scholarly journals 630 Inpatient Capsule Endoscopy Does Not Lead to Increased Hospital Interventions in Stable Small Bowel Bleeding

2019 ◽  
Vol 114 (1) ◽  
pp. S367-S367
Author(s):  
Henry Jen ◽  
Leona Al Sayah ◽  
Daniel Sosa ◽  
Erin Taub ◽  
Farah Monzur
Keyword(s):  
Small Bowel ◽  
Capsule Endoscopy ◽  
Small Bowel Bleeding

Rendimiento diagnóstico de la videocápsula endoscópica en el sangrado del intestino delgado manifiesto

2020 ◽  
Vol 50 (4) ◽  
Author(s):  
María Alejandra Arriola ◽  
Diana Valencia ◽  
Carolina Olano
Keyword(s):  
Small Bowel ◽  
Capsule Endoscopy ◽  
Diagnostic Yield ◽  
Laboratory Data ◽  
Increased Risk ◽  
Frequent Finding ◽  
Male Sex ◽  
Lower Endoscopy ◽  
Small Bowel Bleeding ◽  
Nonspecific Inflammation

Introduction. The small bowel capsule endoscopy is the first line procedure in patients with suspected small bowel bleeding. Data regarding overt suspected small bowel bleeding and its predictive factors remain still limited. Aim. To assess the diagnostic yield of the capsule endoscopy and the factors predicting positive findings in patients with overt suspected small bowel bleeding. Methods. Patients with overt suspected small bowel bleeding (melena or enterorrhagia) and negative upper and lower endoscopy were included. A positive diagnostic yield was considered when the capsule endoscopy diagnosed one or more P2 or P3 type lesions (Modified Saurin Classification) Demographic and laboratory data were recorded. Results. 79 patients were included (mean age 62.92 (15-89); F:M 46:33). The diagnostic yield of the capsule endoscopy was 62%. The most frequent finding was angioectasia (44.8%), followed by nonspecific inflammation/ulceration (20.4%). The multivariate analysis found that age older than 50 years and male sex were independent variables that were associated with an increased risk of positive findings and angioectasia. Conclusions. In this group of patients with overt suspected small bowel bleeding, the capsule endoscopy was useful (with a diagnostic yield of 62%). The most frequent lesions were the vascular ones. Age over 50 and male sex were independent predictors of finding lesions and angioectasia.

Su1192 Predictors of Active Small Bowel Bleeding Warrant Early Capsule Endoscopy

2017 ◽  
Vol 85 (5) ◽  
pp. AB309
Author(s):  
Sara Monteiro ◽  
Pedro Boal Carvalho ◽  
Tiago Cúrdia Gonçalves ◽  
Maria João Moreira ◽  
Bruno Rosa ◽  
...  
Keyword(s):  
Small Bowel ◽  
Capsule Endoscopy ◽  
Small Bowel Bleeding

scholarly journals Aortoenteric fistula: a rare but critical cause of small bowel bleeding discovered on capsule endoscopy

2019 ◽  
Vol 12 (5) ◽  
pp. e230083
Author(s):  
Matt Davie ◽  
Diana E Yung ◽  
John N Plevris ◽  
Anastasios Koulaouzidis
Keyword(s):  
Small Bowel ◽  
Capsule Endoscopy ◽  
Abdominal Aortic Aneurysm Repair ◽  
Sudden Onset ◽  
Aortoenteric Fistula ◽  
Good Effect ◽  
Stent Grafting ◽  
Abdominal Aortic ◽  
History Of ◽  
Small Bowel Bleeding

A 78-year-old man attended for outpatient capsule endoscopy, to investigate a recent history of unexplained small bowel bleeding. His previous medical history included an abdominal aortic aneurysm repair 6 years ago. Soon after capsule ingestion, he experienced sudden onset abdominal pain and collapsed on hospital grounds. He was rapidly transferred to the emergency department as he was haemodynamically unstable, and a significant per rectum (PR) bleed was found on examination. The patient was quickly stabilised following fluid resuscitation. CT angiography was performed which did not show active bleeding. However, use of the real-time capsule viewer indicated a profuse active jejunal bleed originating from the aortic graft, suggestive of an aortoenteric fistula. The patient underwent emergency endovascular cuff placement, and subsequent endovascular abdominal aortic stent grafting, to good effect.

Capsule endoscopy: Is the software TOP 100 a reliable tool in suspected small bowel bleeding?

2019 ◽  
Vol 51 (12) ◽  
pp. 1661-1664 ◽  
Author(s):  
Cátia Arieira ◽  
Sara Monteiro ◽  
Francisca Dias de Castro ◽  
Pedro Boal Carvalho ◽  
Bruno Rosa ◽  
...  
Keyword(s):  
Small Bowel ◽  
Capsule Endoscopy ◽  
Reliable Tool ◽  
Small Bowel Bleeding

scholarly journals P169 Balloon enteroscopy in small bowel Crohn’s disease (CD) with suspected bleeding

2020 ◽  
Vol 14 (Supplement_1) ◽  
pp. S222-S222
Author(s):  
N M LAW
Keyword(s):  
Crohn’S Disease ◽  
Small Bowel ◽  
Crohn's Disease ◽  
Capsule Endoscopy ◽  
Therapeutic Intervention ◽  
Definitive Diagnosis ◽  
Gi Bleeding ◽  
Ileal Stricture ◽  
Single Operator ◽  
Small Bowel Bleeding

Abstract Background Deep enteroscopy with Single Balloon Enteroscopy (SBE) has been used in the evaluation of small bowel diseases and could be performed by a single operator. The role and safety of SBE in suspected small bowel CD with bleeding remained uncertain. Our primary aim was to evaluate the role of SBE in the management of suspected small bowel Crohn’s Disease (CD) with bleeding. The secondary aim was to find out whether SBE could provide definitive diagnosis and therapeutic intervention. Methods Hospitalised patients with iron deficiency anaemia (IDA) and/or overt GI bleeding were studied. All had prior negative oesophagogastro-duodenoscopy (OGD) and colonoscopy followed by single operator SBE. The indications were IDA in 28 patients, overt GI bleeding in 18 patients and IDA with abdominal pain and/or weight loss in 6 patients. Twenty and six patients had CT scan and capsule endoscopy done respectively with normal or unconfirmed small bowel lesions. Results Fifty-two patients with suspected small bowel bleeding were studied with mean age of 51 (range 20 -84) years. Small bowel Crohn’s disease were diagnosed in 7 patients with jejunal and ileal involvement in 2 and 5 patients respectively. All patients had subsequent histopathology confirmation from biopsies taken during the procedures. In addition, SBE allowed the retrieval of a stuck capsule scope in a patient with proximal ileal stricture. Repeated balloon dilatation through SBE was done successfully in one patient with distal ileal stricture without complication. Conclusion Small bowel Crohn’s disease was found in 21% of our patients with suspected small bowel bleeding. SBE is the preferred method of small bowel evaluation after negative upper and lower GI evaluation in this selected patients. Definitive diagnosis and targeted biopsies confirmed the diagnosis of CD as compared with radiological imaging and capsule endoscopy. SBE also provided safe therapeutic intervention in those patients with small bowel stricture from CD through endoscopic dilatation.

scholarly journals Optimising the use of small bowel endoscopy: a practical guide

2019 ◽  
Vol 10 (2) ◽  
pp. 171-176 ◽  
Author(s):  
Stefania Chetcuti Zammit ◽  
David S Sanders ◽  
Mark E McAlindon ◽  
Reena Sidhu
Keyword(s):  
Small Bowel ◽  
Capsule Endoscopy ◽  
Diagnostic Yield ◽  
Concise Review ◽  
Small Bowel Tumours ◽  
Line Test ◽  
Meta Analyses ◽  
Small Bowel Endoscopy ◽  
Bowel Imaging ◽  
Small Bowel Bleeding

The wireless nature of capsule endoscopy offers patients the least invasive option for small bowel investigation. It is now the first-line test for suspected small bowel bleeding. Furthermore meta-analyses suggest that capsule endoscopy outperforms small bowel imaging for small bowel tumours and is equivalent to CT enterography and magnetic resonance enterography for small bowel Crohn’s disease. A positive capsule endoscopy lends a higher diagnostic yield with device-assisted enteroscopy. Device-assisted enteroscopy allows for the application of therapeutics to bleeding points, obtain histology of lesions seen, tattoo lesions for surgical resection or undertake polypectomy. It is however mainly reserved for therapeutics due to its invasive nature. Device-assisted enteroscopy has largely replaced intraoperative enteroscopy. The use of both modalities is discussed in detail for each indication. Current available guidelines are compared to provide a concise review.

scholarly journals 179 MULTICENTER PROSPECTIVE CASE-CROSSOVER STUDY ON THE ASSOCIATION BETWEEN OVERT SMALL-BOWEL BLEEDING AND DRUGS USING CAPSULE ENDOSCOPY DATABASE IN JAPAN

2018 ◽  
Vol 87 (6) ◽  
pp. AB64-AB65
Author(s):  
Naoki Ohmiya ◽  
Shunji Fujimori ◽  
Masanao Nakamura ◽  
Atsuo Yamada ◽  
Shiro Oka ◽  
...  
Keyword(s):  
Small Bowel ◽  
Crossover Study ◽  
Capsule Endoscopy ◽  
Case Crossover ◽  
Small Bowel Bleeding

Comparison in the diagnostic yield between “Pillcam SB3” capsule endoscopy and “OMOM Smart Capsule 2” in small bowel bleeding. A randomized head-to-head study

2020 ◽  
Author(s):  
Gerardo Blanco-Velasco ◽  
Raul Antonio Zamarripa-Mottú ◽  
Omar Michel Solórzano-Pineda ◽  
Miguel Mascarenhas-Saraiva ◽  
Juan Manuel Blancas-Valencia ◽  
...  
Keyword(s):  
Small Bowel ◽  
Capsule Endoscopy ◽  
Diagnostic Yield ◽  
Small Bowel Bleeding

scholarly journals Analysis of Non-Small Bowel Lesions Detected by Capsule Endoscopy in Patients with Potential Small Bowel Bleeding

2016 ◽  
Vol 2016 ◽  
pp. 1-5 ◽  
Author(s):  
Fatma Ebru Akin ◽  
Oyku Tayfur Yurekli ◽  
Aylin Demirezer Bolat ◽  
Mustafa Tahtacı ◽  
Huseyin Koseoglu ◽  
...  
Keyword(s):  
Small Bowel ◽  
Capsule Endoscopy ◽  
Video Capsule Endoscopy ◽  
Gi Bleeding ◽  
Gastric Lesions ◽  
Male Ratio ◽  
Bleeding Lesion ◽  
Anastomotic Bleeding ◽  
Bowel Segments ◽  
Small Bowel Bleeding

Gastrointestinal (GI) bleeding cases in whom source cannot be identified after conventional upper and lower GI endoscopy are defined as potential small bowel bleeding. We aimed to search for lesions in the reach of conventional endoscopy in patients to whom video capsule endoscopy (VCE) had been applied for potential small bowel bleeding. 114 patients who had VCE evaluation for potential small bowel bleeding between January 2009 and August 2015 were retrospectively evaluated. Mean age of the patients was 55 ± 17 years. Female/male ratio is 39/75. In 58 patients (50.9%) bleeding lesion could be determined. Among these 58 patients 8 patients’ lesions were in the reach of conventional endoscopes. Overall these 8 patients comprised 7% of patients in whom VCE was performed for potential small bowel bleeding. Among these 8 patients 5 had colonic lesions (4 angiodysplasia, 1 ulcerated polypoid cecal lesion), 2 had gastric lesions (1 GAVE, 1 anastomotic bleeding), and 1 patient had a bleeding lesion in the duodenal bulbus. Although capsule endoscopy is usually performed for potential small bowel bleeding gastroenterologists should always keep in mind that these patients may be suffering from bleeding from non-small bowel segments and should carefully review images captured from non-small bowel areas.

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