Year 2020 / Volume 112 / Number 4
Original
Predictors for finding lesions in the small bowel by enteroscopy after a positive capsule endoscopy

290-293

DOI: 10.17235/reed.2020.6956/2020

Juan Manuel Blancas-Valencia, Gerardo Blanco Velasco, Luis Fernando García Contreras, Omar Michel Solórzano-Pineda, Óscar Víctor Hernández-Mondragón,

Abstract
Introduction: studies have examined the agreement between capsule endoscopy and double-balloon enteroscopy, with varying results. The aim of this study was to identify factors that predict the visualization of lesions in the small bowel by double-balloon enteroscopy after a positive capsule endoscopy. Methods: a retrospective, observational and comparative study was performed that evaluated patients that underwent double-balloon enteroscopy after a positive capsule endoscopy, between January 2017 and August 2019. The data studied included demographics, indications, comorbidities and the results of capsule endoscopy and double-balloon enteroscopy, which were evaluated by multiple logistic regression. Results: 91 patients were included (age 58 ± 16.5 years, 53 female). Sixty-two double-balloon enteroscopy (68.1 %) found the same lesions as capsule endoscopy. Predictive factors for a positive double-balloon enteroscopy were multiple lesions (OR 8.10, 1.50-43.78; p = 0.015) and < 15 days between both studies (OR 5.31, 1.19-23.66; p=0.029). In the subgroup of patients with small bowel bleeding (70 patients), the results of 46 double-balloon enteroscopies (65.7 %) agreed with the capsule endoscopy. Predictive factors in this group were multiple lesions (OR 13.51, 1.78-102.22; p = 0.012), < 15 days between both studies (OR 13.51, 1.78-102.22; p = 0.012), > 60 years of age (OR 7.45, 1.51-36.75; p = 0.014) and ulcers (OR 4.67, 1.08-20.22; p = 0.039). Conclusions: predictive factors for a positive double-balloon enteroscopy after a positive capsule endoscopy were multiple lesions and < 15 days between both procedures. In patients with small bowel bleeding, age over 60 years and the presence of ulcers were also predictive factors.
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References
Aktas H, Mensink PB. Small bowel diagnostics: current place of small bowel endoscopy. Best Pract Res Clin Gastroenterol 2012;26:209-220.
Brito HP, Ribeiro IB, de Moura DTH, et al. Video capsule endoscopy vs double-balloon enteroscopy in the diagnosis of small bowel bleeding: A systematic review and meta-analysis. World J Gastrointest Endosc 2018;10:400-421.
Kalra AS, Walker AJ, Benson ME, et al. Comparison of Capsule Endoscopy Findings to Subsequent Double Balloon Enteroscopy: A Dual Center Experience. Diagn Ther Endosc. 2015;2015:438757.
Otani K, Watanabe T, Shimada S, et al. Clinical Utility of Capsule Endoscopy and Double-Balloon Enteroscopy in the Management of Obscure Gastrointestinal Bleeding. Digestion 2018;97:52-58.
Teshima CW, Kuioers EJ, Veldhuyzen van Zanten S, et al. Double balloon enteroscopy and capsule endoscopy for osbcure gastrointestinal bleeding: An updated meta-analysis. J Gastroenterol Hepatol 2011;26:796-801.
Sulbaran M, de Moura E, Bernando W, et al. Overtube-assisted enteroscopy and capsule endoscopy for the diagnosis of small-bowel polyps and tumors: a systematic review and meta-analysis. Endosc Int Open 2016;04:E151-E163.
Hermans C, Stronkhorst A, Tjhle-Wensing A, et al. Double-balloon endoscopy in overt and occult small bowel bleeding: results, complications, and correlation with prior videocapsule endoscopy in a tertiary referral center. Clin Endosc 2017;50:69-75.
Danialfar TF, Noan H, Liu QY. Comparison of diagnostic accuracy and concordance of video capsule endoscopy and double balloon enteroscopy in children. JPGN 2016;62:824-827.
Marmo R, Rotondano G, Casetti T, et al. Degree of concordance between double-balloon enteroscopy and capsule endoscopy in obscure gastrointestinal bleeding: a multicenter study. Endoscopy 2009;41:587-592.
Rosa B, Cotter J. Current Clinical Indications for Small Bowel Capsule Endoscopy. Acta Med Port 2015;28:632-639.
Yamamoto H, Ogata H, Matsumoto T, et al. Clinical Practice Guideline for Enteroscopy. Dig Endosc 2017;29:519-546.
Decker GA, Yadav A, Crowell MD, et al. Predictors of finding the lesión with double balloon enteroscopy. Gastrointest Endosc 2009;69:AB191-AB192.
Pérez-Cuadrado-Robles E, Esteban-Delgado P, Martínez-Andrés B, et al. Diagnosis agreement between capsule endoscopy ando double-balloon enteroscopy in obscure gastrointestinal bleeding at a referral center. Rev Esp Enferm Dig 2015;107:495-500.
Pennazio M, Spada C, Eliakim R, et al. Small-bowel capsule endoscopy and deviced-assisted enteroscopy for diagnosis and treatment of small-bowel disorders: European Society of Gastrointestinal Endoscopy (ESGE) clinical guideline. Endoscopy 2015;47:352-376.
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Blancas-Valencia J, Blanco Velasco G, García Contreras L, Solórzano-Pineda O, Hernández-Mondragón Ó. Predictors for finding lesions in the small bowel by enteroscopy after a positive capsule endoscopy. 6956/2020


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Publication history

Received: 09/02/2020

Accepted: 08/03/2020

Online First: 20/03/2020

Published: 07/04/2020

Article revision time: 25 days

Article Online First time: 40 days

Article editing time: 58 days


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