Degree of concordance between single balloon enteroscopy and capsule endoscopy for obscure gastrointestinal bleeding after an initial positive capsule endoscopy finding

Therapeutic Advances in Gastroenterology
Ashok ShianiPatrick Brady

Abstract

In patients with obscure gastrointestinal bleeding (OBGIB) capsule endoscopy (CE) is the initial diagnostic procedure of choice. Often patients undergo single balloon enteroscopy (SBE) with both diagnostic and therapeutic intention after CE. Although SBE offers a therapeutic benefit, long procedure times, complexity, and invasiveness are drawbacks. We aimed to evaluate the diagnostic correlation between these two modalities after an initial positive CE finding. We performed a retrospective review of 418 patients who underwent CE at our institution from January 2010 to May 2014. A total of 95 patients were analyzed after selecting patients that underwent SBE originally after a positive CE result for the evaluation for OGIB. Agreement beyond chance was evaluated using the κ coefficient. A p value less than 5% was considered statistically significant. The mean age of our population was 65.8 ± 12.2 and it was female predominant: 57/95 (60%). The most frequent positive findings were vascular lesions found on SBE in 31.6% and on CE in 41.1%. There was a strong agreement when identifying active bleeding and clots [κ=0.97; 95% confidence interval (CI) 0.92-1.03; p ⩽ 0.0001], and a moderate agreement when diagnosing vascular lesions (0....Continue Reading

References

May 1, 1993·Journal of Clinical Epidemiology·T ByrtJ B Carlin
Jun 20, 2008·Gastrointestinal Endoscopy·Shu TanakaChoitsu Sakamoto
Jun 19, 2012·Best Practice & Research. Clinical Gastroenterology·Philipp Lenz, Dirk Domagk
Jun 19, 2012·Best Practice & Research. Clinical Gastroenterology·Lauren B Gerson
Jun 30, 2014·Computerized Medical Imaging and Graphics : the Official Journal of the Computerized Medical Imaging Society·Qian ZhaoRajesh Kumar
Aug 12, 2014·World Journal of Gastroenterology : WJG·Mahesh K GoenkaUsha Goenka

❮ Previous
Next ❯

Citations

Jan 12, 2019·World Journal of Gastrointestinal Endoscopy·Hélcio Pedrosa BritoEduardo Guimarães Hourneaux de Moura

❮ Previous
Next ❯

Methods Mentioned

BETA
biopsy

Related Concepts

Related Feeds

Blood Clotting Disorders

Thrombophilia includes conditions with increased tendency for excessive blood clotting. Blood clotting occurs when the body has insufficient amounts of specialized proteins that make blood clot and stop bleeding. Here is the latest research on blood clotting disorders.