Predictors for finding lesions in the small bowel by enteroscopy after a positive capsule endoscopy
| Autor: | Oscar Víctor Hernández-Mondragón, O.M. Solórzano-Pineda, Gerardo Blanco Velasco, Luis Fernando García Contreras, J.M. Blancas-Valencia |
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| Rok vydání: | 2020 |
| Předmět: |
Gynecology
Enteroscopy Adult Double-Balloon Enteroscopy medicine.medical_specialty medicine.diagnostic_test business.industry Gastroenterology General Medicine Middle Aged Capsule Endoscopy Endoscopy Gastrointestinal law.invention Capsule endoscopy law Double-balloon enteroscopy Intestine Small Medicine Humans Female business Gastrointestinal Hemorrhage Aged Retrospective Studies |
| Zdroj: | Revista espanola de enfermedades digestivas : organo oficial de la Sociedad Espanola de Patologia Digestiva. 112(4) |
| ISSN: | 1130-0108 |
| Popis: | studies have examined the agreement between capsule endoscopy and double-balloon enteroscopy, with varying results. The aim of this study was to identify factors that predict the visualization of lesions in the small bowel by double-balloon enteroscopy after a positive capsule endoscopy.a retrospective, observational and comparative study was performed that evaluated patients that underwent double-balloon enteroscopy after a positive capsule endoscopy, between January 2017 and August 2019. The data studied included demographics, indications, comorbidities and the results of capsule endoscopy and double-balloon enteroscopy, which were evaluated by multiple logistic regression.91 patients were included (age 58 ± 16.5 years, 53 female). Sixty-two double-balloon enteroscopy (68.1 %) found the same lesions as capsule endoscopy. Predictive factors for a positive double-balloon enteroscopy were multiple lesions (OR 8.10, 1.50-43.78; p = 0.015) and15 days between both studies (OR 5.31, 1.19-23.66; p=0.029). In the subgroup of patients with small bowel bleeding (70 patients), the results of 46 double-balloon enteroscopies (65.7 %) agreed with the capsule endoscopy. Predictive factors in this group were multiple lesions (OR 13.51, 1.78-102.22; p = 0.012),15 days between both studies (OR 13.51, 1.78-102.22; p = 0.012),60 years of age (OR 7.45, 1.51-36.75; p = 0.014) and ulcers (OR 4.67, 1.08-20.22; p = 0.039).predictive factors for a positive double-balloon enteroscopy after a positive capsule endoscopy were multiple lesions and15 days between both procedures. In patients with small bowel bleeding, age over 60 years and the presence of ulcers were also predictive factors. |
| Databáze: | OpenAIRE |
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