Publication
Urgent capsule endoscopy is useful in severe obscure-overt gastrointestinal bleeding
| dc.contributor.author | Almeida, N | |
| dc.contributor.author | Figueiredo, P | |
| dc.contributor.author | Lopes, S | |
| dc.contributor.author | Freire, P | |
| dc.contributor.author | Lérias, C | |
| dc.contributor.author | Gouveia, H | |
| dc.contributor.author | Leitão, MC | |
| dc.date.accessioned | 2016-05-12T09:49:33Z | |
| dc.date.available | 2016-05-12T09:49:33Z | |
| dc.date.issued | 2009-04 | |
| dc.description.abstract | AIM: With capsule endoscopy (CE) it is possible to examine the entire small bowel. The present study assessed the diagnostic yield of CE in severe obscure-overt gastrointestinal bleeding (OOGIB). METHODS: During a 3-year period, 15 capsule examinations (4.5% of all CE in a single institution) were carried out in 15 patients (11 men; mean age 69.9 +/- 20.1 years) with severe ongoing bleeding, defined as persistent melena and/or hematochezia, with hemodynamic instability and the need for significant red blood cell transfusion. CE was carried out after non-diagnostic standard upper and lower endoscopy. The mean time from admission until CE was 4.1 +/- 4.4 days (0-15 days). RESULTS: CE revealed active bleeding in seven patients and signs of recent bleeding in four. Etiology of bleeding was correctly diagnosed in 11 patients (73.3%) (portal hypertension enteropathy, three patients; subepithelial ulcerated lesion, two patients; angiodysplasia, two patients; jejunal ulcer with visible vessel, one patient; multiple small bowel ulcers, one patient; jejunal tumor, one patient; jejunal mucosa irregularity with adherent clot, one patient). One patient (6.7%) had active bleeding but no visible lesion. As a consequence of the capsule findings, specific therapeutic measures were undertaken in 11 patients (73.3%) with five managed conservatively, four endoscopically and two surgically. Two patients experienced bleeding recurrence. One of them, with a probable small bowel tumor, refused any other interventions. CONCLUSIONS: CE is useful in patients with severe OOGIB by providing positive findings in the majority of patients, with subsequent impact on therapeutic procedures. | pt_PT |
| dc.identifier.citation | Dig Endosc. 2009 Apr;21(2):87-92. | pt_PT |
| dc.identifier.doi | 10.1111/j.1443-1661.2009.00838.x | pt_PT |
| dc.identifier.uri | http://hdl.handle.net/10400.4/1917 | |
| dc.language.iso | eng | pt_PT |
| dc.peerreviewed | yes | pt_PT |
| dc.subject | Endoscopia por Cápsula | pt_PT |
| dc.subject | Hemorragia Gastrointestinal | pt_PT |
| dc.title | Urgent capsule endoscopy is useful in severe obscure-overt gastrointestinal bleeding | pt_PT |
| dc.type | journal article | |
| dspace.entity.type | Publication | |
| rcaap.rights | openAccess | pt_PT |
| rcaap.type | article | pt_PT |