Roles of Capsule Endoscopy and Balloon-Assisted Enteroscopy in the Optimal Management of Small Bowel Bleeding

Abutalib, Hani; Yano, Tomonori; Shinozaki, Satoshi; Lefor, Alan Kawarai; Yamamoto, Hironori

doi:10.5946/ce.2020.143

Cited by 3 publications

(2 citation statements)

References 33 publications

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“…Second, indications for DBE are very diverse and heterogeneous. Methods for classifying indications can also vary [ 22 , 23 , 24 , 25 ], making it difficult to interpret the results. Therefore, we tried to classify reasons for the test as rationally as possible.…”

Section: Discussionmentioning

confidence: 99%

Indication, Location of the Lesion, Diagnostic Yield, and Therapeutic Yield of Double-Balloon Enteroscopy: Seventeen Years of Experience

et al. 2022

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Double-balloon enteroscopy (DBE) has become one of the standard methods in the diagnosis and treatment of small bowel (SB) disease. However, previous studies for DBE have limitations due to heterogeneity of indications and operators. The aim was to investigate the indication, location of the lesion, diagnostic yield, and therapeutic yield of DBE based on long-term data from a single operator. A retrospective study was performed by reviewing medical records of subjects who had received DBE at our unit in the past 17 years. Overall diagnostic yield was 78.7% (210/267). The diagnostic yield for obscure gastrointestinal bleeding (OGIB) was 68.3% (84/123). The diagnostic yield for OGIB was significantly lower (p < 0.001) than that for other indications. Therapeutic yield was 24.7% (66/267). Complications occurred in 7 (2.6%). Crohn’s disease, intestinal tuberculosis, nonsteroidal anti-inflammatory drug enteropathy, and diverticular lesions were mainly found in the ileum. Vascular lesions, non-specific inflammation, and neoplastic lesions were found more frequently in the jejunum. DBE is an excellent and safe endoscopic method for the diagnosis and treatment of SB lesions. DBE has a lower diagnostic rate for OGIB than for other indications. The location where a lesion is commonly found depends on the type of the lesion.

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Section: Discussionmentioning

confidence: 99%

Indication, Location of the Lesion, Diagnostic Yield, and Therapeutic Yield of Double-Balloon Enteroscopy: Seventeen Years of Experience

et al. 2022

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“…VCE involves swallowing a disposable capsule with a data recorder by patients. [16][17][18] A recent meta-analysis study on VCE (328 original articles with 86,930 enrolled patients) has reported that obscure GI bleeding (n=44,750) is the most common indication for VCE during the recent two decades, followed by clinical symptoms, Crohn's disease, neoplastic lesions, and celiac disease. 19 The detection rate of VCE was 59% for all indications, and 56% for obscure GI bleeding.…”

Section: Video Capsule Endoscopymentioning

confidence: 99%

A practical approach for small bowel bleeding

Kim¹,

Kim²,

Koh³

et al. 2023

Clin Endosc

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Gastrointestinal (GI) bleeding is one of the most common conditions among patients visiting emergency departments in Korea. GI bleeding is divided into upper and lower GI bleeding, according to the bleeding site. GI bleeding is also divided into overt and occult GI bleeding based on bleeding characteristics. In addition, obscure GI bleeding refers to recurrent or persistent GI bleeding from a source that cannot be identified after esophagogastroduodenoscopy or colonoscopy. The small intestine is the largest part of the alimentary tract. It extends from the pylorus to the cecum. The small intestine is difficult to access owing to its long length. Moreover, it is not fixed to the abdominal cavity. When hemorrhage occurs in the small intestine, the source cannot be found in many cases because of the characteristics of the small intestine. In practice, small-intestinal bleeding accounts for most of the obscure GI bleeding. Therefore, in this review, we introduce and describe systemic approaches and examination methods, including video capsule endoscopy and balloon enteroscopy, that can be performed in patients with suspected small bowel bleeding in clinical practice.

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Application of capsule endoscopy in patients with chronic and recurrent abdominal pain

Yang

Li²,

Li³

et al. 2022

Medical Engineering & Physics

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Roles of Capsule Endoscopy and Balloon-Assisted Enteroscopy in the Optimal Management of Small Bowel Bleeding

Cited by 3 publications

References 33 publications

Indication, Location of the Lesion, Diagnostic Yield, and Therapeutic Yield of Double-Balloon Enteroscopy: Seventeen Years of Experience

Indication, Location of the Lesion, Diagnostic Yield, and Therapeutic Yield of Double-Balloon Enteroscopy: Seventeen Years of Experience

A practical approach for small bowel bleeding

Application of capsule endoscopy in patients with chronic and recurrent abdominal pain

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