; 68(1):98-104.GE

Abstract

BACKGROUND

Capsule endoscopy (CE) is highly effective in detecting small-bowel lesions in patients with obscure GI bleeding (OGIB). Little is known about the impact of CE on further management and outcomes in patients with OGIB.

OBJECTIVE

To evaluate the impact of CE on the management and outcomes of patients with OGIB.

DESIGN

Retrospective cohort study.

SETTING

Tertiary-referral center.

PATIENTS

A total of 92 patients referred for obscure-overt bleeding (N = 36) or obscure-occult bleeding (N = 56).

INTERVENTIONS

CE was performed after a negative endoscopic examination of the upper-GI and lower-GI tract. Follow-up was performed by collecting information from the referring physicians.

MAIN OUTCOME MEASUREMENTS

Need for transfusion, overt bleeding, anemia.

RESULTS

Ninety-two patients (52 men, 40 women), with a mean age of 66.5 years (range 22-90 years) and a mean follow-up time of 635.5 days (range 81-1348 days) were studied. Relevant lesions were found in 55 of 92 patients (59.8%). After a CE, invasive small-bowel investigations were more often done in patients with a positive CE result (P = .01). Invasive endoscopic or surgical therapy was far more often performed in patients with a positive CE finding (P < .001). The outcome after a CE was favorable in 61 of 92 patients (66.3%) and was defined by the absence of overt bleeding and a normal Hb value on the latest available laboratory result. In the younger age category, a 100% resolution of OGIB was observed after long-term follow-up. On the contrary, angiodysplasia was a predictor for a less favorable clinical outcome (P = .04).

LIMITATIONS

Retrospective analysis.

CONCLUSIONS

A CE has an important impact on a further diagnostic workup, therapeutic strategy, and long-term clinical evolution in patients with OGIB, with a favorable outcome in 66.3% of patients after CE-guided therapy.

Authors+Show Affiliations

Department of Internal Medicine, University Hospital Ghent, Ghent, Belgium.No affiliation info availableNo affiliation info availableNo affiliation info available

Pub Type(s)

Journal Article

Language

eng

PubMed ID

18291382

Citation

Hindryckx, Pieter, et al. "Clinical Impact of Capsule Endoscopy On Further Strategy and Long-term Clinical Outcome in Patients With Obscure Bleeding." Gastrointestinal Endoscopy, vol. 68, no. 1, 2008, pp. 98-104.
Hindryckx P, Botelberge T, De Vos M, et al. Clinical impact of capsule endoscopy on further strategy and long-term clinical outcome in patients with obscure bleeding. Gastrointest Endosc. 2008;68(1):98-104.
Hindryckx, P., Botelberge, T., De Vos, M., & De Looze, D. (2008). Clinical impact of capsule endoscopy on further strategy and long-term clinical outcome in patients with obscure bleeding. Gastrointestinal Endoscopy, 68(1), 98-104. https://doi.org/10.1016/j.gie.2007.09.042
Hindryckx P, et al. Clinical Impact of Capsule Endoscopy On Further Strategy and Long-term Clinical Outcome in Patients With Obscure Bleeding. Gastrointest Endosc. 2008;68(1):98-104. PubMed PMID: 18291382.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Clinical impact of capsule endoscopy on further strategy and long-term clinical outcome in patients with obscure bleeding. AU - Hindryckx,Pieter, AU - Botelberge,Thomas, AU - De Vos,Martine, AU - De Looze,Danny, Y1 - 2008/03/04/ PY - 2006/10/26/received PY - 2007/09/17/accepted PY - 2008/2/23/pubmed PY - 2008/8/30/medline PY - 2008/2/23/entrez SP - 98 EP - 104 JF - Gastrointestinal endoscopy JO - Gastrointest Endosc VL - 68 IS - 1 N2 - BACKGROUND: Capsule endoscopy (CE) is highly effective in detecting small-bowel lesions in patients with obscure GI bleeding (OGIB). Little is known about the impact of CE on further management and outcomes in patients with OGIB. OBJECTIVE: To evaluate the impact of CE on the management and outcomes of patients with OGIB. DESIGN: Retrospective cohort study. SETTING: Tertiary-referral center. PATIENTS: A total of 92 patients referred for obscure-overt bleeding (N = 36) or obscure-occult bleeding (N = 56). INTERVENTIONS: CE was performed after a negative endoscopic examination of the upper-GI and lower-GI tract. Follow-up was performed by collecting information from the referring physicians. MAIN OUTCOME MEASUREMENTS: Need for transfusion, overt bleeding, anemia. RESULTS: Ninety-two patients (52 men, 40 women), with a mean age of 66.5 years (range 22-90 years) and a mean follow-up time of 635.5 days (range 81-1348 days) were studied. Relevant lesions were found in 55 of 92 patients (59.8%). After a CE, invasive small-bowel investigations were more often done in patients with a positive CE result (P = .01). Invasive endoscopic or surgical therapy was far more often performed in patients with a positive CE finding (P < .001). The outcome after a CE was favorable in 61 of 92 patients (66.3%) and was defined by the absence of overt bleeding and a normal Hb value on the latest available laboratory result. In the younger age category, a 100% resolution of OGIB was observed after long-term follow-up. On the contrary, angiodysplasia was a predictor for a less favorable clinical outcome (P = .04). LIMITATIONS: Retrospective analysis. CONCLUSIONS: A CE has an important impact on a further diagnostic workup, therapeutic strategy, and long-term clinical evolution in patients with OGIB, with a favorable outcome in 66.3% of patients after CE-guided therapy. SN - 1097-6779 UR - https://www.unboundmedicine.com/medline/citation/18291382/Clinical_impact_of_capsule_endoscopy_on_further_strategy_and_long_term_clinical_outcome_in_patients_with_obscure_bleeding_ L2 - https://linkinghub.elsevier.com/retrieve/pii/S0016-5107(07)02815-5 DB - PRIME DP - Unbound Medicine ER -