Incidence of bleeding lesions within reach of conventional upper and lower endoscopes in patients undergoing double‐balloon enteroscopy for obscure gastrointestinal bleeding

Fry, Lucía C.; Bellutti, Michael; Neumann, Helmut; Malfertheiner, Peter; Mönkemüller, Klaus

doi:10.1111/j.1365-2036.2008.03888.x

Cited by 106 publications

(60 citation statements)

References 19 publications

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“…Factors associated with increased yield on repeat OGD include large hiatus hernias, history of NSAID use, and haematemesis [45] . Common missed lesions include colonic angiodysplasias, peptic ulcers, Cameron's lesions, gastric antral vascular ectasia and radiation proctitis [49] . The American Gastroenterological Association recommend repeating OGD and colonoscopy if there is suspicion of an overlooked lesion before proceeding to CE or DBE [2] .…”

Section: Endoscopymentioning

confidence: 99%

“…The complication rate is 0.8% for diagnostic procedures and up to 4% for therapeutics such as polypectomy, electrocautery or dilatation [6] . Complications include bleeding, ileus, intestinal perforation, pancreatitis or those related to sedation [49] . For these reasons, DBE is a second-line investigation in OGIB, reserved for patients with a positive CE who require therapeutic intervention or biopsy [2] .…”

Section: Capsule Endoscopymentioning

confidence: 99%

“…The American Gastroenterological Association recommend repeating OGD and colonoscopy if there is suspicion of an overlooked lesion before proceeding to CE or DBE [2] . Repeat OGD and/or colonoscopy should also be considered if suboptimal equipment was used or in the setting of inadequate mucosal visualisation secondary to poor bowel preparation [49] .…”

Section: Endoscopymentioning

confidence: 99%

“…Double balloon enteroscopy Double balloon enteroscopy facilitates examination of the entire small bowel [4] . It is considered the gold standard for therapeutic intervention of many small bowel disorders in OGIB [49] . The diagnostic yield and treatment success of DBE for OGIB in published literature ranges from 60%-81% and 43%-84% respectively [10,[50][51][52][53][54][55][56][57][58][59][60] .…”

Section: Capsule Endoscopymentioning

confidence: 99%

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Evaluation and outcomes of patients with obscure gastrointestinal bleeding

Santhakumar

Liu

2014

WJGP

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Core tip: This article examines the role of current diagnostic modalities for the investigation of obscure gastrointestinal bleeding (OGIB) and outcomes in patients undergoing these investigations. Capsule endoscopy and double balloon enteroscopy remain the cornerstone of diagnostic and therapeutic management. The diagnostic and therapeutic capabilities of certain modalities are influenced by the nature of bleeding in OGIB. Longterm outcome data in patients with OGIB is limited but is most promising for capsule endoscopy.Santhakumar C, Liu K. Evaluation and outcomes of patients with obscure gastrointestinal bleeding. World J Gastrointest Pathophysiol 2014; 5(4

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Section: Endoscopymentioning

confidence: 99%

Section: Capsule Endoscopymentioning

confidence: 99%

Section: Endoscopymentioning

confidence: 99%

Section: Capsule Endoscopymentioning

confidence: 99%

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Evaluation and outcomes of patients with obscure gastrointestinal bleeding

Santhakumar

Liu

2014

WJGP

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“…As a result, SBCE may detect lesions in proximal and distal segments of the GI tract that could have been overlooked by conventional endoscopy. In fact, it is well known that both upper and lower GI endoscopic procedures have false negatives (16)(17)(18). However, the incidence and impact of these lesions on patient management has not been well documented.…”

Section: Introductionmentioning

confidence: 99%

Colonic lesions in patients undergoing small bowel capsule endoscopy: incidence, diagnostic and therapeutic impact

et al. 2017

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Background: Nowadays, capsule endoscopy is the first-line procedure to assess the small bowel. During small bowel procedures, other segments of the gastrointestinal tract may be visualized. The aim of the current study was to evaluate the incidence of colonic abnormalities in patients undergoing small bowel capsule and its impact on patient management.Patients and methods: This study is a retrospective analysis of data from 526 consecutive capsule endoscopy procedures performed at a single tertiary-care centre between 2008 and 2011. Patients with incomplete procedures were excluded from the analysis. Patient baseline characteristics, colonic lesions, diagnosis and management before and after capsule endoscopy were recorded and a descriptive analysis was performed.Results: Four hundred and sixty four patients were finally included in the analysis. Two hundred and ninety three patients were male (57.3%) and the mean age was 61.3 ± 20.03 years (18-86). Obscure gastrointestinal bleeding (59%) and inflammatory bowel disease (19%) were the main indications for the procedure. Colonic abnormalities were detected by capsule endoscopy in 47 (9%) of 464 patients. The most common types of missed lesions were vascular lesions (34%) and colonic ulcers (32%). This information had a clinical or diagnostic impact of 7.55% and a therapeutic impact of 6.03%.Conclusion: All images of the colon should be evaluated during small bowel capsule endoscopy as they may provide relevant information that may result in changes in patient management.

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