Route selection for double-balloon endoscopy, based on capsule transit time, in obscure gastrointestinal bleeding.

Journal of Gastroenterology
Masanao NakamuraHidemi Goto

Abstract

Double-balloon endoscopy (DBE) utilizes both oral and anal routes. The proper selection of the initial route is important for more rapid management of obscure gastrointestinal bleeding (OGIB). The aim of this retrospective study was to clarify the accuracy of the transit time of video capsule endoscopy (VCE) to the lesion as a predictive indicator for the decision on the initial DBE route. Of 172 patients who underwent both DBE and VCE, 65 who were diagnosed with small-intestinal hemorrhagic lesions by both means were enrolled. The relation between VCE transit time to the lesion and the DBE route by which the lesion was discovered was analyzed, distinguishing between 46 complete and 19 incomplete VCEs. Among the 46 patients with a complete VCE, the transit time and position of the lesion were strongly correlated. The best cutoff values for route selection by the VCE transit time from capsule intake and from the duodenal bulb to the lesion, determined using a receiver operating characteristic (ROC) curve, were 60% and 50%, respectively, of the transit time to the cecum. At that point, the accuracy of route selection was 90% and 94%, respectively. Positions shown by VCE for ileal lesions tended to be more proximal than those show...Continue Reading

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Citations

Apr 25, 2012·Abdominal Imaging·Stijn J B Van WeyenbergJan Hein T M Van Waesberghe
Jan 7, 2015·Digestive Endoscopy : Official Journal of the Japan Gastroenterological Endoscopy Society·Naoki OhmiyaIchiro Hirata
Dec 3, 2015·Biomedical Engineering Online·Robert Koprowski
Jul 16, 2015·Digestive Diseases and Sciences·Satoshi ShinozakiHironori Yamamoto
May 28, 2014·Digestive Endoscopy : Official Journal of the Japan Gastroenterological Endoscopy Society·Masanao NakamuraHidemi Goto
Mar 25, 2010·Gastroenterology·Wai K Leung, David Y Graham
Apr 4, 2017·Digestive Endoscopy : Official Journal of the Japan Gastroenterological Endoscopy Society·Hironori YamamotoKazuma Fujimoto
Jan 19, 2019·Digestive Endoscopy : Official Journal of the Japan Gastroenterological Endoscopy Society·Naoki HosoeTakanori Kanai
Oct 10, 2019·Digestive Endoscopy : Official Journal of the Japan Gastroenterological Endoscopy Society·Naoki Ohmiya
Mar 20, 2020·Revista Española De Enfermedades Digestivas : Organo Oficial De La Sociedad Española De Patología Digestiva·Enrique Pérez-Cuadrado RoblesUNKNOWN Portuguese Small Bowel Study Group (GEPID)
Feb 4, 2021·Endoscopy International Open·Pablo Cortegoso ValdiviaAnastasios Koulaouzidis
Mar 22, 2021·Gastrointestinal Endoscopy Clinics of North America·Daniel L Raines, Douglas G Adler
Mar 22, 2021·Gastrointestinal Endoscopy Clinics of North America·Dejan Micic, Carol E Semrad
May 7, 2021·Canadian Journal of Gastroenterology & Hepatology·Masanao NakamuraMitsuhiro Fujishiro
Jun 4, 2021·Endoscopy International Open·Bruno RosaAnastasios Koulaouzidis
Jun 15, 2021·Internal Medicine·Masanao NakamuraMitsuhiro Fujishiro
Oct 2, 2020·GE Portuguese Journal of Gastroenterology·Enrique Pérez-Cuadrado-RoblesEnrique Pérez-Cuadrado-Martínez

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