Gastroduodenal lesions detected during small bowel capsule endoscopy: incidence, diagnostic and therapeutic impact
| Autor: | Ignacio Fernández-Urién Sainz, Juan José Vila Costas, José Francisco Juanmartiñena Fernández, Beatriz Zabalza Ollo, Cristina Saldaña Dueñas, Marta Montañes Guimera, Alfonso Elosua González |
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| Rok vydání: | 2017 |
| Předmět: |
Adult
Male medicine.medical_specialty Peptic Ulcer Erythema Adolescent Stomach Diseases Chronic gastritis Gastroenterology Inflammatory bowel disease Capsule Endoscopy law.invention Gastric lesions 03 medical and health sciences Young Adult 0302 clinical medicine Capsule endoscopy law Internal medicine Gastroscopy medicine Humans lcsh:RC799-869 Young adult Duodenal Diseases Child Aged Retrospective Studies Aged 80 and over Gastrointestinal tract business.industry Incidence (epidemiology) Incidence Retrospective cohort study General Medicine Middle Aged medicine.disease 030220 oncology & carcinogenesis lcsh:Diseases of the digestive system. Gastroenterology 030211 gastroenterology & hepatology Female Radiology medicine.symptom business |
| Zdroj: | Revista Española de Enfermedades Digestivas v.110 n.2 2018 SciELO España. Revistas Científicas Españolas de Ciencias de la Salud instname Revista Española de Enfermedades Digestivas, Volume: 110, Issue: 2, Pages: 102-108, Published: 2018 Revista Espanola de Enfermedades Digestivas, Vol 110, Iss 2, Pp 102-108 |
| ISSN: | 1130-0108 |
| Popis: | Background: Capsule endoscopy was primarily designed for the investigation of the small bowel. However, it may also identify lesions in other segments of the gastrointestinal tract. The aim of the current study was to evaluate the incidence of gastroduodenal abnormalities during small bowel capsule endoscopy and its impact on patient diagnosis and management. Patients and methods: This study is a retrospective analysis of data from 2,217 consecutive capsule endoscopy procedures performed at a single tertiary-care center between January 2008 and February 2016. Patient baseline characteristics, gastroduodenal lesions, diagnosis and management before and after capsule endoscopy were recorded and a descriptive analysis was performed. Results: Two thousands and two hundred seventeen patients were finally included in the analysis. One thousand and seventy patients were male (48.2%) and the mean age was 56.1 ± 19.5 years (range: 12-93). Obscure gastrointestinal bleeding (52.3%) and inflammatory bowel disease (18.3%) were the main procedure indications. Gastroduodenal abnormalities were detected by capsule endoscopy in 696 (31.4%) of 2,217 patients. The most common types of missed gastric and duodenal lesions found were gastric erosions (35.4%), findings suggestive of chronic gastritis (22.9%), duodenal erosions (28.1%) and duodenal erythema (23.5%). This information had a clinical or diagnostic impact of 26.2% and a therapeutic impact of 15.5%. Conclusion: Capsule endoscopy detects not only small bowel lesions but also some gastroduodenal lesions that may be overlooked during an initial gastroscopy. Therefore, all gastroduodenal images should be read during small bowel capsule endoscopy as it may provide relevant information that result in changes in patient management. |
| Databáze: | OpenAIRE |
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