151 A Prospective Study Comparing Urgent Video Capsule Endoscopy With Urgent Double-Balloon Enteroscopy in Patients With Massive Overt Obscure Gastrointestinal Bleeding

Aniwan, Satimai; Viriyautsahakul, Vichai; Rerknimitr, Rungsun; Angsuwatcharakon, Phonthep; Kongkam, Pradermchai; Treeprasertsuk, Sombat; Kullavanijaya, Pinit

doi:10.1016/j.gie.2012.04.022

Cited by 9 publications

(16 citation statements)

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“…Importantly, CE can be used for diagnosis but not for treatment, whereas with BE, endoscopic diagnosis and treatment can be completed simultaneously, and a biopsy can be obtained for definitive diagnosis. Performing these examinations during bleeding contributes greatly to the detection of the bleeding source and to the selection of the method for the diagnostic evaluation of OGIB [ 15 ].…”

Section: Discussionmentioning

confidence: 99%

Roles of Capsule Endoscopy and Single-Balloon Enteroscopy in Diagnosing Unexplained Gastrointestinal Bleeding

et al. 2016

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Background/Aims:The diagnostic algorithms used for selecting patients with obscure gastrointestinal bleeding (OGIB) for capsule endoscopy (CE) or balloon-assisted enteroscopy (BE) vary among facilities. We aimed to demonstrate the appropriate selection criteria of CE and single balloon-assisted enteroscopy (SBE) for patients with OGIB according to their conditions, by retrospectively comparing the diagnostic performances of CE and BE for detecting the source of the OGIB. Methods:We investigated 194 patients who underwent CE and/or BE. The rate of positive findings, details of the findings, accidental symptoms, and hemostasis methods were examined and analyzed.Results:CE and SBE were performed in 103 and 91 patients, respectively, and 26 patients underwent both examinations. The rate of positive findings was significantly higher with SBE (73.6%) than with CE (47.5%, p<0.01). The rate of positive findings was higher in overt bleeding cases than in occult bleeding cases for both BE and SBE. Among the overt bleeding cases, the rate was significantly higher in ongoing bleeding cases than in previous bleeding cases. Conclusions:Both CE and SBE are useful to diagnose OGIB. For overt bleeding cases and ongoing bleeding cases, SBE may be more appropriate than CE because endoscopic diagnosis and treatment can be completed simultaneously.

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Section: Discussionmentioning

confidence: 99%

Roles of Capsule Endoscopy and Single-Balloon Enteroscopy in Diagnosing Unexplained Gastrointestinal Bleeding

et al. 2016

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“…The accurate and quick management by an expert endoscopist, either performing first-line BAE or preceded by CE, appears to be a key point in these patients. No evidence of the superiority of one over the other in the initial management has been found, 1 although there are specific cases that can benefit more from each technique. It makes sense to perform BAE initially in cases of previous OOGIB with a known bleeding source location (for example, previous CE reporting the location of vascular lesions or the level of the bleeding in recurrent patients), but its use in the emergency setting is still uncommon.…”

Section: Discussionmentioning

confidence: 99%

“…The proportion of overt and occult forms varies in the different series to date but the most common presentation is occult-OGIB. However, emergency procedures in on-going OOGIB are rare, accounting for 1.79%–28.3% 1 , 2 , 3 , 4 of all patients reported. Most studies to date concerning emergency SB endoscopy have been retrospective series with a small number of patients and a few prospective randomized controlled trials.…”

Section: Introductionmentioning

confidence: 99%

The Role of Emergency Endoscopy in Small Bowel Bleeding: A Review

Pérez-Cuadrado-Robles¹,

Pérez-Cuadrado-Martínez²

2016

GE Portuguese Journal of Gastroenterology

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There is no consensus on the timing and management of emergency overt obscure gastrointestinal bleeding. Emergency capsule endoscopy and balloon-assisted enteroscopy have a high diagnostic and therapeutic yield in these situations. Most lesions detected by small bowel endoscopy are amenable to endoscopic haemostasis, although some lesions still require surgery or interventional radiology. The management of these patients is varied, and doubt persists about which technique should be preferred as first-line treatment. This narrative review analyses the usefulness and impact of small bowel endoscopic techniques in the emergency setting for severe overt obscure gastrointestinal bleeding.

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“…The timing in which DAE is performed can also influence the therapeutic yields. Recent studies reported that emergent DAE (< 24-72 h) resulted in endoscopic therapy in 28.6-57.5%, while non-emergent DAE resulted in endoscopic therapy in 13-50% [14,[24][25][26]. Concerning rebleeding, repeating DAE therapy after an initial therapeutic DAE may decrease the number of episodes of overt rebleeding in patients with recurrent OGIB [27].…”

Section: Small Bowel Bleedingmentioning

confidence: 99%

Small Bowel Enteroscopy – A Joint Clinical Guideline from the Spanish and Portuguese Small Bowel Study Groups

Pérez-Cuadrado-Robles

Pinho

González

et al. 2020

GE Port J Gastroenterol

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The present evidence-based guidelines are focused on the use of device-assisted enteroscopy in the management of small-bowel diseases. A panel of experts selected by the Spanish and Portuguese small bowel study groups reviewed the available evidence focusing on the main indications of this technique, its role in the management algorithm of each indication and on its diagnostic and therapeutic yields. A set of recommendations were issued accordingly.

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151 A Prospective Study Comparing Urgent Video Capsule Endoscopy With Urgent Double-Balloon Enteroscopy in Patients With Massive Overt Obscure Gastrointestinal Bleeding

Cited by 9 publications

References 0 publications

Roles of Capsule Endoscopy and Single-Balloon Enteroscopy in Diagnosing Unexplained Gastrointestinal Bleeding

Roles of Capsule Endoscopy and Single-Balloon Enteroscopy in Diagnosing Unexplained Gastrointestinal Bleeding

The Role of Emergency Endoscopy in Small Bowel Bleeding: A Review

Small Bowel Enteroscopy – A Joint Clinical Guideline from the Spanish and Portuguese Small Bowel Study Groups

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