1. Emergency double‐balloon enteroscopy combined with real‐time viewing of capsule endoscopy: <scp>A</scp> feasible combined approach in acute overt‐obscure gastrointestinal bleeding?
- Author
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Pilar Esteban Delgado, Rafael Latorre, Federico Soria, Blanca Martínez Andrés, Enrique Pérez-Cuadrado Robles, Enrique Pérez-Cuadrado Martínez, José Luis Rodrigo Agudo, Aurelio López Martín, Paloma Bebia Conesa, Antonio López Higueras, and Luis Eduardo Zamora Nava
- Subjects
Male ,Enteroscopy ,medicine.medical_specialty ,Capsule Endoscopy ,Risk Assessment ,Severity of Illness Index ,law.invention ,Capsule endoscopy ,law ,Double-balloon enteroscopy ,Severity of illness ,medicine ,Humans ,Combined Modality Therapy ,Radiology, Nuclear Medicine and imaging ,Aged ,Retrospective Studies ,Aged, 80 and over ,Double-Balloon Enteroscopy ,medicine.diagnostic_test ,business.industry ,Gastroenterology ,Retrospective cohort study ,Middle Aged ,Dieulafoy's lesion ,medicine.disease ,Surgery ,Treatment Outcome ,Acute Disease ,Feasibility Studies ,Female ,Patient Safety ,Radiology ,Emergencies ,Gastrointestinal Hemorrhage ,business ,Follow-Up Studies ,Obscure gastrointestinal bleeding - Abstract
Background and Aim There are few data concerning emergency double-balloon enteroscopy (DBE) and its usefulness in the management of severe acute obscure gastrointestinal bleeding (OGIB). The aim of this retrospective study was to evaluate emergency DBE and capsule endoscopy (CE) in patients with overt OGIB, analyzing the feasibility of this combined approach. Methods Emergency DBE in patients with overt OGIB was defined as performance within 24 h of symptom onset. We reported 27 patients (16 men, mean age: 64.6 ± 17.9 years) with overt severe bleeding who underwent 29 emergency DBE (22 anterograde, 7 retrograde). Of 27 patients, 16 (59.3%) underwent CE with real time (RT) viewing. Results Patients were diagnosed with the following: Dieulafoy's lesion (DL; n = 11, 40.7%), angioectasia (n = 7, 25.9%), tumors (n = 4, 14.8%), diverticulum (n = 3, 11.1%), ulcers (n = 2, 7.4%). We diagnosed 23 lesions amenable to endoscopic hemostasis and successfully treated 21 of them (77.8%). DL detection rate was statistically higher in the emergency DBE group than in OGIB patients with DBE done 24 h after symptom onset (40.7% vs 0.9%, respectively, P
- Published
- 2014
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