DOES POLYETHYLENE GLYCOL CLEANSING PURGE IMPROVE VIDEO CAPSULE ENDOSCOPY DIAGNOSTIC YIELD IN OBSCURE GASTROINTESTINAL BLEEDING?

2018 ◽  
Author(s):  
F Cholet ◽  
G Rahmi ◽  
M Gaudric ◽  
J Filippi ◽  
C Duburque ◽  
...  
Keyword(s):  
Polyethylene Glycol ◽  
Gastrointestinal Bleeding ◽  
Capsule Endoscopy ◽  
Diagnostic Yield ◽  
Video Capsule Endoscopy ◽  
Obscure Gastrointestinal Bleeding

Video capsule endoscopy (CE) for obscure gastrointestinal bleeding: Feasibility, diagnostic yield and interobserver agreement

2003 ◽  
Vol 124 (4) ◽  
pp. A245 ◽  
Author(s):  
Antoine De Leusse ◽  
Landi Bruno ◽  
Burtin Pascal ◽  
Edery Joel ◽  
Lecomte Thierry ◽  
...  
Keyword(s):  
Gastrointestinal Bleeding ◽  
Capsule Endoscopy ◽  
Interobserver Agreement ◽  
Diagnostic Yield ◽  
Video Capsule Endoscopy ◽  
Obscure Gastrointestinal Bleeding

PA.215 DIAGNOSTIC YIELD OF VIDEO CAPSULE ENDOSCOPY IN OVERT AND OCCULT OBSCURE GASTROINTESTINAL BLEEDING

2008 ◽  
Vol 40 ◽  
pp. S154
Author(s):  
C.A.A. Petrini ◽  
S. Gasperoni ◽  
M.L. Brancaccio ◽  
F. Cantoni ◽  
T. Casetti
Keyword(s):  
Gastrointestinal Bleeding ◽  
Capsule Endoscopy ◽  
Diagnostic Yield ◽  
Video Capsule Endoscopy ◽  
Obscure Gastrointestinal Bleeding

scholarly journals Video Capsule Endoscopy Optimal Timing in Overt Obscure Gastrointestinal Bleeding

Diagnostics ◽  
2022 ◽  
Vol 12 (1) ◽  
pp. 154
Author(s):  
Joo Hye Song ◽  
Ji Eun Kim ◽  
Hwe Hoon Chung ◽  
Sung Noh Hong ◽  
Heejung Kim ◽  
...  
Keyword(s):  
Gastrointestinal Bleeding ◽  
Capsule Endoscopy ◽  
Therapeutic Intervention ◽  
Diagnostic Yield ◽  
Medical Center ◽  
Lesion Detection ◽  
Video Capsule Endoscopy ◽  
Obscure Gastrointestinal Bleeding ◽  
Optimal Timing ◽  
The Times

Video capsule endoscopy (VCE) has become the noninvasive diagnostic standard in the investigation of overt obscure gastrointestinal bleeding (OGIB), with a high positive and negative predictive value. However, the diagnostic yield of the VCE is thought to depend on when it was performed. We evaluate the optimal timing performing VCE relative to overt OGIB to improve the diagnostic yield. A total 271 patients had admitted and underwent VCE for overt OGIB between 2007 and 2016 in Samsung Medical Center, Seoul, Korea. To evaluate the diagnostic yield of VCE for overt OGIB with respect to timing of the intervention, diagnostic yield was analyzed according to the times after latest bleeding. The finding of VCE was classified into P0 or P1 (no potential for bleeding or uncertain hemorrhagic potential) and P2 (high potential for bleeding, such as active bleeding, typical angiodysplasia, large ulcerations or tumors). The P2 lesion was found in 106 patients and diagnostic yield of was 39.1% for overt OGIB. Diagnostic yield of VCE to detect P2 lesion was higher when it is performed closer to the time of latest bleeding (timing of VCE between the VCE and latest bleeding: <24 h, 43/63 (68.3%); 1 days, 16/43 (34.9%); 2 days, 18/52 (34.6%); 3 days, 13/43 (30.2%); 4 days, 7/28 (25.0%); 5–7 days, 6/24 (25.0%), and ≥8 days, 4/18 (22.2%); ptrend <0.001). The interval between the VCE and latest bleeding were categorized into <24 h (n = 63), 1–2 days (n = 95), 3–7 days (n = 95) and ≥8 days (n = 18). Multivariable analyses showed the odds ratio for P2 lesion detection was 4.99 (95% confidence interval, 1.47–16.89) in <24 h group, compared with ≥8 days group (p < 0.010). The overall re-bleeding rate for those with P2 lesion was higher than for those with P0 or P1 lesion at the end of mean follow up of 2.5 years. The proportion of patients who underwent therapeutic intervention including surgery, endoscopic intervention and embolization was higher when VCE is performed closer to the time of latest bleeding (p = 0.010). Early deployment of VCE within 24 h of the latest GI bleeding results in a higher diagnostic yield for patients with overt OGIB and consequently resulted in a higher therapeutic intervention rate.

216 Improved Diagnostic Yield With Early Video Capsule Endoscopy After Diagnosis of Obscure Gastrointestinal Bleeding

2012 ◽  
Vol 142 (5) ◽  
pp. S-53 ◽  
Author(s):  
Dhavan A. Parikh ◽  
Mohit Mittal ◽  
Surinder K. Mann ◽  
Preethika S. Ekanayake
Keyword(s):  
Gastrointestinal Bleeding ◽  
Capsule Endoscopy ◽  
Diagnostic Yield ◽  
Video Capsule Endoscopy ◽  
Obscure Gastrointestinal Bleeding
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