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The role of capsule endoscopy after negative CT enterography in patients with obscure gastrointestinal bleeding

Authors
 Hyun Mi Heo  ;  Chan Hyuk Park  ;  Joon Seok Lim  ;  Jin Ha Lee  ;  Bo Kyung Kim  ;  Jae Hee Cheon  ;  Tae Il Kim  ;  Won Ho Kim  ;  Sung Pil Hong 
Citation
 EUROPEAN RADIOLOGY, Vol.22(6) : 1159-1166, 2012 
Journal Title
 EUROPEAN RADIOLOGY 
ISSN
 0938-7994 
Issue Date
2012
MeSH
Adolescent ; Adult ; Aged ; Aged, 80 and over ; Capsule Endoscopy/methods* ; Child ; False Negative Reactions ; Female ; Gastrointestinal Hemorrhage/diagnosis* ; Humans ; Intestine, Small/diagnostic imaging* ; Intestine, Small/pathology* ; Male ; Middle Aged ; Reproducibility of Results ; Sensitivity and Specificity ; Tomography, X-Ray Computed/methods* ; Young Adult
Keywords
Computed tomographic enterography ; Capsule endoscopy ; Obscure gastrointestinal bleeding
Abstract
OBJECTIVES: The aim of the present study was to evaluate the role of capsule endoscopy in patients with obscure gastrointestinal bleeding (OGIB) after negative computed tomographic (CT) enterography. METHODS: We retrospectively included 30 patients with OGIB who received capsule endoscopy after negative CT enterography. The median age of the patients was 60 years, and 60% of patients were male. The median follow-up duration was 8 months. Overt bleeding was 60%, and occult bleeding was 40%. RESULTS: Based on capsule endoscopy results, a definitive diagnosis was made for 17 patients (57%): ulcer in nine patients (30%), active bleeding with no identifiable cause in five (17%), angiodysplasia in two (7%) and Dieulafoy's lesion in one (3%). Two patients with jejunal ulcers were diagnosed with Crohn's disease. Seven patients (41%) with positive capsule endoscopy received double balloon enteroscopy and two patients (12%) received steroid treatment for Crohn's disease. Patients with overt bleeding, a previous history of bleeding, or who received large amounts of blood transfusions were more likely to show positive capsule endoscopy. CONCLUSIONS: Capsule endoscopy showed high diagnostic yields in patients with OGIB after negative CT enterography and may help to provide further therapeutic plans for patients with OGIB and negative CT enterography.
Full Text
http://link.springer.com/article/10.1007%2Fs00330-011-2374-1
DOI
22270143
Appears in Collections:
1. College of Medicine (의과대학) > Dept. of Radiology (영상의학교실) > 1. Journal Papers
1. College of Medicine (의과대학) > Dept. of Internal Medicine (내과학교실) > 1. Journal Papers
Yonsei Authors
Kim, Bo Kyung(김보경)
Kim, Won Ho(김원호) ORCID logo https://orcid.org/0000-0002-5682-9972
Kim, Tae Il(김태일) ORCID logo https://orcid.org/0000-0003-4807-890X
Park, Chan Hyuk(박찬혁)
Lim, Joon Seok(임준석) ORCID logo https://orcid.org/0000-0002-0334-5042
Cheon, Jae Hee(천재희) ORCID logo https://orcid.org/0000-0002-2282-8904
Hong, Sung Pil(홍성필)
URI
https://ir.ymlib.yonsei.ac.kr/handle/22282913/90246
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