잠시만 기다려 주세요. 로딩중입니다.

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

Clinical Endoscopy
2016년 49권 1호 p.56 ~ p.60
 ( Ooka Shohei ) - Kitasato University School of Medicine Department of Gastroenterology

 ( Kobayashi Kiyonori ) - Kitasato University School of Medicine Department of Gastroenterology
 ( Kawagishi Kana ) - Kitasato University School of Medicine Department of Gastroenterology
 ( Kodo Masaru ) - Kitasato University School of Medicine Department of Gastroenterology
 ( Yokoyama Kaoru ) - Kitasato University School of Medicine Department of Gastroenterology
 ( Sada Miwa ) - Kitasato University School of Medicine Department of Gastroenterology
 ( Tanabe Satoshi ) - Kitasato University School of Medicine Department of Gastroenterology
 ( Koizumi Wasaburo ) - Kitasato University School of Medicine Department of Gastroenterology

Abstract

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.

키워드

원문 및 링크아웃 정보
등재저널 정보
학술진흥재단(KCI) KoreaMed 대한의학회 회원 
주제코드
주제명
(Target field)
연구대상
(Population)
연구참여
(Sample size)
대상성별
(Gender)
질병특성
(Condition Category)
연구환경
(Setting)
연구설계
(Study Design)
연구기간
(Period)
중재방법
(Intervention Type)
중재명칭
(Intervention Name)
키워드
(Keyword)
유효성결과
(Recomendation)
연구비지원
(Fund Source)
근거수준평가
(Evidence Hierarchy)
출판년도
(Year)
참여저자수
(Authors)
대표저자
(1st Authors)
Doi
KCD코드
ICD 03
건강보험코드