Rebleeding rate after interventional therapy directed by capsule endoscopy in patients with obscure gastrointestinal bleeding

Background The precise role of capsule endoscopy in the diagnostic algorithm of obscure gastrointestinal bleeding has yet to be determined. Despite the higher diagnostic yield of capsule endoscopy, the actual impact on clinical outcome remains poorly defined. The aim of this study was to evaluate th...
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Autor*in:	Endo, Hiroki [verfasserIn] Matsuhashi, Nobuyuki Inamori, Masahiko Akimoto, Keiko Ohya, Tomohiko Yanagawa, Tatsuro Asayama, Masako Hisatomi, Kantaro Teratani, Takuma Fujita, Koji Yoneda, Masato Nakajima, Atsushi

Format:	E-Artikel
Sprache:	Englisch

Erschienen:	2008

Schlagwörter:	Capsule Endoscopy Angiodysplasia Colonic Diverticulum High Diagnostic Yield Positive Fecal Occult Blood Testing

Anmerkung:	© Endo et al; licensee BioMed Central Ltd. 2008

Übergeordnetes Werk:	Enthalten in: BMC gastroenterology - London : BioMed Central, 2001, 8(2008), 1 vom: 23. Apr.
Übergeordnetes Werk:	volume:8 ; year:2008 ; number:1 ; day:23 ; month:04

Links:	Volltext

DOI / URN:	10.1186/1471-230X-8-12

Katalog-ID:	SPR02740434X

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245	1	0	\|a Rebleeding rate after interventional therapy directed by capsule endoscopy in patients with obscure gastrointestinal bleeding
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520			\|a Background The precise role of capsule endoscopy in the diagnostic algorithm of obscure gastrointestinal bleeding has yet to be determined. Despite the higher diagnostic yield of capsule endoscopy, the actual impact on clinical outcome remains poorly defined. The aim of this study was to evaluate the follow-up results of patients with obscure gastrointestinal bleeding to determine which management strategies after capsule endoscopy reduced rebleeding. Methods All patients in whom the cause of obscure gastrointestinal bleeding was investigated between May 2004 and March 2007 were studied retrospectively. We evaluated the clinical outcome of patients with obscure gastrointestinal bleeding after capsule endoscopy using the rebleeding rate as the primary outcome. Results Seventy-seven patients with obscure gastrointestinal bleeding underwent capsule endoscopy. Capsule endoscopy identified clinically significant findings that were thought to be the sources of obscure gastrointestinal bleeding in 58.4% of the patients. The overall rebleeding rate was 36.4%. The rebleeding rate was significantly higher among patients with insignificant findings than among those with significant findings (p = 0.036). Among the patients in whom capsule endoscopy produced significant findings, the rebleeding rate of the patients who underwent therapeutic interventions was significantly lower than that in those who did not undergo intervention (9.5% vs 40.0%, p = 0.046). Conclusion Follow-up and further aggressive interventions are necessary for patients with obscure gastrointestinal bleeding and significant capsule endoscopy findings to reduce the chance of rebleeding.
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allfields	10.1186/1471-230X-8-12 doi (DE-627)SPR02740434X (SPR)1471-230X-8-12-e DE-627 ger DE-627 rakwb eng Endo, Hiroki verfasserin aut Rebleeding rate after interventional therapy directed by capsule endoscopy in patients with obscure gastrointestinal bleeding 2008 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier © Endo et al; licensee BioMed Central Ltd. 2008 Background The precise role of capsule endoscopy in the diagnostic algorithm of obscure gastrointestinal bleeding has yet to be determined. Despite the higher diagnostic yield of capsule endoscopy, the actual impact on clinical outcome remains poorly defined. The aim of this study was to evaluate the follow-up results of patients with obscure gastrointestinal bleeding to determine which management strategies after capsule endoscopy reduced rebleeding. Methods All patients in whom the cause of obscure gastrointestinal bleeding was investigated between May 2004 and March 2007 were studied retrospectively. We evaluated the clinical outcome of patients with obscure gastrointestinal bleeding after capsule endoscopy using the rebleeding rate as the primary outcome. Results Seventy-seven patients with obscure gastrointestinal bleeding underwent capsule endoscopy. Capsule endoscopy identified clinically significant findings that were thought to be the sources of obscure gastrointestinal bleeding in 58.4% of the patients. The overall rebleeding rate was 36.4%. The rebleeding rate was significantly higher among patients with insignificant findings than among those with significant findings (p = 0.036). Among the patients in whom capsule endoscopy produced significant findings, the rebleeding rate of the patients who underwent therapeutic interventions was significantly lower than that in those who did not undergo intervention (9.5% vs 40.0%, p = 0.046). Conclusion Follow-up and further aggressive interventions are necessary for patients with obscure gastrointestinal bleeding and significant capsule endoscopy findings to reduce the chance of rebleeding. Capsule Endoscopy (dpeaa)DE-He213 Angiodysplasia (dpeaa)DE-He213 Colonic Diverticulum (dpeaa)DE-He213 High Diagnostic Yield (dpeaa)DE-He213 Positive Fecal Occult Blood Testing (dpeaa)DE-He213 Matsuhashi, Nobuyuki aut Inamori, Masahiko aut Akimoto, Keiko aut Ohya, Tomohiko aut Yanagawa, Tatsuro aut Asayama, Masako aut Hisatomi, Kantaro aut Teratani, Takuma aut Fujita, Koji aut Yoneda, Masato aut Nakajima, Atsushi aut Enthalten in BMC gastroenterology London : BioMed Central, 2001 8(2008), 1 vom: 23. Apr. (DE-627)326643702 (DE-600)2041351-8 1471-230X nnns volume:8 year:2008 number:1 day:23 month:04 https://dx.doi.org/10.1186/1471-230X-8-12 kostenfrei Volltext GBV_USEFLAG_A SYSFLAG_A GBV_SPRINGER SSG-OLC-PHA GBV_ILN_20 GBV_ILN_22 GBV_ILN_23 GBV_ILN_24 GBV_ILN_39 GBV_ILN_40 GBV_ILN_60 GBV_ILN_62 GBV_ILN_63 GBV_ILN_65 GBV_ILN_69 GBV_ILN_73 GBV_ILN_74 GBV_ILN_95 GBV_ILN_105 GBV_ILN_110 GBV_ILN_151 GBV_ILN_161 GBV_ILN_170 GBV_ILN_206 GBV_ILN_213 GBV_ILN_230 GBV_ILN_285 GBV_ILN_293 GBV_ILN_602 GBV_ILN_702 GBV_ILN_2001 GBV_ILN_2003 GBV_ILN_2005 GBV_ILN_2006 GBV_ILN_2008 GBV_ILN_2009 GBV_ILN_2010 GBV_ILN_2011 GBV_ILN_2014 GBV_ILN_2015 GBV_ILN_2020 GBV_ILN_2021 GBV_ILN_2025 GBV_ILN_2031 GBV_ILN_2038 GBV_ILN_2044 GBV_ILN_2048 GBV_ILN_2050 GBV_ILN_2055 GBV_ILN_2056 GBV_ILN_2057 GBV_ILN_2061 GBV_ILN_2111 GBV_ILN_2113 GBV_ILN_2190 GBV_ILN_4012 GBV_ILN_4037 GBV_ILN_4112 GBV_ILN_4125 GBV_ILN_4126 GBV_ILN_4249 GBV_ILN_4305 GBV_ILN_4306 GBV_ILN_4307 GBV_ILN_4313 GBV_ILN_4322 GBV_ILN_4323 GBV_ILN_4324 GBV_ILN_4325 GBV_ILN_4338 GBV_ILN_4367 GBV_ILN_4700 AR 8 2008 1 23 04
spelling	10.1186/1471-230X-8-12 doi (DE-627)SPR02740434X (SPR)1471-230X-8-12-e DE-627 ger DE-627 rakwb eng Endo, Hiroki verfasserin aut Rebleeding rate after interventional therapy directed by capsule endoscopy in patients with obscure gastrointestinal bleeding 2008 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier © Endo et al; licensee BioMed Central Ltd. 2008 Background The precise role of capsule endoscopy in the diagnostic algorithm of obscure gastrointestinal bleeding has yet to be determined. Despite the higher diagnostic yield of capsule endoscopy, the actual impact on clinical outcome remains poorly defined. The aim of this study was to evaluate the follow-up results of patients with obscure gastrointestinal bleeding to determine which management strategies after capsule endoscopy reduced rebleeding. Methods All patients in whom the cause of obscure gastrointestinal bleeding was investigated between May 2004 and March 2007 were studied retrospectively. We evaluated the clinical outcome of patients with obscure gastrointestinal bleeding after capsule endoscopy using the rebleeding rate as the primary outcome. Results Seventy-seven patients with obscure gastrointestinal bleeding underwent capsule endoscopy. Capsule endoscopy identified clinically significant findings that were thought to be the sources of obscure gastrointestinal bleeding in 58.4% of the patients. The overall rebleeding rate was 36.4%. The rebleeding rate was significantly higher among patients with insignificant findings than among those with significant findings (p = 0.036). Among the patients in whom capsule endoscopy produced significant findings, the rebleeding rate of the patients who underwent therapeutic interventions was significantly lower than that in those who did not undergo intervention (9.5% vs 40.0%, p = 0.046). Conclusion Follow-up and further aggressive interventions are necessary for patients with obscure gastrointestinal bleeding and significant capsule endoscopy findings to reduce the chance of rebleeding. Capsule Endoscopy (dpeaa)DE-He213 Angiodysplasia (dpeaa)DE-He213 Colonic Diverticulum (dpeaa)DE-He213 High Diagnostic Yield (dpeaa)DE-He213 Positive Fecal Occult Blood Testing (dpeaa)DE-He213 Matsuhashi, Nobuyuki aut Inamori, Masahiko aut Akimoto, Keiko aut Ohya, Tomohiko aut Yanagawa, Tatsuro aut Asayama, Masako aut Hisatomi, Kantaro aut Teratani, Takuma aut Fujita, Koji aut Yoneda, Masato aut Nakajima, Atsushi aut Enthalten in BMC gastroenterology London : BioMed Central, 2001 8(2008), 1 vom: 23. Apr. (DE-627)326643702 (DE-600)2041351-8 1471-230X nnns volume:8 year:2008 number:1 day:23 month:04 https://dx.doi.org/10.1186/1471-230X-8-12 kostenfrei Volltext GBV_USEFLAG_A SYSFLAG_A GBV_SPRINGER SSG-OLC-PHA GBV_ILN_20 GBV_ILN_22 GBV_ILN_23 GBV_ILN_24 GBV_ILN_39 GBV_ILN_40 GBV_ILN_60 GBV_ILN_62 GBV_ILN_63 GBV_ILN_65 GBV_ILN_69 GBV_ILN_73 GBV_ILN_74 GBV_ILN_95 GBV_ILN_105 GBV_ILN_110 GBV_ILN_151 GBV_ILN_161 GBV_ILN_170 GBV_ILN_206 GBV_ILN_213 GBV_ILN_230 GBV_ILN_285 GBV_ILN_293 GBV_ILN_602 GBV_ILN_702 GBV_ILN_2001 GBV_ILN_2003 GBV_ILN_2005 GBV_ILN_2006 GBV_ILN_2008 GBV_ILN_2009 GBV_ILN_2010 GBV_ILN_2011 GBV_ILN_2014 GBV_ILN_2015 GBV_ILN_2020 GBV_ILN_2021 GBV_ILN_2025 GBV_ILN_2031 GBV_ILN_2038 GBV_ILN_2044 GBV_ILN_2048 GBV_ILN_2050 GBV_ILN_2055 GBV_ILN_2056 GBV_ILN_2057 GBV_ILN_2061 GBV_ILN_2111 GBV_ILN_2113 GBV_ILN_2190 GBV_ILN_4012 GBV_ILN_4037 GBV_ILN_4112 GBV_ILN_4125 GBV_ILN_4126 GBV_ILN_4249 GBV_ILN_4305 GBV_ILN_4306 GBV_ILN_4307 GBV_ILN_4313 GBV_ILN_4322 GBV_ILN_4323 GBV_ILN_4324 GBV_ILN_4325 GBV_ILN_4338 GBV_ILN_4367 GBV_ILN_4700 AR 8 2008 1 23 04
allfields_unstemmed	10.1186/1471-230X-8-12 doi (DE-627)SPR02740434X (SPR)1471-230X-8-12-e DE-627 ger DE-627 rakwb eng Endo, Hiroki verfasserin aut Rebleeding rate after interventional therapy directed by capsule endoscopy in patients with obscure gastrointestinal bleeding 2008 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier © Endo et al; licensee BioMed Central Ltd. 2008 Background The precise role of capsule endoscopy in the diagnostic algorithm of obscure gastrointestinal bleeding has yet to be determined. Despite the higher diagnostic yield of capsule endoscopy, the actual impact on clinical outcome remains poorly defined. The aim of this study was to evaluate the follow-up results of patients with obscure gastrointestinal bleeding to determine which management strategies after capsule endoscopy reduced rebleeding. Methods All patients in whom the cause of obscure gastrointestinal bleeding was investigated between May 2004 and March 2007 were studied retrospectively. We evaluated the clinical outcome of patients with obscure gastrointestinal bleeding after capsule endoscopy using the rebleeding rate as the primary outcome. Results Seventy-seven patients with obscure gastrointestinal bleeding underwent capsule endoscopy. Capsule endoscopy identified clinically significant findings that were thought to be the sources of obscure gastrointestinal bleeding in 58.4% of the patients. The overall rebleeding rate was 36.4%. The rebleeding rate was significantly higher among patients with insignificant findings than among those with significant findings (p = 0.036). Among the patients in whom capsule endoscopy produced significant findings, the rebleeding rate of the patients who underwent therapeutic interventions was significantly lower than that in those who did not undergo intervention (9.5% vs 40.0%, p = 0.046). Conclusion Follow-up and further aggressive interventions are necessary for patients with obscure gastrointestinal bleeding and significant capsule endoscopy findings to reduce the chance of rebleeding. Capsule Endoscopy (dpeaa)DE-He213 Angiodysplasia (dpeaa)DE-He213 Colonic Diverticulum (dpeaa)DE-He213 High Diagnostic Yield (dpeaa)DE-He213 Positive Fecal Occult Blood Testing (dpeaa)DE-He213 Matsuhashi, Nobuyuki aut Inamori, Masahiko aut Akimoto, Keiko aut Ohya, Tomohiko aut Yanagawa, Tatsuro aut Asayama, Masako aut Hisatomi, Kantaro aut Teratani, Takuma aut Fujita, Koji aut Yoneda, Masato aut Nakajima, Atsushi aut Enthalten in BMC gastroenterology London : BioMed Central, 2001 8(2008), 1 vom: 23. Apr. (DE-627)326643702 (DE-600)2041351-8 1471-230X nnns volume:8 year:2008 number:1 day:23 month:04 https://dx.doi.org/10.1186/1471-230X-8-12 kostenfrei Volltext GBV_USEFLAG_A SYSFLAG_A GBV_SPRINGER SSG-OLC-PHA GBV_ILN_20 GBV_ILN_22 GBV_ILN_23 GBV_ILN_24 GBV_ILN_39 GBV_ILN_40 GBV_ILN_60 GBV_ILN_62 GBV_ILN_63 GBV_ILN_65 GBV_ILN_69 GBV_ILN_73 GBV_ILN_74 GBV_ILN_95 GBV_ILN_105 GBV_ILN_110 GBV_ILN_151 GBV_ILN_161 GBV_ILN_170 GBV_ILN_206 GBV_ILN_213 GBV_ILN_230 GBV_ILN_285 GBV_ILN_293 GBV_ILN_602 GBV_ILN_702 GBV_ILN_2001 GBV_ILN_2003 GBV_ILN_2005 GBV_ILN_2006 GBV_ILN_2008 GBV_ILN_2009 GBV_ILN_2010 GBV_ILN_2011 GBV_ILN_2014 GBV_ILN_2015 GBV_ILN_2020 GBV_ILN_2021 GBV_ILN_2025 GBV_ILN_2031 GBV_ILN_2038 GBV_ILN_2044 GBV_ILN_2048 GBV_ILN_2050 GBV_ILN_2055 GBV_ILN_2056 GBV_ILN_2057 GBV_ILN_2061 GBV_ILN_2111 GBV_ILN_2113 GBV_ILN_2190 GBV_ILN_4012 GBV_ILN_4037 GBV_ILN_4112 GBV_ILN_4125 GBV_ILN_4126 GBV_ILN_4249 GBV_ILN_4305 GBV_ILN_4306 GBV_ILN_4307 GBV_ILN_4313 GBV_ILN_4322 GBV_ILN_4323 GBV_ILN_4324 GBV_ILN_4325 GBV_ILN_4338 GBV_ILN_4367 GBV_ILN_4700 AR 8 2008 1 23 04
allfieldsGer	10.1186/1471-230X-8-12 doi (DE-627)SPR02740434X (SPR)1471-230X-8-12-e DE-627 ger DE-627 rakwb eng Endo, Hiroki verfasserin aut Rebleeding rate after interventional therapy directed by capsule endoscopy in patients with obscure gastrointestinal bleeding 2008 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier © Endo et al; licensee BioMed Central Ltd. 2008 Background The precise role of capsule endoscopy in the diagnostic algorithm of obscure gastrointestinal bleeding has yet to be determined. Despite the higher diagnostic yield of capsule endoscopy, the actual impact on clinical outcome remains poorly defined. The aim of this study was to evaluate the follow-up results of patients with obscure gastrointestinal bleeding to determine which management strategies after capsule endoscopy reduced rebleeding. Methods All patients in whom the cause of obscure gastrointestinal bleeding was investigated between May 2004 and March 2007 were studied retrospectively. We evaluated the clinical outcome of patients with obscure gastrointestinal bleeding after capsule endoscopy using the rebleeding rate as the primary outcome. Results Seventy-seven patients with obscure gastrointestinal bleeding underwent capsule endoscopy. Capsule endoscopy identified clinically significant findings that were thought to be the sources of obscure gastrointestinal bleeding in 58.4% of the patients. The overall rebleeding rate was 36.4%. The rebleeding rate was significantly higher among patients with insignificant findings than among those with significant findings (p = 0.036). Among the patients in whom capsule endoscopy produced significant findings, the rebleeding rate of the patients who underwent therapeutic interventions was significantly lower than that in those who did not undergo intervention (9.5% vs 40.0%, p = 0.046). Conclusion Follow-up and further aggressive interventions are necessary for patients with obscure gastrointestinal bleeding and significant capsule endoscopy findings to reduce the chance of rebleeding. Capsule Endoscopy (dpeaa)DE-He213 Angiodysplasia (dpeaa)DE-He213 Colonic Diverticulum (dpeaa)DE-He213 High Diagnostic Yield (dpeaa)DE-He213 Positive Fecal Occult Blood Testing (dpeaa)DE-He213 Matsuhashi, Nobuyuki aut Inamori, Masahiko aut Akimoto, Keiko aut Ohya, Tomohiko aut Yanagawa, Tatsuro aut Asayama, Masako aut Hisatomi, Kantaro aut Teratani, Takuma aut Fujita, Koji aut Yoneda, Masato aut Nakajima, Atsushi aut Enthalten in BMC gastroenterology London : BioMed Central, 2001 8(2008), 1 vom: 23. Apr. (DE-627)326643702 (DE-600)2041351-8 1471-230X nnns volume:8 year:2008 number:1 day:23 month:04 https://dx.doi.org/10.1186/1471-230X-8-12 kostenfrei Volltext GBV_USEFLAG_A SYSFLAG_A GBV_SPRINGER SSG-OLC-PHA GBV_ILN_20 GBV_ILN_22 GBV_ILN_23 GBV_ILN_24 GBV_ILN_39 GBV_ILN_40 GBV_ILN_60 GBV_ILN_62 GBV_ILN_63 GBV_ILN_65 GBV_ILN_69 GBV_ILN_73 GBV_ILN_74 GBV_ILN_95 GBV_ILN_105 GBV_ILN_110 GBV_ILN_151 GBV_ILN_161 GBV_ILN_170 GBV_ILN_206 GBV_ILN_213 GBV_ILN_230 GBV_ILN_285 GBV_ILN_293 GBV_ILN_602 GBV_ILN_702 GBV_ILN_2001 GBV_ILN_2003 GBV_ILN_2005 GBV_ILN_2006 GBV_ILN_2008 GBV_ILN_2009 GBV_ILN_2010 GBV_ILN_2011 GBV_ILN_2014 GBV_ILN_2015 GBV_ILN_2020 GBV_ILN_2021 GBV_ILN_2025 GBV_ILN_2031 GBV_ILN_2038 GBV_ILN_2044 GBV_ILN_2048 GBV_ILN_2050 GBV_ILN_2055 GBV_ILN_2056 GBV_ILN_2057 GBV_ILN_2061 GBV_ILN_2111 GBV_ILN_2113 GBV_ILN_2190 GBV_ILN_4012 GBV_ILN_4037 GBV_ILN_4112 GBV_ILN_4125 GBV_ILN_4126 GBV_ILN_4249 GBV_ILN_4305 GBV_ILN_4306 GBV_ILN_4307 GBV_ILN_4313 GBV_ILN_4322 GBV_ILN_4323 GBV_ILN_4324 GBV_ILN_4325 GBV_ILN_4338 GBV_ILN_4367 GBV_ILN_4700 AR 8 2008 1 23 04
allfieldsSound	10.1186/1471-230X-8-12 doi (DE-627)SPR02740434X (SPR)1471-230X-8-12-e DE-627 ger DE-627 rakwb eng Endo, Hiroki verfasserin aut Rebleeding rate after interventional therapy directed by capsule endoscopy in patients with obscure gastrointestinal bleeding 2008 Text txt rdacontent Computermedien c rdamedia Online-Ressource cr rdacarrier © Endo et al; licensee BioMed Central Ltd. 2008 Background The precise role of capsule endoscopy in the diagnostic algorithm of obscure gastrointestinal bleeding has yet to be determined. Despite the higher diagnostic yield of capsule endoscopy, the actual impact on clinical outcome remains poorly defined. The aim of this study was to evaluate the follow-up results of patients with obscure gastrointestinal bleeding to determine which management strategies after capsule endoscopy reduced rebleeding. Methods All patients in whom the cause of obscure gastrointestinal bleeding was investigated between May 2004 and March 2007 were studied retrospectively. We evaluated the clinical outcome of patients with obscure gastrointestinal bleeding after capsule endoscopy using the rebleeding rate as the primary outcome. Results Seventy-seven patients with obscure gastrointestinal bleeding underwent capsule endoscopy. Capsule endoscopy identified clinically significant findings that were thought to be the sources of obscure gastrointestinal bleeding in 58.4% of the patients. The overall rebleeding rate was 36.4%. The rebleeding rate was significantly higher among patients with insignificant findings than among those with significant findings (p = 0.036). Among the patients in whom capsule endoscopy produced significant findings, the rebleeding rate of the patients who underwent therapeutic interventions was significantly lower than that in those who did not undergo intervention (9.5% vs 40.0%, p = 0.046). Conclusion Follow-up and further aggressive interventions are necessary for patients with obscure gastrointestinal bleeding and significant capsule endoscopy findings to reduce the chance of rebleeding. Capsule Endoscopy (dpeaa)DE-He213 Angiodysplasia (dpeaa)DE-He213 Colonic Diverticulum (dpeaa)DE-He213 High Diagnostic Yield (dpeaa)DE-He213 Positive Fecal Occult Blood Testing (dpeaa)DE-He213 Matsuhashi, Nobuyuki aut Inamori, Masahiko aut Akimoto, Keiko aut Ohya, Tomohiko aut Yanagawa, Tatsuro aut Asayama, Masako aut Hisatomi, Kantaro aut Teratani, Takuma aut Fujita, Koji aut Yoneda, Masato aut Nakajima, Atsushi aut Enthalten in BMC gastroenterology London : BioMed Central, 2001 8(2008), 1 vom: 23. Apr. (DE-627)326643702 (DE-600)2041351-8 1471-230X nnns volume:8 year:2008 number:1 day:23 month:04 https://dx.doi.org/10.1186/1471-230X-8-12 kostenfrei Volltext GBV_USEFLAG_A SYSFLAG_A GBV_SPRINGER SSG-OLC-PHA GBV_ILN_20 GBV_ILN_22 GBV_ILN_23 GBV_ILN_24 GBV_ILN_39 GBV_ILN_40 GBV_ILN_60 GBV_ILN_62 GBV_ILN_63 GBV_ILN_65 GBV_ILN_69 GBV_ILN_73 GBV_ILN_74 GBV_ILN_95 GBV_ILN_105 GBV_ILN_110 GBV_ILN_151 GBV_ILN_161 GBV_ILN_170 GBV_ILN_206 GBV_ILN_213 GBV_ILN_230 GBV_ILN_285 GBV_ILN_293 GBV_ILN_602 GBV_ILN_702 GBV_ILN_2001 GBV_ILN_2003 GBV_ILN_2005 GBV_ILN_2006 GBV_ILN_2008 GBV_ILN_2009 GBV_ILN_2010 GBV_ILN_2011 GBV_ILN_2014 GBV_ILN_2015 GBV_ILN_2020 GBV_ILN_2021 GBV_ILN_2025 GBV_ILN_2031 GBV_ILN_2038 GBV_ILN_2044 GBV_ILN_2048 GBV_ILN_2050 GBV_ILN_2055 GBV_ILN_2056 GBV_ILN_2057 GBV_ILN_2061 GBV_ILN_2111 GBV_ILN_2113 GBV_ILN_2190 GBV_ILN_4012 GBV_ILN_4037 GBV_ILN_4112 GBV_ILN_4125 GBV_ILN_4126 GBV_ILN_4249 GBV_ILN_4305 GBV_ILN_4306 GBV_ILN_4307 GBV_ILN_4313 GBV_ILN_4322 GBV_ILN_4323 GBV_ILN_4324 GBV_ILN_4325 GBV_ILN_4338 GBV_ILN_4367 GBV_ILN_4700 AR 8 2008 1 23 04
language	English
source	Enthalten in BMC gastroenterology 8(2008), 1 vom: 23. Apr. volume:8 year:2008 number:1 day:23 month:04
sourceStr	Enthalten in BMC gastroenterology 8(2008), 1 vom: 23. Apr. volume:8 year:2008 number:1 day:23 month:04
format_phy_str_mv	Article
institution	findex.gbv.de
topic_facet	Capsule Endoscopy Angiodysplasia Colonic Diverticulum High Diagnostic Yield Positive Fecal Occult Blood Testing
isfreeaccess_bool	true
container_title	BMC gastroenterology
authorswithroles_txt_mv	Endo, Hiroki @@aut@@ Matsuhashi, Nobuyuki @@aut@@ Inamori, Masahiko @@aut@@ Akimoto, Keiko @@aut@@ Ohya, Tomohiko @@aut@@ Yanagawa, Tatsuro @@aut@@ Asayama, Masako @@aut@@ Hisatomi, Kantaro @@aut@@ Teratani, Takuma @@aut@@ Fujita, Koji @@aut@@ Yoneda, Masato @@aut@@ Nakajima, Atsushi @@aut@@
publishDateDaySort_date	2008-04-23T00:00:00Z
hierarchy_top_id	326643702
id	SPR02740434X
language_de	englisch
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The rebleeding rate was significantly higher among patients with insignificant findings than among those with significant findings (p = 0.036). Among the patients in whom capsule endoscopy produced significant findings, the rebleeding rate of the patients who underwent therapeutic interventions was significantly lower than that in those who did not undergo intervention (9.5% vs 40.0%, p = 0.046). 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author	Endo, Hiroki
spellingShingle	Endo, Hiroki misc Capsule Endoscopy misc Angiodysplasia misc Colonic Diverticulum misc High Diagnostic Yield misc Positive Fecal Occult Blood Testing Rebleeding rate after interventional therapy directed by capsule endoscopy in patients with obscure gastrointestinal bleeding
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topic_title	Rebleeding rate after interventional therapy directed by capsule endoscopy in patients with obscure gastrointestinal bleeding Capsule Endoscopy (dpeaa)DE-He213 Angiodysplasia (dpeaa)DE-He213 Colonic Diverticulum (dpeaa)DE-He213 High Diagnostic Yield (dpeaa)DE-He213 Positive Fecal Occult Blood Testing (dpeaa)DE-He213
topic	misc Capsule Endoscopy misc Angiodysplasia misc Colonic Diverticulum misc High Diagnostic Yield misc Positive Fecal Occult Blood Testing
topic_unstemmed	misc Capsule Endoscopy misc Angiodysplasia misc Colonic Diverticulum misc High Diagnostic Yield misc Positive Fecal Occult Blood Testing
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title	Rebleeding rate after interventional therapy directed by capsule endoscopy in patients with obscure gastrointestinal bleeding
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title_full	Rebleeding rate after interventional therapy directed by capsule endoscopy in patients with obscure gastrointestinal bleeding
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author_browse	Endo, Hiroki Matsuhashi, Nobuyuki Inamori, Masahiko Akimoto, Keiko Ohya, Tomohiko Yanagawa, Tatsuro Asayama, Masako Hisatomi, Kantaro Teratani, Takuma Fujita, Koji Yoneda, Masato Nakajima, Atsushi
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doi_str_mv	10.1186/1471-230X-8-12
title_sort	rebleeding rate after interventional therapy directed by capsule endoscopy in patients with obscure gastrointestinal bleeding
title_auth	Rebleeding rate after interventional therapy directed by capsule endoscopy in patients with obscure gastrointestinal bleeding
abstract	Background The precise role of capsule endoscopy in the diagnostic algorithm of obscure gastrointestinal bleeding has yet to be determined. Despite the higher diagnostic yield of capsule endoscopy, the actual impact on clinical outcome remains poorly defined. The aim of this study was to evaluate the follow-up results of patients with obscure gastrointestinal bleeding to determine which management strategies after capsule endoscopy reduced rebleeding. Methods All patients in whom the cause of obscure gastrointestinal bleeding was investigated between May 2004 and March 2007 were studied retrospectively. We evaluated the clinical outcome of patients with obscure gastrointestinal bleeding after capsule endoscopy using the rebleeding rate as the primary outcome. Results Seventy-seven patients with obscure gastrointestinal bleeding underwent capsule endoscopy. Capsule endoscopy identified clinically significant findings that were thought to be the sources of obscure gastrointestinal bleeding in 58.4% of the patients. The overall rebleeding rate was 36.4%. The rebleeding rate was significantly higher among patients with insignificant findings than among those with significant findings (p = 0.036). Among the patients in whom capsule endoscopy produced significant findings, the rebleeding rate of the patients who underwent therapeutic interventions was significantly lower than that in those who did not undergo intervention (9.5% vs 40.0%, p = 0.046). Conclusion Follow-up and further aggressive interventions are necessary for patients with obscure gastrointestinal bleeding and significant capsule endoscopy findings to reduce the chance of rebleeding. © Endo et al; licensee BioMed Central Ltd. 2008
abstractGer	Background The precise role of capsule endoscopy in the diagnostic algorithm of obscure gastrointestinal bleeding has yet to be determined. Despite the higher diagnostic yield of capsule endoscopy, the actual impact on clinical outcome remains poorly defined. The aim of this study was to evaluate the follow-up results of patients with obscure gastrointestinal bleeding to determine which management strategies after capsule endoscopy reduced rebleeding. Methods All patients in whom the cause of obscure gastrointestinal bleeding was investigated between May 2004 and March 2007 were studied retrospectively. We evaluated the clinical outcome of patients with obscure gastrointestinal bleeding after capsule endoscopy using the rebleeding rate as the primary outcome. Results Seventy-seven patients with obscure gastrointestinal bleeding underwent capsule endoscopy. Capsule endoscopy identified clinically significant findings that were thought to be the sources of obscure gastrointestinal bleeding in 58.4% of the patients. The overall rebleeding rate was 36.4%. The rebleeding rate was significantly higher among patients with insignificant findings than among those with significant findings (p = 0.036). Among the patients in whom capsule endoscopy produced significant findings, the rebleeding rate of the patients who underwent therapeutic interventions was significantly lower than that in those who did not undergo intervention (9.5% vs 40.0%, p = 0.046). Conclusion Follow-up and further aggressive interventions are necessary for patients with obscure gastrointestinal bleeding and significant capsule endoscopy findings to reduce the chance of rebleeding. © Endo et al; licensee BioMed Central Ltd. 2008
abstract_unstemmed	Background The precise role of capsule endoscopy in the diagnostic algorithm of obscure gastrointestinal bleeding has yet to be determined. Despite the higher diagnostic yield of capsule endoscopy, the actual impact on clinical outcome remains poorly defined. The aim of this study was to evaluate the follow-up results of patients with obscure gastrointestinal bleeding to determine which management strategies after capsule endoscopy reduced rebleeding. Methods All patients in whom the cause of obscure gastrointestinal bleeding was investigated between May 2004 and March 2007 were studied retrospectively. We evaluated the clinical outcome of patients with obscure gastrointestinal bleeding after capsule endoscopy using the rebleeding rate as the primary outcome. Results Seventy-seven patients with obscure gastrointestinal bleeding underwent capsule endoscopy. Capsule endoscopy identified clinically significant findings that were thought to be the sources of obscure gastrointestinal bleeding in 58.4% of the patients. The overall rebleeding rate was 36.4%. The rebleeding rate was significantly higher among patients with insignificant findings than among those with significant findings (p = 0.036). Among the patients in whom capsule endoscopy produced significant findings, the rebleeding rate of the patients who underwent therapeutic interventions was significantly lower than that in those who did not undergo intervention (9.5% vs 40.0%, p = 0.046). Conclusion Follow-up and further aggressive interventions are necessary for patients with obscure gastrointestinal bleeding and significant capsule endoscopy findings to reduce the chance of rebleeding. © Endo et al; licensee BioMed Central Ltd. 2008
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title_short	Rebleeding rate after interventional therapy directed by capsule endoscopy in patients with obscure gastrointestinal bleeding
url	https://dx.doi.org/10.1186/1471-230X-8-12
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author2	Matsuhashi, Nobuyuki Inamori, Masahiko Akimoto, Keiko Ohya, Tomohiko Yanagawa, Tatsuro Asayama, Masako Hisatomi, Kantaro Teratani, Takuma Fujita, Koji Yoneda, Masato Nakajima, Atsushi
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Rebleeding rate after interventional therapy directed by capsule endoscopy in patients with obscure gastrointestinal bleeding

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