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Digestive Diseases and Sciences

, Volume 52, Issue 5, pp 1376–1381 | Cite as

Diagnostic Yield and Impact of Capsule Endoscopy on Management of Patients with Gastrointestinal Bleeding of Obscure Origin

  • Eduardo Redondo-CerezoEmail author
  • Gracia Pérez-Vigara
  • Angel Pérez-Sola
  • Carmen J. Gómez-Ruiz
  • Miriam Viñuelas Chicano
  • Natividad Sánchez-Manjavacas
  • Julia Morillas
  • José I. Pérez-García
  • Jesús García-Cano
Original Paper

Abstract

This study assessed diagnostic yield and impact of capsule endoscopy on patient management. Seventy-five patients with obscure gastrointestinal bleeding were included. Clinical and followup information was collected by review of patient records and with personal contact with the referring physicians. All previous clinical information and interventions after capsule endoscopy and clinical outcome were noted. The indication was obscure-overt gastrointestinal bleeding in 36 patients (48%) and obscure-occult gastrointestinal bleeding in 39 patients (52%). Overall diagnostic yield was 66.7% considering relevant lesions. Followup was available in 31 patients. Capsule endoscopy changed clinical management in 61.4%. Multivariate analysis showed that patients with another potential source of bleeding and patients whose onset was hematochezia were not good candidates for capsule endoscopy. Capsule endoscopy has a high diagnostic yield and a positive influence on clinical management in a high proportion of patients with obscure gastrointestinal bleeding.

Keywords

Diagnostic yield of wireless capsule endoscopy Occult gastrointestinal bleeding Obscure-occult gastrointestinal bleeding Obscure-overt gastrointestinal bleeding 

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Copyright information

© Springer Science+Business Media, LLC 2006

Authors and Affiliations

  • Eduardo Redondo-Cerezo
    • 1
    Email author
  • Gracia Pérez-Vigara
    • 1
  • Angel Pérez-Sola
    • 1
  • Carmen J. Gómez-Ruiz
    • 1
  • Miriam Viñuelas Chicano
    • 1
  • Natividad Sánchez-Manjavacas
    • 1
  • Julia Morillas
    • 1
  • José I. Pérez-García
    • 1
  • Jesús García-Cano
    • 1
  1. 1.Sección de Aparato DigestivoUnidad de Endoscopias, Hospital GeneralCuencaSpain

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