Diagnostic yield of inpatient capsule endoscopy.
Capsule endoscopy
Deep enteroscopy
Double balloon enteroscopy
GI bleeding
GI hospitalist
Inpatient
Obscure gastrointestinal bleeding
Push enteroscopy
Journal
BMC gastroenterology
ISSN: 1471-230X
Titre abrégé: BMC Gastroenterol
Pays: England
ID NLM: 100968547
Informations de publication
Date de publication:
12 May 2022
12 May 2022
Historique:
received:
30
04
2021
accepted:
09
03
2022
entrez:
13
5
2022
pubmed:
14
5
2022
medline:
20
5
2022
Statut:
epublish
Résumé
Capsule endoscopy (CE) provides a novel approach to evaluate obscure gastrointestinal bleeding. Yet CE is not routinely utilized in the inpatient setting for a variety of reasons. We sought to identify factors that predict complete CE and diagnostically meaningful CE, as well as assess the impact of inpatient CE on further hospital management.1 na d2 METHODS: We conducted a retrospective review of patients undergoing inpatient CE at a tertiary referral, academic center over a 3 year period. We analyzed data on patient demographics, medical history, endoscopic procedures, hospital course, and results of CE. The primary outcome was complete CE and the secondary outcome was positive findings of pathology on CE. 131 patients were included (56.5% were men 43.5% women, median age of 71.0 years). Overall, CE was complete in 77.1% of patients. Complete CE was not related to motility risk factors, gender, or administration modality. Patients with incomplete CE tended to be older, have lower BMI, and Caucasian, however results did not reach statistical significance (p = 0.06; p = 0.06; p = 0.08 respectively). Positive CE was noted in 73.3% of patients, with 35.1% of all patients having active bleeding. Positive CE was not associated with AVM risk factors or medication use. 28.0% of patients underwent subsequent hospital procedures, among which 67.6% identified the same pathology seen on CE. Contrary to previous studies, we found the majority of inpatient CEs were complete and positive for pathology. We found high rates of correlation between CE and subsequent procedures. The use of CE in the inpatient setting helps to guide the diagnosis and treatment of hospitalized patients with obscure gastrointestinal bleeding.
Sections du résumé
BACKGROUND
BACKGROUND
Capsule endoscopy (CE) provides a novel approach to evaluate obscure gastrointestinal bleeding. Yet CE is not routinely utilized in the inpatient setting for a variety of reasons. We sought to identify factors that predict complete CE and diagnostically meaningful CE, as well as assess the impact of inpatient CE on further hospital management.1 na d2 METHODS: We conducted a retrospective review of patients undergoing inpatient CE at a tertiary referral, academic center over a 3 year period. We analyzed data on patient demographics, medical history, endoscopic procedures, hospital course, and results of CE. The primary outcome was complete CE and the secondary outcome was positive findings of pathology on CE.
RESULTS
RESULTS
131 patients were included (56.5% were men 43.5% women, median age of 71.0 years). Overall, CE was complete in 77.1% of patients. Complete CE was not related to motility risk factors, gender, or administration modality. Patients with incomplete CE tended to be older, have lower BMI, and Caucasian, however results did not reach statistical significance (p = 0.06; p = 0.06; p = 0.08 respectively). Positive CE was noted in 73.3% of patients, with 35.1% of all patients having active bleeding. Positive CE was not associated with AVM risk factors or medication use. 28.0% of patients underwent subsequent hospital procedures, among which 67.6% identified the same pathology seen on CE.
CONCLUSIONS
CONCLUSIONS
Contrary to previous studies, we found the majority of inpatient CEs were complete and positive for pathology. We found high rates of correlation between CE and subsequent procedures. The use of CE in the inpatient setting helps to guide the diagnosis and treatment of hospitalized patients with obscure gastrointestinal bleeding.
Identifiants
pubmed: 35550029
doi: 10.1186/s12876-022-02323-9
pii: 10.1186/s12876-022-02323-9
pmc: PMC9101917
doi:
Types de publication
Journal Article
Langues
eng
Sous-ensembles de citation
IM
Pagination
236Informations de copyright
© 2022. The Author(s).
Références
Am J Gastroenterol. 2006 Jan;101(1):52-7
pubmed: 16405533
Gastrointest Endosc. 2007 Aug;66(2):304-9
pubmed: 17643704
World J Gastroenterol. 2013 Mar 14;19(10):1632-8
pubmed: 23539070
Am J Gastroenterol. 2007 Jan;102(1):89-95
pubmed: 17100969
World J Gastroenterol. 2012 Sep 28;18(36):5051-7
pubmed: 23049213
Endoscopy. 2015 Apr;47(4):352-76
pubmed: 25826168
Gastrointest Endosc. 2005 Nov;62(5):785-90
pubmed: 16246700
World J Gastroenterol. 2012 Apr 7;18(13):1502-7
pubmed: 22509082
Gastrointest Endosc. 2010 May;71(6):990-7
pubmed: 20304392
J Clin Gastroenterol. 2006 Feb;40(2):140-4
pubmed: 16394875
Int J Med Sci. 2008;5(6):303-8
pubmed: 18974857
Endoscopy. 2005 Sep;37(9):827-32
pubmed: 16116533
Rev Gastroenterol Mex (Engl Ed). 2018 Jul - Sep;83(3):238-244
pubmed: 29456092
Gastrointest Endosc. 2005 Jul;62(1):55-61
pubmed: 15990820
Am J Gastroenterol. 2005 Nov;100(11):2407-18
pubmed: 16279893
Endosc Int Open. 2018 Jun;6(6):E688-E693
pubmed: 29868633
Am J Gastroenterol. 2015 Sep;110(9):1265-87; quiz 1288
pubmed: 26303132
Can J Gastroenterol. 2008 May;22(5):491-5
pubmed: 18478135
Gastrointest Endosc. 2005 Nov;62(5):712-6; quiz 752, 754
pubmed: 16246685
Am J Gastroenterol. 2006 May;101(5):954-64
pubmed: 16696781
Minerva Gastroenterol Dietol. 2008 Jun;54(2):189-207
pubmed: 18319691
Endoscopy. 2006 Jan;38(1):59-66
pubmed: 16429356
Arq Gastroenterol. 2018 Jul-Sep;55(3):242-246
pubmed: 30540085
World J Gastroenterol. 2010 Nov 14;16(42):5329-33
pubmed: 21072896
World J Gastroenterol. 2017 Jan 28;23(4):697-702
pubmed: 28216977
Am J Gastroenterol. 2007 Aug;102(8):1624-31
pubmed: 17459022
Gastrointest Endosc. 2009 Jan;69(1):74-80
pubmed: 18691709
World J Gastrointest Endosc. 2015 Apr 16;7(4):403-10
pubmed: 25901220
Gastrointest Endosc. 2009 Apr;69(4):866-74
pubmed: 19136098
World J Gastrointest Pathophysiol. 2014 Nov 15;5(4):479-86
pubmed: 25400992
Gastrointest Endosc. 2002 Sep;56(3):349-53
pubmed: 12196771
Endosc Int Open. 2018 Jun;6(6):E751-E757
pubmed: 29876513