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Diagnostic yield of capsule endoscopy vs. double-balloon endoscopy for patients who have undergone total enteroscopy with obscure gastrointestinal bleeding.
Hepatogastroenterology. 2012 Jun; 59(116):955-9.H

Abstract

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+Show Affiliations

Department of Gastroenteroogy and Metabolism, Hiroshima University Graduate School of Biomedical Science, Hiroshima, Japan.No affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info availableNo affiliation info available

Pub Type(s)

Comparative Study
Journal Article

Language

eng

PubMed ID

22580642

Citation

Shishido, Takayoshi, et al. "Diagnostic Yield of Capsule Endoscopy Vs. Double-balloon Endoscopy for Patients Who Have Undergone Total Enteroscopy With Obscure Gastrointestinal Bleeding." Hepato-gastroenterology, vol. 59, no. 116, 2012, pp. 955-9.
Shishido T, Oka S, Tanaka S, et al. Diagnostic yield of capsule endoscopy vs. double-balloon endoscopy for patients who have undergone total enteroscopy with obscure gastrointestinal bleeding. Hepatogastroenterology. 2012;59(116):955-9.
Shishido, T., Oka, S., Tanaka, S., Aoyama, T., Watari, I., Imagawa, H., Yoshida, S., & Chayama, K. (2012). Diagnostic yield of capsule endoscopy vs. double-balloon endoscopy for patients who have undergone total enteroscopy with obscure gastrointestinal bleeding. Hepato-gastroenterology, 59(116), 955-9. https://doi.org/10.5754/hge12242
Shishido T, et al. Diagnostic Yield of Capsule Endoscopy Vs. Double-balloon Endoscopy for Patients Who Have Undergone Total Enteroscopy With Obscure Gastrointestinal Bleeding. Hepatogastroenterology. 2012;59(116):955-9. PubMed PMID: 22580642.
* Article titles in AMA citation format should be in sentence-case
TY - JOUR T1 - Diagnostic yield of capsule endoscopy vs. double-balloon endoscopy for patients who have undergone total enteroscopy with obscure gastrointestinal bleeding. AU - Shishido,Takayoshi, AU - Oka,Shiro, AU - Tanaka,Shinji, AU - Aoyama,Taiki, AU - Watari,Ikue, AU - Imagawa,Hiroki, AU - Yoshida,Shigeto, AU - Chayama,Kazuaki, PY - 2012/5/15/entrez PY - 2012/5/15/pubmed PY - 2012/8/1/medline SP - 955 EP - 9 JF - Hepato-gastroenterology JO - Hepatogastroenterology VL - 59 IS - 116 N2 - 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. SN - 0172-6390 UR - https://www.unboundmedicine.com/medline/citation/22580642/Diagnostic_yield_of_capsule_endoscopy_vs__double_balloon_endoscopy_for_patients_who_have_undergone_total_enteroscopy_with_obscure_gastrointestinal_bleeding_ L2 - https://medlineplus.gov/gastrointestinalbleeding.html DB - PRIME DP - Unbound Medicine ER -