Wireless capsule endoscopy in patients with obscure gastrointestinal bleeding: a comparative study with push enteroscopy

Alimentary Pharmacology & Therapeutics
A MataJ Llach

Abstract

The identification and treatment of lesions located in the small intestine in obscure gastrointestinal bleeding is always a clinical challenge. To examine prospectively the diagnostic precision and the clinical efficacy of capsule endoscopy compared with push enteroscopy in obscure gastrointestinal bleeding. Forty-two patients (22 men and 20 women) with obscure gastrointestinal bleeding (overt bleeding in 26 cases and occult blood loss with chronic anaemia in 16) and normal oesophagogastroduodenoscopy and colonoscopy were analysed. All patients were instructed to receive the capsule endoscopy and push enteroscopy was performed within the next 7 days. Both techniques were blindly performed by separate examiners. The diagnostic yield for each technique was defined as the frequency of detection of clinically relevant intestinal lesions carrying potential for bleeding. A bleeding site potentially related to gastrointestinal bleeding or evidence of active bleeding was identified in a greater proportion of patients using capsule endoscopy (74%; 31 of 42) than enteroscopy (19%; eight of 42) (P = 0.05). The most frequent capsule endoscopy findings were: angiodysplasia (45%), fresh blood (23%), jejunal ulcers (10%), ileal inflammatory m...Continue Reading

References

Jul 1, 1990·Gastrointestinal Endoscopy·P G FoutchR A Sanowski
Aug 1, 1994·Surgical Endoscopy·C E Scott-Conner, C Subramony
Jun 6, 2000·Nature·G IddanP Swain
Jun 7, 2000·Gastrointestinal Endoscopy·F GongT Mills
Feb 24, 2001·The New England Journal of Medicine·M AppleyardP Swain
May 18, 2001·Best Practice & Research. Clinical Gastroenterology·A Van Gossum
Feb 20, 2003·Zeitschrift für Gastroenterologie·D HartmannJ F Riemann
May 29, 2003·Zeitschrift für Gastroenterologie·D HartmannJ F Riemann
Jun 24, 2003·The American Journal of Gastroenterology·Suthat LiangpunsakulJohn Lappas
Jan 15, 2004·Endoscopy·M Pennazio

❮ Previous
Next ❯

Citations

Sep 1, 2006·Current Treatment Options in Gastroenterology·Ernest G Seidman, Martha H Dirks
Mar 16, 2007·Digestive Diseases and Sciences·Eduardo Redondo-CerezoJesús García-Cano
Dec 31, 2004·Current Treatment Options in Gastroenterology·Thomas O G Kovacs
May 16, 2012·Indian Journal of Gastroenterology : Official Journal of the Indian Society of Gastroenterology·Jaswinder Singh SodhiZeeshan Ahmad
May 15, 2013·Computers in Biology and Medicine·Hyun-Gyu LeeSang-Chul Lee
Feb 25, 2005·Gastrointestinal Endoscopy·André Kheng Ho ChongPaul Desmond
May 10, 2005·Clinical Gastroenterology and Hepatology : the Official Clinical Practice Journal of the American Gastroenterological Association·Gil Y Melmed, Simon K Lo
Jul 22, 2009·International Journal of Technology Assessment in Health Care·Alessandra Lo ScalzoMarina Cerbo
Mar 3, 2006·Nature Clinical Practice. Gastroenterology & Hepatology·David R Cave
Oct 2, 2007·JAAPA : Official Journal of the American Academy of Physician Assistants·Christina BeardValli Kodali
Feb 19, 2008·Journal of Clinical Gastroenterology·Leonor Varela Lema, Alberto Ruano-Ravina
Apr 3, 2007·Southern Medical Journal·Sumeeta Mazzarolo, Patrick Brady
Mar 4, 2006·BMJ : British Medical Journal·Reena SidhuMark E McAlindon
Dec 20, 2011·Biomedical Engineering Online·Sang Hyo WooJin-Ho Cho
Apr 29, 2009·World Journal of Gastroenterology : WJG·Taylan Kav, Yusuf Bayraktar
May 19, 2010·World Journal of Gastroenterology : WJG·Alan B R ThomsonHolly Kamitakahara
Mar 1, 2012·World Journal of Gastroenterology : WJG·Takayoshi ShishidoKazuaki Chayama
Aug 1, 2013·World Journal of Gastroenterology : WJG·Maria Elena RiccioniGuido Costamagna
Jun 15, 2006·Digestive Diseases and Sciences·S A C Van TuylM F J Stolk
Dec 22, 2010·Journal of Crohn's & Colitis·S O'DonnellC A O Morain
Mar 16, 2007·Digestive Diseases and Sciences·Matthew M BaichiParvez S Mantry
Mar 16, 2007·Digestive Diseases and Sciences·Reena SidhuMark E McAlindon
Jun 10, 2008·Digestive Diseases and Sciences·Osman ErsoyYusuf Bayraktar
Apr 21, 2010·Der Internist·D HartmannJ F Riemann
Jun 19, 2012·Best Practice & Research. Clinical Gastroenterology·Lauren B Gerson
Sep 27, 2006·The Kaohsiung Journal of Medical Sciences·Meng-Kwan LiuDeng-Chyang Wu
Sep 8, 2010·Digestive and Liver Disease : Official Journal of the Italian Society of Gastroenterology and the Italian Association for the Study of the Liver·Alessandro PezzoliSergio Gullini
Sep 8, 2010·European Journal of Internal Medicine·Heidi NiemenmaaPekka Collin
Aug 4, 2009·Gastrointestinal Endoscopy Clinics of North America·Paul A Akerman, Daniel Cantero
Aug 4, 2009·Gastrointestinal Endoscopy Clinics of North America·Lauren B Gerson
Jun 20, 2008·Gastrointestinal Endoscopy·Shu TanakaChoitsu Sakamoto
Jun 14, 2008·Clinical Gastroenterology and Hepatology : the Official Clinical Practice Journal of the American Gastroenterological Association·Ma SomsoukJohn M Inadomi
Apr 15, 2008·Gastrointestinal Endoscopy·Lauren Gerson, Ahmad Kamal
Mar 8, 2008·Clinical Gastroenterology and Hepatology : the Official Clinical Practice Journal of the American Gastroenterological Association·Nuzhat A AhmadAnnemarie Joyce
Mar 19, 2008·Best Practice & Research. Clinical Gastroenterology·Jaroslaw RegulaJacek Pachlewski
Oct 2, 2007·Gastrointestinal Endoscopy·James A DiSarioLouis Michel Wong Kee Song
Jun 5, 2007·Best Practice & Research. Clinical Gastroenterology·Ulrich Heil, Michael Jung
May 16, 2007·Radiologic Clinics of North America·Scott R PaulsenAmy K Hara
Sep 22, 2015·Gastrointestinal Endoscopy·UNKNOWN ASGE Technology CommitteeSubhas Banerjee

❮ Previous
Next ❯

Related Concepts

Trending Feeds

COVID-19

Coronaviruses encompass a large family of viruses that cause the common cold as well as more serious diseases, such as the ongoing outbreak of coronavirus disease 2019 (COVID-19; formally known as 2019-nCoV). Coronaviruses can spread from animals to humans; symptoms include fever, cough, shortness of breath, and breathing difficulties; in more severe cases, infection can lead to death. This feed covers recent research on COVID-19.

Blastomycosis

Blastomycosis fungal infections spread through inhaling Blastomyces dermatitidis spores. Discover the latest research on blastomycosis fungal infections here.

Nuclear Pore Complex in ALS/FTD

Alterations in nucleocytoplasmic transport, controlled by the nuclear pore complex, may be involved in the pathomechanism underlying multiple neurodegenerative diseases including Amyotrophic Lateral Sclerosis and Frontotemporal Dementia. Here is the latest research on the nuclear pore complex in ALS and FTD.

Applications of Molecular Barcoding

The concept of molecular barcoding is that each original DNA or RNA molecule is attached to a unique sequence barcode. Sequence reads having different barcodes represent different original molecules, while sequence reads having the same barcode are results of PCR duplication from one original molecule. Discover the latest research on molecular barcoding here.

Chronic Fatigue Syndrome

Chronic fatigue syndrome is a disease characterized by unexplained disabling fatigue; the pathology of which is incompletely understood. Discover the latest research on chronic fatigue syndrome here.

Evolution of Pluripotency

Pluripotency refers to the ability of a cell to develop into three primary germ cell layers of the embryo. This feed focuses on the mechanisms that underlie the evolution of pluripotency. Here is the latest research.

Position Effect Variegation

Position Effect Variagation occurs when a gene is inactivated due to its positioning near heterochromatic regions within a chromosome. Discover the latest research on Position Effect Variagation here.

STING Receptor Agonists

Stimulator of IFN genes (STING) are a group of transmembrane proteins that are involved in the induction of type I interferon that is important in the innate immune response. The stimulation of STING has been an active area of research in the treatment of cancer and infectious diseases. Here is the latest research on STING receptor agonists.

Microbicide

Microbicides are products that can be applied to vaginal or rectal mucosal surfaces with the goal of preventing, or at least significantly reducing, the transmission of sexually transmitted infections. Here is the latest research on microbicides.