Small bowel neoplasia: Diagnostic yield of push enteroscopy

2001 ◽  
Vol 53 (5) ◽  
pp. AB207
Keyword(s):  
Small Bowel ◽  
Diagnostic Yield ◽  
Push Enteroscopy

scholarly journals Diagnostic yield of esophagogastroduodenoscopy, colonoscopy, and small bowel endoscopy in Thai adults with chronic diarrhea

2021 ◽  
Vol 21 (1) ◽  
Author(s):  
Julajak Limsrivilai ◽  
Choompunuj Sakjirapapong ◽  
Onuma Sattayalertyanyong ◽  
Tanawat Geeratragool ◽  
Phalat Sathirawich ◽  
...  
Keyword(s):  
Weight Loss ◽  
Small Bowel ◽  
Medical Records ◽  
Gastrointestinal Endoscopy ◽  
Chronic Diarrhea ◽  
Diagnostic Yield ◽  
Significant Weight Loss ◽  
Push Enteroscopy ◽  
The Mean ◽  
Small Bowel Endoscopy

Abstract Background Gastrointestinal endoscopy is frequently recommended for chronic diarrhea assessment in Western countries, but its benefit in the Southeast Asia region is not well established. Methods Medical records of consecutive patients undergoing esophagogastroduodenoscopy (EGD), colonoscopy, and small bowel endoscopy for chronic diarrhea from 2008 to 2018 were reviewed. Small bowel endoscopy included push enteroscopy, balloon-assisted enteroscopy (BAE), and video capsule endoscopy (VCE). The diagnostic yield of each endoscopic modality and predictors for positive small bowel endoscopy were analyzed. Results A total of 550 patients were included. The mean age was 54 years, and 266 (46.3%) patients were male. The mean hemoglobin and albumin levels were 11.6 g/dL and 3.6 g/dL, respectively. EGD and colonoscopy were performed in 302 and 547 patients, respectively, and the diagnostic yield was 24/302 (7.9%) for EGD and 219/547 (40.0%) for colonoscopy. EGD did not reveal positive findings in any patients with normal colonoscopy. Fifty-one patients with normal EGD and colonoscopy underwent small bowel endoscopy. Push enteroscopy, BAE, and VCE were performed in 28, 21, and 19 patients with a diagnostic yield of 5/28 (17.9%), 14/21 (66.7%), and 8/19 (42.1%), respectively. Significant weight loss, edema, and hypoalbuminemia were independent predictors for the positive yield of small bowel endoscopy. Conclusion Colonoscopy was an essential diagnostic tool in identifying the cause of chronic diarrhea in Thai patients, whereas EGD provided some benefits. Small bowel endoscopy should be performed when colonoscopy and EGD were negative, particularly in patients with significant weight loss, edema, and hypoalbuminemia.

scholarly journals Push enteroscopy in management of suspected small bowel diseases: Is it still needed?

2014 ◽  
Vol 05 (03) ◽  
pp. 095-100
Author(s):  
Mohamed A. Tawfik ◽  
Abd Allah El-Sawy
Keyword(s):  
Small Bowel ◽  
Diagnostic Yield ◽  
Push Enteroscopy ◽  
Medicine Department ◽  
Proximal Small Bowel ◽  
Intestinal Lesions ◽  
Common Diagnosis ◽  
Bowel Diseases ◽  
Obscure Bleeding ◽  
Small Intestinal

Abstract Background and Study Aims: Small intestinal lesions still represent a challenge in diagnosis and treatment. The detection of small bowel lesions has been difficult due to limited visualization of the small bowel by esophagogastroduodenoscopy (EGD) and colonoscopy. In this study, we aimed to assess the efficacy of push enteroscopy (PE) in diagnosis and therapy of small bowel lesions in different indications in a single gastrointestinal (GI) endoscopy center. Patients and Methods: In the period from January 2012 to December 2013, 14 patients presented with different indications referred to the Tanta Endoscopy Center, a division of the internal medicine department and one of the most important centers in Delta Nile in Egypt. Patients were referred due to different indications, and they underwent examination by PE. Results: The overall diagnostic yield for patients with suspected small bowel disease was 57% and for patients with both occult and overt obscure bleeding 63%. Ectopic jejunal varices was the most common diagnosis in patients with GI blood loss. Patients with active overt GI bleeding had a higher diagnostic yield. The procedure was tolerated well, and no complications occurred. Conclusions: Additional endoscopic evaluation of the proximal small bowel by PE should be considered in all patients with nonspecific findings on EGD and colonoscopy especially with occult or overt bleeding, balloon-assisted enteroscopy may be not readily available and capsule endoscopy is expensive.

Diagnostic Performance of Esophagogastroduodenoscopy, Colonoscopy, and Small Bowel Endoscopy in Thai Adults with Chronic Diarrhea

2021 ◽  
Author(s):  
Julajak Limsrivilai ◽  
Choompunuj Sakjirapapong ◽  
Ananya Pongpaibul ◽  
Piyaporn Apisarnthanarak ◽  
Phutthaphorn Phaophu ◽  
...  
Keyword(s):  
Small Bowel ◽  
Capsule Endoscopy ◽  
Medical Records ◽  
Diagnostic Performance ◽  
Gastrointestinal Endoscopy ◽  
Chronic Diarrhea ◽  
Diagnostic Yield ◽  
Diagnostic Utility ◽  
Push Enteroscopy ◽  
Small Bowel Endoscopy

Abstract Background: Gastrointestinal endoscopy is recommended to investigate chronic diarrhea in Western countries, but its benefits have infrequently been investigated in Southeast Asia. This study aimed to determine the diagnostic utility of esophagogastroduodenoscopy (EGD), colonoscopy, and small bowel endoscopy in Thai chronic diarrhea. Methods: Medical records of consecutive patients who underwent EGD and/or colonoscopy to investigate chronic diarrhea at our center from 2008 to 2012 were reviewed. We also evaluated consecutive patients with negative EGD and colonoscopy who underwent subsequent small bowel endoscopy, including push enteroscopy, balloon-assisted enteroscopy (BAE), and video capsule endoscopy (VCE), from 2008 to 2018. The diagnostic yield of each endoscopic modality was analyzed. Results: A total of 272 patients underwent EGD and/or colonoscopy. Mean hemoglobin and albumin levels were 11.6 g/dL and 3.8 g/dL, respectively. EGD and colonoscopy were performed in 135 and 269 patients, respectively, and the diagnostic yield was 5.9% for EGD and 42.7% for colonoscopy. No patient with normal colonoscopy had positive EGD findings. Thirty-nine patients with normal EGD and colonoscopy underwent small bowel endoscopy. Mean hemoglobin and albumin levels were 10.9 and 2.7 g/dL, respectively. Push enteroscopy, BAE, and VCE were performed in 22, 20, and 11 patients with a diagnostic yield of 22.7%, 60.0%, and 45.5%, respectively. Conclusion: Colonoscopy was shown to be an essential investigation in chronic diarrhea. In contrast to western, EGD did not add benefit to colonoscopy. Enteroscopy played an important role in the diagnosis of chronic diarrhea when colonoscopy was negative.

Diagnostic yield of push-enteroscopy in small bowel pathologies not presented with G.I. bleeding

2000 ◽  
Vol 32 ◽  
pp. A110
Author(s):  
Italo Sorrentini ◽  
Addolorata Marasco ◽  
Gaetano Iaquinto
Keyword(s):  
Small Bowel ◽  
Diagnostic Yield ◽  
Push Enteroscopy

scholarly journals Randomized Controlled Trial Comparing Outcomes of Video Capsule Endoscopy with Push Enteroscopy in Obscure Gastrointestinal Bleeding

2015 ◽  
Vol 29 (2) ◽  
pp. 85-90 ◽  
Author(s):  
Dev S Segarajasingam ◽  
Stephen C Hanley ◽  
Alan N Barkun ◽  
Kevin A Waschke ◽  
Pascal Burtin ◽  
...  
Keyword(s):  
Small Bowel ◽  
Gastrointestinal Bleeding ◽  
Resource Utilization ◽  
Capsule Endoscopy ◽  
Diagnostic Yield ◽  
Video Capsule Endoscopy ◽  
Health Resource ◽  
Health Resource Utilization ◽  
Push Enteroscopy

BACKGROUND: Optimal management of obscure gastrointestinal bleeding (OGIB) remains unclear.OBJECTIVE: To evaluate diagnostic yields and downstream clinical outcomes comparing video capsule endoscopy (VCE) with push enteroscopy (PE).METHODS: Patients with OGIB and negative esophagogastroduodenoscopies and colonoscopies were randomly assigned to VCE or PE and followed for 12 months. End points included diagnostic yield, acute or chronic bleeding, health resource utilization and crossovers.RESULTS: Data from 79 patients were analyzed (VCE n=40; PE n=39; 82.3% overt OGIB). VCE had greater diagnostic yield (72.5% versus 48.7%; P<0.05), especially in the distal small bowel (58% versus 13%; P<0.01). More VCE-identified lesions were rated possible or certain causes of bleeding (79.3% versus 35.0%; P<0.05). During follow-up, there were no differences in the rates of ongoing bleeding (acute [40.0% versus 38.5%; P not significant], chronic [32.5% versus 45.6%; P not significant]), nor in health resource utilization. Fewer VCE-first patients crossed over due to ongoing bleeding (22.5% versus 48.7%; P<0.05).CONCLUSIONS: A VCE-first approach had a significant diagnostic advantage over PE-first in patients with OGIB, especially with regard to detecting small bowel lesions, affecting clinical certainty and subsequent further small bowel investigations, with no subsequent differences in bleeding or resource utilization outcomes in follow-up. These findings question the clinical relevance of many of the discovered endoscopic lesions or the ability to treat most of these effectively over time. Improved prognostication of both patient characteristics and endoscopic lesion appearance with regard to bleeding behaviour, coupled with the impact of therapeutic deep enteroscopy, is now required using adapted, high-quality study methodologies.

DOES TECHNOLOGY IMPROVEMENTS IN PILLCAM SB3 CAPSULE INCREASES THE DIAGNOSTIC YIELD IN SMALL BOWEL BLEEDING?

2018 ◽  
Author(s):  
G Blanco-Velasco ◽  
OM Solorzano-Pineda ◽  
O Hernandez-Mondragon ◽  
JM Blancas-Valencia
Keyword(s):  
Small Bowel ◽  
Diagnostic Yield ◽  
Small Bowel Bleeding

ID: 3519521 FEASIBILITY AND DIAGNOSTIC YIELD OF SMALL BOWEL CAPSULE ENDOSCOPY IN PATIENTS WITH SURGICALLY ALTERED GASTRIC ANATOMY

2021 ◽  
Vol 93 (6) ◽  
pp. AB354
Author(s):  
Xavier Dray ◽  
Maria Elena Riccioni ◽  
Gabriele W. Johansson ◽  
Martin Keuchel ◽  
Guillaume Perrod ◽  
...  
Keyword(s):  
Small Bowel ◽  
Capsule Endoscopy ◽  
Diagnostic Yield

Rendimiento diagnóstico de la videocápsula endoscópica en el sangrado del intestino delgado manifiesto

2020 ◽  
Vol 50 (4) ◽  
Author(s):  
María Alejandra Arriola ◽  
Diana Valencia ◽  
Carolina Olano
Keyword(s):  
Small Bowel ◽  
Capsule Endoscopy ◽  
Diagnostic Yield ◽  
Laboratory Data ◽  
Increased Risk ◽  
Frequent Finding ◽  
Male Sex ◽  
Lower Endoscopy ◽  
Small Bowel Bleeding ◽  
Nonspecific Inflammation

Introduction. The small bowel capsule endoscopy is the first line procedure in patients with suspected small bowel bleeding. Data regarding overt suspected small bowel bleeding and its predictive factors remain still limited. Aim. To assess the diagnostic yield of the capsule endoscopy and the factors predicting positive findings in patients with overt suspected small bowel bleeding. Methods. Patients with overt suspected small bowel bleeding (melena or enterorrhagia) and negative upper and lower endoscopy were included. A positive diagnostic yield was considered when the capsule endoscopy diagnosed one or more P2 or P3 type lesions (Modified Saurin Classification) Demographic and laboratory data were recorded. Results. 79 patients were included (mean age 62.92 (15-89); F:M 46:33). The diagnostic yield of the capsule endoscopy was 62%. The most frequent finding was angioectasia (44.8%), followed by nonspecific inflammation/ulceration (20.4%). The multivariate analysis found that age older than 50 years and male sex were independent variables that were associated with an increased risk of positive findings and angioectasia. Conclusions. In this group of patients with overt suspected small bowel bleeding, the capsule endoscopy was useful (with a diagnostic yield of 62%). The most frequent lesions were the vascular ones. Age over 50 and male sex were independent predictors of finding lesions and angioectasia.

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