Clinical Characteristics of Small Bowel Tumors Diagnosed by Double-Balloon Endoscopy: KASID Multi-Center Study

Lee, Bo In; Choi, Hwang; Choi, Kyu Yong; Byeon, Jeong Sik; Jang, Hyun Joo; Eun, Chang Soo; Cheon, Jae Hee; Shin, Sung Jae; Kim, Jin Oh; Lee, Moon Sung; Choi, Jai Hyun

doi:10.1007/s10620-011-1839-z

Cited by 43 publications

(44 citation statements)

References 17 publications

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“…Although we found significantly more small bowel tumors in female, many recent larger studies of small bowel tumors did not confirm this finding and most demonstrated male predomination in 60%-65% [24][25][26] . Thus, the finding in our study might be from type I error.…”

Section: Characteristics Of Patients According To the Etiologycontrasting

confidence: 99%

Yield, etiologies and outcomes of capsule endoscopy in Thai patients with obscure gastrointestinal bleeding

Pongprasobchai¹

2013

WJGE

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AIM:To investigate the yield, etiologies and impact of capsule endoscopy (CE) in Thai patients with obscure gastrointestinal bleeding (OGIB). METHODS:The present study is a retrospective cohort study. All patients with OGIB who underwent CE in Siriraj Hospital, Bangkok, Thailand during 2005-2009 were included in the study. All the patients' medical records and results of the CE videos were reviewed. CE findings were classified as significant, suspicious/equivocal and negative. Sites of the lesions were located to duodenum, jejunum, jejunoileum, ileum and diffuse lesions by the localization device of the CE. Impact of CE on the patients' management was defined by any investigation or treatment given to the patients that was more than an iron supplement or blood transfusion. Patients' outcomes (rebleeding, persistent bleeding, anemia or requirement of blood transfusion) were collected from chart reviews and direct phone interviews with the patients. RESULTS:Overall, there were 103 patients with OGIB included in the study. Mean age of the patients was 64 ± 16 years (range 9-88 years) and 57 patients (55%) were male. Types of OGIB were overt in 80 (78%) and occult in 23 patients (22%). The median time interval of CE after onset of OGIB was 10 d (range 1-180 d). The median time of follow-up was 19 mo (range 1-54 mo). Capsules reached caecum in 77 patients (74%) and capsule retention was found in 1 patient (1%). The diagnostic yield of CE revealed significant lesions in 37 patients (36%), suspicious/equivocal lesions in 15 patients (15%) and 51 patients (49%) had negative CE result. Among the significant lesions, the bleeding etiologies were small bowel ulcers in 44%, angiodysplasia in 27%, small bowel tumor in 13%, miscellaneous in 8% and active bleeding without identifiable causes in 8%. Patients with small bowel ulcers were significantly associated with the use of non-steroidal anti-inflammatory drugs (48%, P = 0.034), while patients with small bowel tumors were more commonly female (86%, P = 0.043) compared to the other etiologies. The rate of rebleeding, persistent bleeding or anemia in patients with positive, equivocal and negative CE results were 5%, 0% and 18%, respectively (P = 0.078). All the 9 patients with rebleeding after negative CE were subsequently found to be from hematologic disorders (4), colonic diverticulosis (2), colonic Dieulafoy's (1), hemorrhoid (1) and hemosuccus pancreaticus (1). Results of CE had a positive impact on the patients' management in 35% of the patients whose results were positive, but none on the patients whose results were equivocal or negative CE (P < 0.001). CONCLUSION:In Thai OGIB patients, CE had low yield and small bowel ulcer was most common. Positive CE impacted managements and outcomes. Negative CE caused low rebleeding.

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Section: Characteristics Of Patients According To the Etiologycontrasting

confidence: 99%

Yield, etiologies and outcomes of capsule endoscopy in Thai patients with obscure gastrointestinal bleeding

Pongprasobchai¹

2013

WJGE

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“…6,7,9 Indeed, OGIB has proven to be a classic indication for consideration of CE or DBE in clinical practice today. In a number of recent studies, the most common indication for DBE has been shown to be OGIB.…”

Section: Discussionmentioning

confidence: 99%

Small Bowel Tumors Discovered During Double-Balloon Enteroscopy

Cangemi¹,

Patel

Gómez

et al. 2013

Journal of Clinical Gastroenterology

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“…Currently, in the majority of patients with MBO, the long intestinal tube is placed with the assistance of endoscopy. However, the preparation for endoscopy, which includes bowel cleaning and gas injection during insertion, can lead to marked discomfort and pain (9,22). In addition, under endoscopical guidance, the tip of the long intestinal tube is often placed in the horizontal segment of the duodenum or just across the Treitz ligament, and the tube is then advanced by gastrointestinal peristalsis.…”

Section: Discussionmentioning

confidence: 99%

Fluoroscopy‑guided long intestinal tube placement for the treatment of malignant bowel obstruction

Lai

Yang

et al. 2019

Oncol Lett

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The aim of the present study was to investigate the safety and efficacy of long intestinal tube placement under fluoroscopic guidance for the treatment of malignant bowel obstruction (MBO). The cases of 74 patients with MBO who underwent long intestinal tube placement under fluoroscopic guidance during the period between June 2015 and October 2017 were reviewed. The clinical characteristics were retrospectively analysed with respect to efficacy, safety and outcome. Long intestinal tube placement was successfully completed in all 74 patients. The mean time required for tube placement was 31.09±16.25 min and the mean insertion depth of the tube was 153±39 cm. In 58 cases, the symptoms of abdominal pain, abdominal bloating and vomiting were greatly improved following 1-3 days of tube decompression. The symptoms of the remaining 16 patients were not effectively relieved following decompression. No serious complications were observed in any patients. Overall, for patients with severe MBO, long intestinal tube placement under fluoroscopic guidance appears to be an effective and safe treatment, and it may improve quality of life.

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Clinical Characteristics of Small Bowel Tumors Diagnosed by Double-Balloon Endoscopy: KASID Multi-Center Study

Cited by 43 publications

References 17 publications

Yield, etiologies and outcomes of capsule endoscopy in Thai patients with obscure gastrointestinal bleeding

Yield, etiologies and outcomes of capsule endoscopy in Thai patients with obscure gastrointestinal bleeding

Small Bowel Tumors Discovered During Double-Balloon Enteroscopy

Fluoroscopy‑guided long intestinal tube placement for the treatment of malignant bowel obstruction

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