Diagnostic yield of capsule endoscopy vs. double-balloon endoscopy for patients who have undergone total enteroscopy with obscure gastrointestinal bleeding

Hepato-gastroenterology
Takayoshi ShishidoKazuaki Chayama

Abstract

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. 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. 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). Our data support preferential use of noninvasive CE for patients with OGIB and subsequent DBE examination in most cases.

Citations

Jan 27, 2018·Digestive Diseases and Sciences·Taiki AoyamaShinji Nagata
May 17, 2019·Terapevticheskiĭ arkhiv·А I ParfеnovО М Мikcheeva
Aug 1, 2015·Revista Española De Enfermedades Digestivas : Organo Oficial De La Sociedad Española De Patología Digestiva·Enrique Pérez-Cuadrado-RoblesEnrique Pérez-Cuadrado-Martínez
Jun 19, 2019·World Journal of Gastroenterology : WJG·Diego García-CompeánHéctor J Maldonado-Garza
Jul 15, 2017·World Journal of Gastroenterology : WJG·Jaime Pereira RodriguesJoão Carvalho
Dec 17, 2016·Gastroenterology Research and Practice·Sayoko KuniharaKazuaki Chayama
Jun 15, 2019·Gastroenterology Research and Practice·Akiyoshi TsuboiKazuaki Chayama

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