Single center experience of capsule endoscopy in patients with obscure gastrointestinal bleeding

查看全文 作　　者：Mahesh Kumar [1]Goenka;Shounak [1]Majumder;Sanjeev [1]Kumar;Pradeepta Kumar [1]Sethy;Usha [1]Goenka

机构地区：[1]Institute of Gastroenterology,Apollo Gleneagles Hospital

出　　处：《World Journal of Gastroenterology》索引2011年第17卷第6期,共5页

摘　　要：AIM:To identify optimum timing to maximize diagnostic yield by capsule endoscopy (CE) in patients with obscure gastrointestinal bleeding (OGIB).METHODS:We identified patients who underwent CE at our institution from August 2003 to December 2009.Patient medical records were reviewed to determine type of OGIB (occult,overt),CE results and complications,and timing of CE with respect to onset of bleeding.RESULTS:Out of 385 patients investigated for OGIB,284 (74%) had some lesion detected by CE.In 222 patients (58%),definite lesions were detected that could unequivocally explain OGIB.Small bowel ulcer/erosions secondary to Crohn's disease,tuberculosis or non-steroidal anti-inflammatory agent use were the commonest lesions detected.Patients with overt GI bleeding for < 48 h before CE had the highest diagnostic yield (87%).This was significantly greater (P < 0.05) compared to that in patients with overt bleeding prior to 48 h (68%),as well as those with occult OGIB (59%).CONCLUSION:We established the importance of early CE in management of OGIB.CE within 48 h of overt bleeding has the greatest potential for lesion detection. 关键词：消化道出血患者原因内镜胶囊非甾体抗炎药发病类型行政

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Single center experience of capsule endoscopy in patients with obscure gastrointestinal bleeding

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