Diagnostic agreement between video capsule endoscopy and single and double balloon enteroscopy for small bowel bleeding at a tertiary care hospital in Bogota, Colombia.

Autor:	Cañadas Garrido R; Unidad de Gastroenterología y Endoscopia Digestiva, Hospital Universitario San Ignacio, Pontificia Universidad Javeriana, Bogotá, Colombia. Electronic address: raulcanadas@gmail.com., Rincón Sánchez RA; Unidad de Gastroenterología y Endoscopia Digestiva, Hospital Universitario San Ignacio, Pontificia Universidad Javeriana, Bogotá, Colombia., Costa Barney VA; Unidad de Gastroenterología y Endoscopia Digestiva, Hospital Universitario San Ignacio, Pontificia Universidad Javeriana, Bogotá, Colombia., Roa Ballestas PA; Unidad de Gastroenterología y Endoscopia Digestiva, Hospital Universitario San Ignacio, Pontificia Universidad Javeriana, Bogotá, Colombia., Espinosa Martínez CA; Unidad de Gastroenterología y Endoscopia Digestiva, Hospital Universitario San Ignacio, Pontificia Universidad Javeriana, Bogotá, Colombia., Pinzón Arenas DF; Unidad de Gastroenterología y Endoscopia Digestiva, Hospital Universitario San Ignacio, Pontificia Universidad Javeriana, Bogotá, Colombia., Ramirez Barranco R; Unidad de Gastroenterología y Endoscopia Digestiva, Hospital Universitario San Ignacio, Pontificia Universidad Javeriana, Bogotá, Colombia.
Jazyk:	English; Spanish; Castilian
Zdroj:	Revista de gastroenterologia de Mexico (English) [Rev Gastroenterol Mex (Engl Ed)] 2021 Jan-Mar; Vol. 86 (1), pp. 51-58. Date of Electronic Publication: 2020 Jun 01.
DOI:	10.1016/j.rgmx.2020.03.004
Abstrakt:	Introduction: Video capsule endoscopy and balloon-assisted enteroscopy are complementary diagnostic methods in the study of small bowel bleeding, and different factors can affect their diagnostic yield. Aims: To define the level of agreement between video capsule endoscopy and enteroscopy in small bowel bleeding, according to the type of lesion, in a cohort of patients at a tertiary care referral center. Materials and Methods: A retrospective study was conducted that included 428 capsule endoscopies performed within the time frame of 2011 and 2019 at our healthcare institution. Seventy-four video capsule endoscopies, followed by enteroscopy, in 71 patients suspected of presenting with small bowel bleeding, were analyzed. Results: Mean patient age was 63.9 ± 13.5 years and 42 patients were women. The two diagnostic procedures were performed. Overall diagnostic yield of positive findings between video capsule endoscopy and enteroscopy was 86.5% vs. 58.1%, respectively (p = 0.0527). Agreement between video capsule endoscopy and enteroscopy for positive pathologic findings was weak (Ik = 0.17, 95% CI: -0.0097-0.3543), but according to lesion type, it was good for inflammatory lesions (Ik = 0.71, 95% CI: 0.5182-0.9119) and moderate for angiectasias (Ik = 0.45, 95% CI: 0.2469-0.6538) and tumors (Ik = 0.40, 95% CI: 0.1217-0.6794). The results between the two methods differed in 38 patients (51.3%). There was complete intestinal capsule retention in one patient (1.4%) and active bleeding in 13 (17.6%). Conclusions: The present study showed that the two techniques had a similar overall detection rate for small bowel lesions, but the type of lesion was the main factor that could modify diagnostic agreement. (Copyright © 2020 Asociación Mexicana de Gastroenterología. Publicado por Masson Doyma México S.A. All rights reserved.)
Databáze:	MEDLINE
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