Autor: |
Song, Joo Hye, Hong, Sung Noh, Kyung Chang, Dong, Ran Jeon, Seong, Kim, Jin-Oh, Kim, Jinsu, Lee, Bo-In, Choi, Myung-Gyu, Kim, Kyeong Ok, Yang, Dong-Hoon, Song, Hyun Joo, Hyuk Do, Jae, Jeong Lim, Yun, Shim, Ki-Nam, Park, Soo Jung, Kim, Ji Hyun, Moon, Jeong Seop, Joo Jang, Hyun, Jai Chun, Hoon |
Zdroj: |
United European Gastroenterology Journal; October 2018, Vol. 6 Issue: 8 p1169-1178, 10p |
Abstrakt: |
Whether the etiology of potential small-bowel bleeding depends on the age and gender of the patient is not yet fully understood. A total of 1953 patients who underwent video capsule endoscopy (VCE) to evaluate potential small-bowel bleeding and were registered in the Capsule Endoscopy Nationwide Database Registry from 2003 to 2014 were eligible for this study. VCE findings and the etiology of small-bowel bleeding were analyzed by age and gender. The diagnostic yield of VCE was 48.4% (95% CI: 46.2%–50.6%) and the diagnosis rate of etiology of potential small-bowel bleeding was 61.4% (95% CI: 59.2%–63.6%). The etiology of potential small-bowel bleeding depends on the age and gender of the patient. Crohn's disease and small-bowel diverticular diseases were more prevalent etiology of potential small-bowel bleeding in the young adults group (40 years) whereas angiodysplasia was revealed to be a most common etiology in elderly group (=?60 years), reaching statistical significance (p<0.00152) by Bonferroni correction. The etiology of potential small-bowel bleeding depends on the age of the patient. Thus, an individualized lesion-specific diagnostic approach based on age might be needed for patients with potential small-bowel bleeding. |
Databáze: |
Supplemental Index |
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