Help
Subscribe


Submit Videos to GastroHep Read For FREE - Our full range of review articles
GastroHep.com - the global online resource for all aspects of gastroenterology, hepatology and endoscopy
GastroHep.com - the global online resource for all aspects of gastroenterology, hepatology and endoscopy Profile of Guido Tytgat Profile of Pete Peterson Profile of Peter Cotton Profile of Roy Pounder

Home

News  
Journals
Review Articles
Slide Atlas
Video Clips
Online Books
Advanced Digestive Endoscopy
Classical Cases
Conference Diary
PubMed
International GH Links
USA GH Links
National GH Links
National GI Societies
Other Useful Links




Emails on Gastroenterology and Hepatology
the National AIDS Treatment Advocacy Project
Visit the gastroenterology section of the EUMS

News

Factors associated with diagnosis of obscure GI bleeding by video capsule enteroscopy

The latest issue of the Clinical Gastroenterology & Hepatology identifies factors associated with diagnosis of obscure gastrointestinal bleeding by video capsule enteroscopy.

News image

Capsule enteroscopy is the best noninvasive tool to explore the entire small bowel of patients with obscure gastrointestinal bleeding; it has a diagnostic yield of 40%–80%. 

However, little is known about the factors associated with a diagnosis of obscure gastrointestinal bleeding by capsule enteroscopy.

Dr Lucie Lepileur from France analyzed data from 911 consecutive patients who underwent Capsule enteroscopy for obscure gastrointestinal bleeding from 2004 to 2010. 
 
Results from upper and lower gastrointestinal endoscopy examinations were negative in all patients. 

Capsule enteroscopy findings were recorded. 
Women were less likely to be diagnosed with obscure GI bleeding
Clinical Gastroenterology & Hepatology
The team found that the features of patients that were associated with diagnosis of obscure gastrointestinal bleeding by capsule enteroscopy were identified by using logistic regression.

Based on Capsule enteroscopy, 509 patients had a confirmed lesion responsible for the obscure gastrointestinal bleeding.
 
The team found that 203 had disease of the small bowel, 88 had ulceration, 70 had tumors, 24 had varices, 6 had diverticula, and 118 had what appeared to be bleeding lesions of the esophagus or stomach or colon. 

The doctors reported that the factors were independently associated with a diagnosis of obscure gastrointestinal bleeding by capsule enteroscopy were age 60 years, male sex, history of overt bleeding, and current hospitalization.

Women were less likely to be diagnosed with obscure gastrointestinal bleeding by capsule enteroscopy.
 
Dr Lepileur concludes that "A history of overt bleeding is the factor most strongly associated with a diagnosis of obscure gastrointestinal bleeding by capsule enteroscopy." 
 
"Male sex, age 60 years, and inpatient status were also independent predictors of positive diagnosis by capsule enteroscopy."

Clin Gastroenterol Hepatol 2012: 10 (12 ): 1376-1380

07 December 2012

Go to top of page Email this page Email this page to a colleague

 03 March 2015

Advanced search
 03 March 2015 
EPHX1 polymorphism and esophageal cancer risk
 03 March 2015 
GI bleeding in chronic kidney disease patients on aspirin
 03 March 2015 
Risk of anastomotic leak after colectomy
 02 March 2015 
Genes and early diagnosis of IBD
 02 March 2015 
Assessment of GERD
 02 March 2015 
Liver disease in patients awaiting liver transplant
 27 February 2015 
Obesity and weight-loss therapy
 27 February 2015 
MRE performance in staging liver fibrosis
 27 February 2015 
Bleeding in diverticulosis
 26 February 2015 
Familial colorectal cancer risk and primary cancer
 26 February 2015 
Herbal products and the liver
 26 February 2015 
Questionnaires for GERD
 25 February 2015 
Exercise and NAFLD
 25 February 2015 
IBD in Korea
 25 February 2015 
Immunosuppressive therapy and T. whipplei
 24 February 2015 
Clinical trials in pediatric IBD
 24 February 2015 
Reducing health care costs in IBD
 24 February 2015 
GI bleeding after anticoagulation interruption
 23 February 2015 
Visceral abdominal obesity and IBS
 23 February 2015 
Crohn's outcomes with infliximab
 23 February 2015 
Intestinal microbiota and celiac disease
 20 February 2015 
H. pylori eradication
 20 February 2015 
Antiviral treatment and Hep C outcomes
 20 February 2015 
C. diff testing in IBD
 19 February 2015 
Intestinal microbiota in IBS
 19 February 2015 
Peptic ulcer bleeding mortality in liver disease
 19 February 2015 
Fecal microbial transplant in active Crohn's disease
 18 February 2015 
Genetic testing and GI cancers
 18 February 2015 
Placebo analgesia in functional abdominal pain
 18 February 2015 
Successful Hep C virus therapy
 17 February 2015 
Quality measures and colonoscopist selection
 17 February 2015 
Global incidence of esophageal cancer
 17 February 2015 
Anti-viral treatment and survival in Hep C
 16 February 2015 
Saliva for the diagnosis of GERD
 16 February 2015 
H pylori eradication therapy
 16 February 2015 
Medical marijuana for digestive disorders
 13 February 2015 
Beta-blockers in cirrhosis
 13 February 2015 
Liver disease and peptic ulcer bleeding
 13 February 2015 
Prevalence of microscopic colitis
 12 February 2015 
Liver disease in chronic Hep C
 12 February 2015 
Patient-reported outcomes in Hep C
 12 February 2015 
Patients’ colonoscopist selection
 11 February 2015 
Guidelines for the diagnosis of hepatocellular carcinoma
 11 February 2015 
Hepatic decompensation in Hep C cirrhosis
 11 February 2015 
NAFLD and CVD
 10 February 2015 
Percutaneous endoscopic gastrostomy
 10 February 2015 
Factors that influence hepatic steatosis
 10 February 2015 
Gene variants and Crohn's susceptibility
 09 February 2015 
Factors that influence gallstone surgery
 09 February 2015 
Factors associated with increased mortality in cirrhosis
 09 February 2015 
Use of immunomodulators in IBD
 06 February 2015 
Colorectal cancer risk in IBD
 06 February 2015 
H. pylori and peptic ulcer bleeding
 06 February 2015 
IBS and somatization
 05 February 2015 
GERD, dyspepsia and IBS symptoms
 05 February 2015 
Quality of life in Crohn's after antitumor necrosis factor agents
 05 February 2015 
Thalidomide and refractory Crohn's
 04 February 2015 
Telemedicine in IBD
 04 February 2015 
Infliximab and muscle wasting in Crohn's
 04 February 2015 
Resistance mutations in chronic Hep B

Blackwell Publishing


GastroHep.com is a Blackwell Publishing registered trademark
© 2015 Wiley-Blackwell and GastroHep.com and contributors
Privacy Statement
Disclaimer
About Us