Diagnosis agreement between capsule endoscopy and double-balloon enteroscopy in obscure gastrointestinal bleeding at a referral center
Background and aim: Capsule endoscopy and double-balloon enteroscopy are well-recognized procedures in obscure gastrointestinal bleeding, with many factors that may influence their diagnosis yield. The aim of the present study was to characterize the degree of agreement between both techniques with...
| Main Authors: | , , , , , , , , , , , , , , , |
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| Format: | Article |
| Language: | English |
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Aran Ediciones
2015-08-01
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| Series: | Revista Espanola de Enfermedades Digestivas |
| Subjects: | |
| Online Access: | http://scielo.isciii.es/scielo.php?script=sci_arttext&pid=S1130-01082015000800006&lng=en&tlng=en |
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| author | Enrique Pérez-Cuadrado-Robles Pilar Esteban-Delgado Blanca Martínez-Andrés Luis Eduardo Zamora-Nava José Luis Rodrigo-Agudo Silvia Chacón-Martínez Emilio Torrella-Cortes Jamal Shanabo Antonio López-Higueras Eduardo Muñoz-Bertrán Hacibe Hallal Rafael Latorre Octavio López-Albors Federico Soria Paloma Bebia-Conesa Enrique Pérez-Cuadrado-Martínez |
| author_facet | Enrique Pérez-Cuadrado-Robles Pilar Esteban-Delgado Blanca Martínez-Andrés Luis Eduardo Zamora-Nava José Luis Rodrigo-Agudo Silvia Chacón-Martínez Emilio Torrella-Cortes Jamal Shanabo Antonio López-Higueras Eduardo Muñoz-Bertrán Hacibe Hallal Rafael Latorre Octavio López-Albors Federico Soria Paloma Bebia-Conesa Enrique Pérez-Cuadrado-Martínez |
| author_sort | Enrique Pérez-Cuadrado-Robles |
| collection | DOAJ |
| description | Background and aim: Capsule endoscopy and double-balloon enteroscopy are well-recognized procedures in obscure gastrointestinal bleeding, with many factors that may influence their diagnosis yield. The aim of the present study was to characterize the degree of agreement between both techniques with focus on the type of lesion in a large cohort of patients at a referral center. Material and method: One thousand two hundred and nine capsules were administered in 1,078 patients and 381 enteroscopies were performed in 361 patients with obscure-gastrointestinal bleeding from 2004 to 2014. Results: Both procedures were carried out in 332 patients (mean age: 65.22 ± 15.41, 183 men) and they have a similar diagnosis yield (70.5% vs. 69.6%, p = 0.9). Overall enteroscopy diagnosis yield was higher within patients with a previous positive capsule endoscopy (79.3% vs. 27.9%, p < 0.001). The degree of agreement was very good for polyps (0.89 [95% CI: 0.78-0.99]), good for vascular lesions (0.66 [95% CI: 0.55-0.77]) and tumors (0.66 [95% CI: 0.55-0.76]) and moderate for ulcers (0.56 [95% CI: 0.46-0.67]). Diverticula (0.39 [95% CI: 0.29-0.5]) achieved a fair agreement. The results of CE and DBE differed in 73 patients (22%). Conclusions: The present study confirms that although overall diagnostic yield by capsule endoscopy and double-balloon enteroscopy is similar, there are many factors which can modify these values, mainly the type of lesion. |
| first_indexed | 2024-12-21T04:43:02Z |
| format | Article |
| id | doaj.art-a086fa0b120f4a06bda3a481264bef92 |
| institution | Directory Open Access Journal |
| issn | 1130-0108 |
| language | English |
| last_indexed | 2024-12-21T04:43:02Z |
| publishDate | 2015-08-01 |
| publisher | Aran Ediciones |
| record_format | Article |
| series | Revista Espanola de Enfermedades Digestivas |
| spelling | doaj.art-a086fa0b120f4a06bda3a481264bef922022-12-21T19:15:38ZengAran EdicionesRevista Espanola de Enfermedades Digestivas1130-01082015-08-011078495500S1130-01082015000800006Diagnosis agreement between capsule endoscopy and double-balloon enteroscopy in obscure gastrointestinal bleeding at a referral centerEnrique Pérez-Cuadrado-Robles0Pilar Esteban-Delgado1Blanca Martínez-Andrés2Luis Eduardo Zamora-Nava3José Luis Rodrigo-Agudo4Silvia Chacón-Martínez5Emilio Torrella-Cortes6Jamal Shanabo7Antonio López-Higueras8Eduardo Muñoz-Bertrán9Hacibe Hallal10Rafael Latorre11Octavio López-Albors12Federico Soria13Paloma Bebia-Conesa14Enrique Pérez-Cuadrado-Martínez15Hospital Morales MeseguerHospital Morales MeseguerHospital Morales MeseguerNational Institute of Medical Sciences and Nutrition Salvador ZubiránHospital Morales MeseguerHospital Morales MeseguerHospital Morales MeseguerHospital Morales MeseguerHospital Morales MeseguerHospital Morales MeseguerHospital Morales MeseguerUniversiad de MurciaUniversiad de MurciaMinimally Invasive Surgery Center Jesús UsónHospital Morales MeseguerHospital Morales MeseguerBackground and aim: Capsule endoscopy and double-balloon enteroscopy are well-recognized procedures in obscure gastrointestinal bleeding, with many factors that may influence their diagnosis yield. The aim of the present study was to characterize the degree of agreement between both techniques with focus on the type of lesion in a large cohort of patients at a referral center. Material and method: One thousand two hundred and nine capsules were administered in 1,078 patients and 381 enteroscopies were performed in 361 patients with obscure-gastrointestinal bleeding from 2004 to 2014. Results: Both procedures were carried out in 332 patients (mean age: 65.22 ± 15.41, 183 men) and they have a similar diagnosis yield (70.5% vs. 69.6%, p = 0.9). Overall enteroscopy diagnosis yield was higher within patients with a previous positive capsule endoscopy (79.3% vs. 27.9%, p < 0.001). The degree of agreement was very good for polyps (0.89 [95% CI: 0.78-0.99]), good for vascular lesions (0.66 [95% CI: 0.55-0.77]) and tumors (0.66 [95% CI: 0.55-0.76]) and moderate for ulcers (0.56 [95% CI: 0.46-0.67]). Diverticula (0.39 [95% CI: 0.29-0.5]) achieved a fair agreement. The results of CE and DBE differed in 73 patients (22%). Conclusions: The present study confirms that although overall diagnostic yield by capsule endoscopy and double-balloon enteroscopy is similar, there are many factors which can modify these values, mainly the type of lesion.http://scielo.isciii.es/scielo.php?script=sci_arttext&pid=S1130-01082015000800006&lng=en&tlng=enEnteroscopiaHemorragia digestiva mediaCápsula endoscópicaLesión de DieulafoyAngioectasia |
| spellingShingle | Enrique Pérez-Cuadrado-Robles Pilar Esteban-Delgado Blanca Martínez-Andrés Luis Eduardo Zamora-Nava José Luis Rodrigo-Agudo Silvia Chacón-Martínez Emilio Torrella-Cortes Jamal Shanabo Antonio López-Higueras Eduardo Muñoz-Bertrán Hacibe Hallal Rafael Latorre Octavio López-Albors Federico Soria Paloma Bebia-Conesa Enrique Pérez-Cuadrado-Martínez Diagnosis agreement between capsule endoscopy and double-balloon enteroscopy in obscure gastrointestinal bleeding at a referral center Revista Espanola de Enfermedades Digestivas Enteroscopia Hemorragia digestiva media Cápsula endoscópica Lesión de Dieulafoy Angioectasia |
| title | Diagnosis agreement between capsule endoscopy and double-balloon enteroscopy in obscure gastrointestinal bleeding at a referral center |
| title_full | Diagnosis agreement between capsule endoscopy and double-balloon enteroscopy in obscure gastrointestinal bleeding at a referral center |
| title_fullStr | Diagnosis agreement between capsule endoscopy and double-balloon enteroscopy in obscure gastrointestinal bleeding at a referral center |
| title_full_unstemmed | Diagnosis agreement between capsule endoscopy and double-balloon enteroscopy in obscure gastrointestinal bleeding at a referral center |
| title_short | Diagnosis agreement between capsule endoscopy and double-balloon enteroscopy in obscure gastrointestinal bleeding at a referral center |
| title_sort | diagnosis agreement between capsule endoscopy and double balloon enteroscopy in obscure gastrointestinal bleeding at a referral center |
| topic | Enteroscopia Hemorragia digestiva media Cápsula endoscópica Lesión de Dieulafoy Angioectasia |
| url | http://scielo.isciii.es/scielo.php?script=sci_arttext&pid=S1130-01082015000800006&lng=en&tlng=en |
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