Gastroduodenal lesions detected during small bowel capsule endoscopy: incidence, diagnostic and therapeutic impact
ABSTRACT Background: Capsule endoscopy was primarily designed for the investigation of the small bowel. However, it may also identify lesions in other segments of the gastrointestinal tract. The aim of the current study was to evaluate the incidence of gastroduodenal abnormalities during small bow...
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| Format: | Article |
| Language: | English |
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Aran Ediciones
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| Series: | Revista Espanola de Enfermedades Digestivas |
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| Online Access: | http://scielo.isciii.es/scielo.php?script=sci_arttext&pid=S1130-01082018000200006&lng=en&tlng=en |
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| author | José-Francisco Juanmartiñena-Fernández Ignacio Fernández-Urién-Sainz Beatriz Zabalza-Ollo Cristina Saldaña-Dueñas Marta Montañés-Guimera Alfonso Elosua-González Juan-José Vila-Costas |
| author_facet | José-Francisco Juanmartiñena-Fernández Ignacio Fernández-Urién-Sainz Beatriz Zabalza-Ollo Cristina Saldaña-Dueñas Marta Montañés-Guimera Alfonso Elosua-González Juan-José Vila-Costas |
| author_sort | José-Francisco Juanmartiñena-Fernández |
| collection | DOAJ |
| description | ABSTRACT Background: Capsule endoscopy was primarily designed for the investigation of the small bowel. However, it may also identify lesions in other segments of the gastrointestinal tract. The aim of the current study was to evaluate the incidence of gastroduodenal abnormalities during small bowel capsule endoscopy and its impact on patient diagnosis and management. Patients and methods: This study is a retrospective analysis of data from 2,217 consecutive capsule endoscopy procedures performed at a single tertiary-care center between January 2008 and February 2016. Patient baseline characteristics, gastroduodenal lesions, diagnosis and management before and after capsule endoscopy were recorded and a descriptive analysis was performed. Results: Two thousands and two hundred seventeen patients were finally included in the analysis. One thousand and seventy patients were male (48.2%) and the mean age was 56.1 ± 19.5 years (range: 12-93). Obscure gastrointestinal bleeding (52.3%) and inflammatory bowel disease (18.3%) were the main procedure indications. Gastroduodenal abnormalities were detected by capsule endoscopy in 696 (31.4%) of 2,217 patients. The most common types of missed gastric and duodenal lesions found were gastric erosions (35.4%), findings suggestive of chronic gastritis (22.9%), duodenal erosions (28.1%) and duodenal erythema (23.5%). This information had a clinical or diagnostic impact of 26.2% and a therapeutic impact of 15.5%. Conclusion: Capsule endoscopy detects not only small bowel lesions but also some gastroduodenal lesions that may be overlooked during an initial gastroscopy. Therefore, all gastroduodenal images should be read during small bowel capsule endoscopy as it may provide relevant information that result in changes in patient management. |
| first_indexed | 2024-04-13T16:45:30Z |
| format | Article |
| id | doaj.art-5f7b6315d85f410f8feb23156acfd40d |
| institution | Directory Open Access Journal |
| issn | 1130-0108 |
| language | English |
| last_indexed | 2024-04-13T16:45:30Z |
| publisher | Aran Ediciones |
| record_format | Article |
| series | Revista Espanola de Enfermedades Digestivas |
| spelling | doaj.art-5f7b6315d85f410f8feb23156acfd40d2022-12-22T02:39:05ZengAran EdicionesRevista Espanola de Enfermedades Digestivas1130-0108110210210810.17235/reed.2017.5114/2017S1130-01082018000200006Gastroduodenal lesions detected during small bowel capsule endoscopy: incidence, diagnostic and therapeutic impactJosé-Francisco Juanmartiñena-FernándezIgnacio Fernández-Urién-SainzBeatriz Zabalza-OlloCristina Saldaña-DueñasMarta Montañés-GuimeraAlfonso Elosua-GonzálezJuan-José Vila-CostasABSTRACT Background: Capsule endoscopy was primarily designed for the investigation of the small bowel. However, it may also identify lesions in other segments of the gastrointestinal tract. The aim of the current study was to evaluate the incidence of gastroduodenal abnormalities during small bowel capsule endoscopy and its impact on patient diagnosis and management. Patients and methods: This study is a retrospective analysis of data from 2,217 consecutive capsule endoscopy procedures performed at a single tertiary-care center between January 2008 and February 2016. Patient baseline characteristics, gastroduodenal lesions, diagnosis and management before and after capsule endoscopy were recorded and a descriptive analysis was performed. Results: Two thousands and two hundred seventeen patients were finally included in the analysis. One thousand and seventy patients were male (48.2%) and the mean age was 56.1 ± 19.5 years (range: 12-93). Obscure gastrointestinal bleeding (52.3%) and inflammatory bowel disease (18.3%) were the main procedure indications. Gastroduodenal abnormalities were detected by capsule endoscopy in 696 (31.4%) of 2,217 patients. The most common types of missed gastric and duodenal lesions found were gastric erosions (35.4%), findings suggestive of chronic gastritis (22.9%), duodenal erosions (28.1%) and duodenal erythema (23.5%). This information had a clinical or diagnostic impact of 26.2% and a therapeutic impact of 15.5%. Conclusion: Capsule endoscopy detects not only small bowel lesions but also some gastroduodenal lesions that may be overlooked during an initial gastroscopy. Therefore, all gastroduodenal images should be read during small bowel capsule endoscopy as it may provide relevant information that result in changes in patient management.http://scielo.isciii.es/scielo.php?script=sci_arttext&pid=S1130-01082018000200006&lng=en&tlng=enCapsule endoscopyGastric lesionsGastroscopy |
| spellingShingle | José-Francisco Juanmartiñena-Fernández Ignacio Fernández-Urién-Sainz Beatriz Zabalza-Ollo Cristina Saldaña-Dueñas Marta Montañés-Guimera Alfonso Elosua-González Juan-José Vila-Costas Gastroduodenal lesions detected during small bowel capsule endoscopy: incidence, diagnostic and therapeutic impact Revista Espanola de Enfermedades Digestivas Capsule endoscopy Gastric lesions Gastroscopy |
| title | Gastroduodenal lesions detected during small bowel capsule endoscopy: incidence, diagnostic and therapeutic impact |
| title_full | Gastroduodenal lesions detected during small bowel capsule endoscopy: incidence, diagnostic and therapeutic impact |
| title_fullStr | Gastroduodenal lesions detected during small bowel capsule endoscopy: incidence, diagnostic and therapeutic impact |
| title_full_unstemmed | Gastroduodenal lesions detected during small bowel capsule endoscopy: incidence, diagnostic and therapeutic impact |
| title_short | Gastroduodenal lesions detected during small bowel capsule endoscopy: incidence, diagnostic and therapeutic impact |
| title_sort | gastroduodenal lesions detected during small bowel capsule endoscopy incidence diagnostic and therapeutic impact |
| topic | Capsule endoscopy Gastric lesions Gastroscopy |
| url | http://scielo.isciii.es/scielo.php?script=sci_arttext&pid=S1130-01082018000200006&lng=en&tlng=en |
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