Factors Affecting Route Selection of Balloon-Assisted Enteroscopy in Patients with Obscure Gastrointestinal Bleeding: A KASID Multicenter Studyopen access
- Authors
- Baek, Dong Hoon; Hwang, Seonyeong; Eun, Chang Soo; Jeon, Seong Ran; Kim, Jinsu; Kim, Eun Ran; Yang, Dong-Hoon; Jang, Hyun Joo; Im, Jong Pil; Park, Soo Jung; Jung, Sung Hoon
- Issue Date
- Oct-2021
- Publisher
- MDPI AG
- Keywords
- obscure gastrointestinal bleeding; small bowel bleeding; enteroscopy; capsule endoscopy
- Citation
- Diagnostics, v.11, no.10, pp 1 - 7
- Pages
- 7
- Journal Title
- Diagnostics
- Volume
- 11
- Number
- 10
- Start Page
- 1
- End Page
- 7
- URI
- https://scholarworks.bwise.kr/sch/handle/2021.sw.sch/20427
- DOI
- 10.3390/diagnostics11101860
- ISSN
- 2075-4418
- Abstract
- Balloon-assisted enteroscopy (BAE) is an important diagnostic modality for ongoing obscure gastrointestinal bleeding (OGIB). However, it is difficult to determine the optimal insertion route. We retrospectively analyzed the records of patients with OGIB contained in a multicenter enteroscopy database of 1108 balloon-assisted enteroscopy (BAE) procedures (875 patients) to find out factors affecting BAE route selection in patients with OGIB. A total of 603 BAE procedures in 512 patients were investigated: there were 392 (65.0%) bidirectional and 211 (35.0%) unidirectional procedures. Overt OGIB was more frequent in the latter group (p = 0.024). Computed tomography (CT) was more frequently performed in the unidirectional group (p < 0.001). Capsule endoscopy and a small bowel barium study were performed more frequently in the bidirectional group (p < 0.001 and p = 0.039, respectively). Multivariate analysis showed that occult OGIB, capsule endoscopy and a small bowel barium study were independently associated with use of the bidirectional approach (p = 0.011, p = 0.013 and p = 0.046, respectively). Conversely, CT was associated with use of the unidirectional approach (p < 0.001). Conclusion: CT can aid the selection of an optimal insertion route in OGIB patients. However, capsule endoscopy and small bowel barium study are unhelpful.</p>
- Files in This Item
- There are no files associated with this item.
- Appears in
Collections - College of Medicine > Department of Internal Medicine > 1. Journal Articles
Items in ScholarWorks are protected by copyright, with all rights reserved, unless otherwise indicated.