Capsule endoscopy in obscure gastrointestinal bleeding--an Indian experience.
Artigo
em Inglês
| IMSEAR
| ID: sea-63971
ABSTRACT
BACKGROUND:
Obscure gastrointestinal bleeding (OGIB) is a common indication for capsule endoscopy (CE). Reports on diagnostic yield of CE in this situation show a wide variation. We evaluated the diagnostic yield and clinical impact of CE in patients with OGIB.METHODS:
We reviewed the medical records of patients with OGIB who underwent CE at our institution between June 2002 and October 2005.RESULTS:
154 patients (mean age 47 [SD 17] years; 117 men), including 74 with overt OGIB and 80 with occult OGIB, underwent CE. CE yielded positive findings in 57 of 74 patients (77%) with overt OGIB and 22 of 80 (27%) of those with occult OGIB (p < 0.0001); the overall positive diagnostic yield was 52%. NSAID-induced lesions (15%), angiodysplasias (14%) and aphthous ulcers (12%) were the most frequent findings. CE helped in planning further management in 79% of patients with overt OGIB and 26% of those with occult OGIB.CONCLUSION:
CE is a useful diagnostic technique in patients with OGIB, especially those with overt OGIB.
Texto completo:
DisponíveL
Índice:
IMSEAR (Sudeste Asiático)
Assunto principal:
Feminino
/
Humanos
/
Masculino
/
Estudos Retrospectivos
/
Endoscopia Gastrointestinal
/
Sensibilidade e Especificidade
/
Adulto
/
Cápsulas Endoscópicas
/
Gastroenteropatias
/
Hemorragia Gastrointestinal
Tipo de estudo:
Estudo diagnóstico
/
Estudo observacional
Idioma:
Inglês
Ano de publicação:
2006
Tipo de documento:
Artigo
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