| ISSN |
1007-9327 (print) and 2219-2840 (online) |
| Open Access |
This article is an open-access article which was selected by an in-house editor and fully peer-reviewed by external reviewers. It is distributed in accordance with the Creative Commons Attribution Non Commercial (CC BY-NC 4.0) license, which permits others to distribute, remix, adapt, build upon this work non-commercially, and license their derivative works on different terms, provided the original work is properly cited and the use is non-commercial. See: http://creativecommons.org/licenses/by-nc/4.0/
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| Copyright |
© The Author(s) 2017. Published by Baishideng Publishing Group Inc. All rights reserved.
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| Article Reprints |
For details, please visit: http://www.wjgnet.com/bpg/gerinfo/247
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| Permissions |
For details, please visit: http://www.wjgnet.com/bpg/gerinfo/207
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| Publisher |
Baishideng Publishing Group Inc, 7041 Koll Center Parkway, Suite 160, Pleasanton, CA 94566, USA |
| Website |
http://www.wjgnet.com |
| Category |
Gastroenterology & Hepatology |
| Manuscript Type |
Retrospective Cohort Study |
| Article Title |
Assessment of multi-modality evaluations of obscure gastrointestinal bleeding
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| Manuscript Source |
Unsolicited Manuscript |
| All Author List |
Ryan Law, Jithinraj E Varayil, Louis M WongKeeSong, Jeff Fidler, Joel G Fletcher, John Barlow, Jeffrey Alexander, Elizabeth Rajan, Stephanie Hansel, Brenda Becker, Joseph J Larson, Felicity T Enders, David H Bruining and Nayantara Coelho-Prabhu |
| Funding Agency and Grant Number |
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| Corresponding Author |
Nayantara Coelho-Prabhu, MBBS, Division of Gastroenterology and Hepatology, Mayo Clinic, 200 First Street SW, Rochester, MN 55905,
United States. coelhoprabhu.nayantara@mayo.edu |
| Key Words |
Double balloon enteroscopy; Computed tomography enterography; Video capsule enteroscopy; Obscure gastrointestinal bleeding |
| Core Tip |
The yield of double balloon enteroscopy (DBE) without preceding video capsule endoscopy (VCE) or multiphase computed tomography enterography (MPCTE) was 59.4%, and with preceding imaging was 67.5%. Overall diagnostic yield of antegrade DBE is superior to CTE and equivalent to VCE in the evaluation of obscure gastrointestinal bleeding. The diagnostic yields of DBE for inpatients vs outpatients were similar but the highest sensitivity of VCE using DBE as gold standard was in inpatients (84.9%). The incremental diagnostic yield of DBE of all patients with negative preceding VCE and MPCTE was 66% (35/53 patients). An appropriate strategy might be antegrade DBE in inpatients with evidence of ongoing bleeding if DBE is available.
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| Publish Date |
2017-01-19 11:16 |
| Citation |
Law R, Varayil JE, WongKeeSong LM, Fidler J, Fletcher JG, Barlow J, Alexander J, Rajan E, Hansel S, Becker B, Larson JJ, Enders FT, Bruining DH, Coelho-Prabhu N. Assessment of multi-modality evaluations of obscure gastrointestinal bleeding. World J Gastroenterol 2017; 23(4): 614-621 |
| URL |
http://www.wjgnet.com/1007-9327/full/v23/i4/614.htm |
| DOI |
http://dx.doi.org/10.3748/wjg.v23.i4.614 |
