Sangrado del intestino delgado: enfoque y tratamiento
DOI:
https://doi.org/10.22516/25007440.156Palabras clave:
hemorragia de intestino delgado, sangrado gastrointestinal oscuro, video cápsula endoscópica, enteroscopia, enterografíaResumen
Actualmente se pueden identificar lesiones del intestino delgado que antes eran inaccesibles. La principal herramienta diagnóstica es la videocápsula endoscópica por el alto valor predictivo negativo. Con los avances en los métodos endoscópicos, la clasificación de sangrado gastrointestinal ha cambiado. Es así como la definición de sangrado oscur,o que antes incluía al originado en intestino delgado, se ha relegado cuando su origen no se puede identificar tras la realización de esofagogastroduodenoscopia, colonoscopia y estudios del tracto digestivo medio, tales como videocápsula endoscópica, enteroscopia de empuje, enteroscopia profunda, enteroscopia intraoperatoria, enterorresonancia, enterotomografía, angiografía y gammagrafía.Descargas
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esReferencias bibliográficas
Pasha SF, Hara AK, Leighton JA. Diagnostic Evaluation and Management of Obscure Gastrointestinal Bleeding: A Changing Paradigm. Gastroenterol Hepatol 2009; 5(12): 839-850.
Gerson LB, Fidler JL, Cave DR, Leighton JA. ACG Clinical Guideline: Diagnosis and management of small bowel bleeding. Am J Gastroenterol 2015; 110(9): 1265-1287.
https://doi.org/10.1038/ajg.2015.246
Ohmiya N, Nakagawa Y, Nagasaka M, Tahara T, Shibata T, Nakamura M, et, al. Obscure gastrointestinal bleeding: Diagnosis and treatment. Dig Endosc 2015; 27(3): 285–294.
https://doi.org/10.1111/den.12423
Dulic-Lakovic E, Dulic M, Hubner D, Fuchssteiner H, Pachofszky T, Stadler B, et al. Bleeding Dieulafoy lesions of the small bowel: a systematic study on the epidemiology and efficacy of enteroscopic treatment. Gastrointest Endosc 2011; 74(3):573–580.
https://doi.org/10.1016/j.gie.2011.05.027
Min Naut ER, The Approach to Occult Gastrointestinal Bleed. Med Clin North Am. 2016 Sep;100(5):1047-56
https://doi.org/10.1016/j.mcna.2016.04.013
Kaufman D, Leslie G, Marya N, Han S, Gillespie W, Holzwanger E, Leslie R, Cave D. Small Intestinal Angioectasia: Characterization, Risk Factors, and Rebleeding. J Clin Gastroenterol. 2016 Aug 23
https://doi.org/10.1097/MCG.0000000000000663
Limsrivilai J, Srisajjakul S, Pongprasobchai S, Leelakusolvong S, Tanwandee T. A Prospective Blinded Comparison of Video Capsule Endoscopy Versus Computed Tomography Enterography in Potential Small Bowel Bleeding: Clinical Utility of Computed Tomography Enterography. J Clin Gastroenterol. 2016 Aug 19
Yatagai N, Ueyama H, Shibuya T, Haga K, Takahashi M, Nomura O, Obscure gastrointestinal bleeding caused by small intestinal lipoma: a case report J Med Case Rep. 2016 Aug 12;10(1):226.
Liu K, Kaffes AJ. Review article: the diagnosis and investigation of obscure gastrointestinal bleeding. Aliment Pharmacol Ther 2011; 34(4): 416- 423.
https://doi.org/10.1111/j.1365-2036.2011.04744.x
Rondonotti E, Pennazio M, Toth E, Menchen P, Riccioni ME, De Palma GD, et al. Small bowel neoplasms in patients undergoing video capsule endoscopy: a multicenter European study. Endoscopy 2008; 40(6): 488-495.
https://doi.org/10.1055/s-2007-995783
Pasha SF, Sharma VK, Carey EJ, Shiff AD, Heigh RI, Gurudu SR, et al. Utility of video capsule endoscopy in the detection of small bowel tumors. A single center experience of 1000 consecutive patients. Proceedings of the 6th International Conference on Capsule Endoscopy. June 8-10; Madrid, Spain, 2007. New York: McGraw-Hill; 2007. p. 45.
Goenka M.K, Majumder S, Goenka U. Capsule endoscopy: Present status and future expectation. World J Gastroenterol 2014; 20(29): 10024-10037.
https://doi.org/10.3748/wjg.v20.i29.10024
Santhakumar C, Liu K. Evaluation and outcomes of patients with obscure gastrointestinal bleeding. World J Gastrointest Pathophysiol 2014; 5(4): 479-486.
https://doi.org/10.4291/wjgp.v5.i4.479
Upchurch BR, Vargo JJ. Small bowel enteroscopy. Rev Gastroenterol Disord 2008; 8(3): 169-177.
Lewis BS. Small intestinal bleeding. Gastroenterol Clin North Am 2000; 29(1): 67-95.
https://doi.org/10.1016/S0889-8553(05)70108-4
Singh A, Baptista V, Stoicov C, Cave DR. Evaluation of small bowel bleeding. Curr Opin Gastroenterol 2013, 29(2): 119–124.
https://doi.org/10.1097/MOG.0b013e32835bdc1a
Pennazio M, Spada C, Eliakim R, Keuchel M, May A, Mulder CJ, et al. Small-bowel capsule endoscopy and device-assisted enteroscopy for diagnosis and treatment of small bowel disorders: European Society of Gastrointestinal Endoscopy (ESGE) Clinical Guideline. Endoscopy 2015; 47(4): 352–376.
https://doi.org/10.1055/s-0034-1391855
Rondonotti E, Villa F, Mulder CJ, Jacobs MA, de Franchis R, et al. Small bowel capsule endoscopy in 2007: indications, risks and limitations. World J Gastroenterol 2007; 13(46): 6140–6149.
https://doi.org/10.3748/wjg.13.6140
Mishkin DS, Chuttani R, Croffie J, Disario J, Liu J, Shah R, et al. ASGE Technology Status Evaluation Report: wireless capsule endoscopy. Gastrointest Endosc 2006; 63(4): 539–545.
https://doi.org/10.1016/j.gie.2006.01.014
Carey EJ, Leighton JA, Heigh RI, Shiff AD, Sharma VK, Post JK, et al. A single-center experience of 260 consecutive patients undergoing capsule endoscopy for obscure gastrointestinal bleeding. Am J Gastroenterol 2007; 102(1): 89–95.
https://doi.org/10.1111/j.1572-0241.2006.00941.x
Singh A, Marshall C, Chaudhuri B, Okoli C, Foley A, Person SD, et al. Timing of video capsule endoscopy relative to overt obscure GI bleeding: implications from a retrospective study. Gastrointest Endosc 2013; 77(5): 761–766.
https://doi.org/10.1016/j.gie.2012.11.041
Yamada A, Watabe H, Kobayashi Y, Yamaji Y, Yoshida H, Koike K. Timing of capsule endoscopy influences the diagnosis and outcome in obscure-overt gastrointestinal bleeding. Hepatogastroenterology 2012; 59(115): 676–679.
Rocchi A, Benchimol EI, Bernstein CN, Bitton A, Feagan B, Panaccione R, et al. Inflammatory bowel disease: a Canadian burden of illness review. Can J Gastroenterol 2012; 26(11): 811-817. https://doi.org/10.1155/2012/984575
Lai LH, Wong GL, Chow DK, Lau JY, Sung JJ, Leung WK. Long-term follow-up of patients with obscure gastrointestinal bleeding after negative capsule endoscopy. Am J Gastroenterol 2006; 101(6): 1224–1228.
https://doi.org/10.1111/j.1572-0241.2006.00565.x
Savale L, Soussan B, Ramirez S, Antonietti M, Lerebours E, Ducrotté P. Outcome of patients with obscure gastrointestinal bleeding after negative capsule endoscopy: results of a one-year follow-up study. Gastroenterol Clin Biol 2010; 34(11): 606–611.
https://doi.org/10.1016/j.gcb.2010.06.009
Iwamoto J, Mizokami Y, Shimokobe K, Yara S, Murakami M, Kido K, et al. The clinical outcome of capsule endoscopy in patients with obscure gastrointestinal bleeding. Hepatogastroenterology 2011; 58(106): 301–305.
Koh SJ, Im JP, Kim JW, Kim BG, Lee KL, Kim SG, et al. Long-term outcome in patients with obscure gastrointestinal bleeding aft er negative capsule endoscopy. World J Gastroenterol 2013; 19(10): 1632–1638.
https://doi.org/10.3748/wjg.v19.i10.1632
Kim JB, Ye BD, Song Y, Yang DH, Jung KW, Kim KJ, et al. Frequency of rebleeding events in obscure gastrointestinal bleeding with negative capsule endoscopy. J Gastroenterol Hepatol 2013; 28(5): 834–840.
https://doi.org/10.1111/jgh.12145
Keller J, Fibbe C, Volke F, et al. Inspection of the human stomach using remote-controlled capsule endoscopy: a feasibility study in healthy volunteers (with videos). Gastrointest Endosc 2011;73:22-28
https://doi.org/10.1016/j.gie.2010.08.053
Goldstein JL, Eisen GM, Lewis B, Gralnek IM, Zlotnick S, Fort JG. Video capsule endoscopy to prospectively assess small bowel injury with celecoxib, naproxen plus omeprazole and placebo. Clin Gastroenterol Hepatol 2005; 3(2): 133–141.
https://doi.org/10.1016/S1542-3565(04)00619-6
Lewis BS, Eisen GM, Friedman S. A pooled analysis to evaluate results of capsule endoscopy trials. Endoscopy 2005; 37(10): 960–965.
https://doi.org/10.1055/s-2005-870353
Appleyard M, Fireman Z, Glukhovsky A, Jacob H, Shreiver R, Kadirkamanathan S, et al. A randomized trial comparing wireless capsule endoscopy with push enteroscopy for the detection of small-bowel lesions. Gastroenterology 2000; 119(6): 1431–1438.
https://doi.org/10.1053/gast.2000.20844
Clarke JO, Giday SA, Magno P, Shin EJ, Buscaglia JM, Jagannath SB, et al. How good is capsule endoscopy for detection of periampullary lesions? Results of a tertiary-referral center. Gastrointest Endosc 2008; 68(2): 267–272.
https://doi.org/10.1016/j.gie.2007.11.055
Pennazio M, Rondonotti E, de Franchis R. Capsule endoscopy in neoplastic diseases. World J Gastroenterol 2008; 14(34): 5245-5253.
https://doi.org/10.3748/wjg.14.5245
Nadler M, Eliakim R. The role of capsule endoscopy in acute gastrointestinal bleeding. Therap Adv Gastroenterol 2014;7:87- 92
https://doi.org/10.1177/1756283X13504727
Van de Bruaene C, De Looze D, Hindryckx P. Small bowel capsule endoscopy: where are we after almost 15 years of use? World J Gastrointest Endosc 2015;7:13-36.
https://doi.org/10.4253/wjge.v7.i1.13
Koulaouzidis A, Karargyris A, et al. Utility of 3-dimensional image reconstruction in the diagnosis of small-bowel masses in capsule endoscopy (with video). Gastrointest Endosc. 2014;80(4):642-651.
https://doi.org/10.1016/j.gie.2014.04.057
Pioche M, Vanbiervliet G, Jacob P, Duburque C, Gincul R, Filoche B, Daudet J, Filippi J, Saurin JC. Prospective randomized comparison between axial- and lateral-viewing capsule endoscopy systems in patients with obscure digestive bleeding. Endoscopy 2014; 46: 479-484].
Swain P, Toor A, Volke F, et al. Remote magnetic manipulation of a wireless capsule endoscope in the esophagus and stomach of humans (with videos). Gastro- intest Endosc. 2010;71(7):1290-1293.
https://doi.org/10.1016/j.gie.2010.01.064
Rey JF, Ogata H, Hosoe N, et al. Blinded nonrandomized comparative study of gastric examination with a magnetically guided capsule endoscope and standard videoendoscope. Gastrointest Endosc. 2012;75(2):373-381.
https://doi.org/10.1016/j.gie.2011.09.030
Ortora G, Valdastri P, Susilo E, et al. Propeller-based wireless device for active capsular endoscopy in the gastric district. Minim Invasive Ther Allied Technol. 2009;18(5):280-290.
https://doi.org/10.1080/13645700903201167
Yim S, Gultepe E, Gracias DH, Sitti M. Biopsy using a magnetic capsule endoscope carrying, releasing, and retrieving untethered microgrippers. IEEE Trans Biomed Eng. 2014;61(2):513-521)
https://doi.org/10.1109/TBME.2013.2283369
Munoz F, Alici G, Li W. A review of drug delivery systems for capsule endoscopy. Adv Drug Deliv Rev. 2014;71:77-85.
https://doi.org/10.1016/j.addr.2013.12.007
Ryan Scott. Advances in Capsule Endoscopy Gastroenterology & Hepatology 2015; 11: 612-627.
Ross A, Mehdizadeh S, Tokar J, Leighton JA, Kamal A, Chen A, et al. Double balloon enteroscopy detects small bowel mass lesions missed by capsule endoscopy. Dig Dis Sci 2008; 53(8): 2140-2143. https://doi.org/10.1007/s10620-007-0110-0
Schostek S, Schurr MO. European research on wireless endoscopy the VECTOR project. Stud Health Technol Inform. 2013;189:193-199
Hale MF, Sidhu R, McAlindon ME. Capsule endoscopy: current practice and future directions. World J Gastroenterol. 2014;20(24):7752-7759.
https://doi.org/10.3748/wjg.v20.i24.7752
Valdastri P, Quaglia C, Susilo E, et al. Wireless therapeutic endoscopic capsule: in vivo experiment. Endoscopy. 2008;40(12):979-982.
https://doi.org/10.1055/s-0028-1103424
Pennazio M. Capsule endoscopy: where are we aft er 6 years of clinical use? Dig Liver Dis 2006; 38(12): 867–78.
https://doi.org/10.1016/j.dld.2006.09.007
Fry LC, De Petris G, Swain JM, Fleischer DE. Impaction and fracture of a video capsule in the small bowel requiring laparotomy for removal of the capsule fragments. Endoscopy 2005; 37(7): 674–676.
https://doi.org/10.1055/s-2005-870252
Cheifetz AS, Kornbluth AA, Legnani P, Schmelkin I, Brown A, Lichtiger S, et al. The risk of retention of the capsule endoscope in patients with known or suspected Crohn's disease. Am J Gastroenterol 2006; 101(10): 2218–2222.
https://doi.org/10.1111/j.1572-0241.2006.00761.x
Health Quality Ontario. Capsule Endoscopy in the Assessment of Obscure Gastrointestinal Bleeding: An Evidence-Based Analysis. Ont Health Technol Assess Ser 2015; 15(1):1-55.
Bhattarai M, Bansal P, Khan Y. Longest duration of retention of video capsule: A case report and literature review. World J Gastrointest Endosc 2013; 5(7): 352-355.
https://doi.org/10.4253/wjge.v5.i7.352
Repici A, Barbon V, De Angelis C, Luigiano C, De Caro G, Hervoso C, et al. Acute small-bowel perforation secondary to capsule endoscopy. Gastrointest Endosc 2008; 67(1): 180–183.
https://doi.org/10.1016/j.gie.2007.05.044
Lin S, Branch MS, Shetzline M. The importance of indication in the diagnostic value of push enteroscopy. Endoscopy 2003; 35(4): 315-321.
https://doi.org/10.1055/s-2003-38144
Raju GS, Gerson L, Das A, Lewis B. American Gastroenterological Association (AGA) Institute technical review on obscure gastrointestinal bleeding. Gastroenterology 2007; 133(5): 1697-1717.
https://doi.org/10.1053/j.gastro.2007.06.008
https://doi.org/10.1053/j.gastro.2007.06.007
Linder J, Cheruvattath R, Truss C, Wilcox CM. Diagnostic yield and clinical implications of push enteroscopy: results from a nonspecialized center. J Clin Gastroenterol 2002; 35(5): 383-386.
https://doi.org/10.1097/00004836-200211000-00005
Sidhu R, McAlindon ME, Kapur K, Hurlstone DP, Wheeldon MC, Sanders DS. Push enteroscopy in the era of capsule endoscopy. J Clin Gastroenterol 2008; 42(1): 54-58.
https://doi.org/10.1097/01.mcg.0000225655.85060.74
Sidhu R, Sanders DS. Double-balloon enteroscopy in the elderly with obscure gastrointestinal bleeding: safety and feasibility. Eur J Gastroenterol Hepatol 2013; 25(10): 1230–1234.
https://doi.org/10.1097/MEG.0b013e3283630f1b
Baptista V, Marya N, Singh A, Rupawala A, Gondal B, Cave D. Continuing challenges in the diagnosis and management of obscure gastrointestinal bleeding. World J Gastrointest Pathophysiol 2014; 5(4): 523-533.
https://doi.org/10.4291/wjgp.v5.i4.523
Mönkemüller K, Neumann H, Meyer F, Kuhn R, Malfertheiner P, Fry LC. A retrospective analysis of emergency double-balloon enteroscopy for small-bowel bleeding. Endoscopy 2009; 41(8): 715–717.
https://doi.org/10.1055/s-0029-1214974
Aniwan S, Viriyautsahakul V, Rerknimitr R, Angsuwatcharakon P, Kongkam P, Treeprasertsuk S, et al. Urgent double balloon endoscopy provides higher yields than non-urgent double balloon endoscopy in overt obscure gastrointestinal bleeding. Endosc Int Open 2014; 2(2): E90–E95.
https://doi.org/10.1055/s-0034-1365543
Xin L, Liao Z, Jiang YP, Li ZS. Indications, detectability, positive findings, total enteroscopy, and complications of diagnostic double-balloon endoscopy: a systematic review of data over the first decade of use. Gastrointest Endosc 2011; 74(3): 563-570.
https://doi.org/10.1016/j.gie.2011.03.1239
Moschler O, May AD, Muller MK, EII C. Complications in double-balloon enteroscopy: results of the German DBE register. Z Gastroenterol 2008; 46(3): 266-270.
Khashab MA, Pasha SF, Muthusamy VR, Acosta RD, Bruining DH, Chandrasekhara V. ASGE: The role of deep enteroscopy in the management of small-bowel Disorders. Gastrointest Endosc 2015; 82(4): 600-607.
https://doi.org/10.1016/j.gie.2015.06.046
Buscaglia JM, Richards R, Wilkinson MN, Judah JR, Lam Y, Nagula S, et al. Diagnostic yield of spiral enteroscopy when performed for the evaluation of abnormal capsule endoscopy findings. J Clin Gastroenterol 2011; 45(4): 342–346.
https://doi.org/10.1097/MCG.0b013e3181eeb74b
Schembre DB, Ross AS. Spiral enteroscopy: a new twist on over tuve assisted endoscopy. Gastrointest Endosc 2009; 69(2): 333–336.
https://doi.org/10.1016/j.gie.2008.09.011
Douard R, Wind P, Berger A, Maniere T, Landi B, Cellier C, et al. Role of intraoperative enteroscopy in the management of obscure gastointestinal bleeding at the time of video-capsule endoscopy. Am J Surg 2009; 198(1): 6–11.
https://doi.org/10.1016/j.amjsurg.2008.06.036
Bonnet S, Douard R, Malamut G, Cellier C, Wind P. Intraoperative enteroscopy in the management of obscure gastrointestinal bleeding. Dig Liver Dis 2013; 45(4): 277–284. Kumbhari V, Storm AC, Patrick IO, et al. Efficient retrograde enteroscopy using a novel through-the-scope balloon. Surg Endosc 2014;28:2745-6
https://doi.org/10.1007/s00464-014-3518-6
Murino A, Vlachou E, Fraser C, Cugia L, Despott E. Deep enteroscopy using a conventional colonoscope and through-the-scope balloon catheter system: How deep is deep? Gastrointest Endosc. 2016 Nov;84(5):882-883.
https://doi.org/10.1016/j.gie.2016.01.031
Neumann H. Through-the-scope deep enteroscopy (TTS-DE): new technique for deep small-bowel endoscopy – a pilot study. Z Gastroenterol 2013;51:K259
https://doi.org/10.1055/s-0033-1352899
Deep enteroscopy with a conventional colonoscope: Initial multicenter study by using a through-the-scope balloon catheter system. Gastrointest Endosc 2015
Howarth DM. The role of nuclear medicine in the detection of acute gastrointestinal bleeding. Semin Nucl Med 2006; 36(2): 133–146.
https://doi.org/10.1053/j.semnuclmed.2005.11.001
Lee SS, Oh TS, Kim HJ, Chung JW, Park SH, Kim AY, et al. Obscure gastrointestinal bleeding: diagnostic performance of multidetector CT enterography. Radiology 2011; 259(3): 739-748.
https://doi.org/10.1148/radiol.11101936
Filippone A, Cianci R, Milano A, Valeriano S, Di Mizio V, Storto ML. Obscure gastrointestinal bleeding and small bowel pathology: comparison between wireless capsule endoscopy and multidetector-row CT enteroclysis. Abdom Imaging 2008; 33(4): 398-406.
https://doi.org/10.1007/s00261-007-9271-8
Heo HM, Park CH, Lim JS, Lee JH, Kim BK, Cheon JH, et al. The role of capsule endoscopy after negative CT enterography in patients with obscure gastrointestinal bleeding. Eur Radiol 2012; 22(6): 1159-1166.
https://doi.org/10.1007/s00330-011-2374-1
Browder W, Cerise EJ, Litwin MS. Impact of emergency angiography in massive lower gastrointestinal bleeding. Ann Surg 1986; 204(5): 530–536.
https://doi.org/10.1097/00000658-198611000-00004
Leung WK, Ho SS, Suen BY, Lai LH, Yu S, Ng EK, et al. Capsule endoscopy or angiography in patients with acute overt obscure gastrointestinal bleeding: a prospective randomized study with long-term follow-up. Am J Gastroenterol 2012; 107(9): 1370-1376.
https://doi.org/10.1038/ajg.2012.212
Rahn NH 3rd, Tishler JM, Han SY, Russinovich NA. Diagnostic and interventional angiography in acute gastrointestinal hemorrhage. Radiology 1982; 143(2): 361-366.
https://doi.org/10.1148/radiology.143.2.6978500
Silverstein FE, Gilbert DA, Tedesco FJ, Buenger NK, Persing J. The national ASGE survey on upper gastrointestinal bleeding. I. Study design and baseline data. Gastrointest Endosc 1981; 27(2): 73-79.
https://doi.org/10.1016/S0016-5107(81)73155-9
Strate LL. Lower GI bleeding: epidemiology and diagnosis. Gastroenterol Clin North Am 2005; 34(4): 643-64.
https://doi.org/10.1016/j.gtc.2005.08.007
Leaper M, Johnston MJ, Barclay M, Dobbs BR, Frizelle FA. Reasons for failure to diagnose colorectal carcinoma at colonoscopy. Endoscopy 2004; 36(6): 499-503.
https://doi.org/10.1055/s-2004-814399
Descamps C, Schmit A, Van Gossum A. "Missed" upper gastrointestinal tract lesions may explain "occult" bleeding. Endoscopy 1999; 31(6): 452-455.
https://doi.org/10.1055/s-1999-151
Chak A, Koehler MK, Sundaram SN, Cooper GS, Canto MI, Sivak MV. Diagnostic and therapeutic impact of push enteroscopy: analysis of factors associated with positive findings. Gastrointest Endosc 1998; 47(1): 18-22.
https://doi.org/10.1016/S0016-5107(98)70293-7
Pennazio M, Santucci R, Rondonotti E, Abbiati C, Beccari G, Rossini FP, et al. Outcome of patients with obscure gastrointestinal bleeding after capsule endoscopy: report of 100 consecutive cases. Gastroenterology 2004; 126(3): 643–53.
https://doi.org/10.1053/j.gastro.2003.11.057
Arakawa D, Ohmiya N, Nakamura M, Honda W, Shirai O, Itoh A, et al. Outcome after enteroscopy for patients with obscure GI bleeding: diagnostic comparison between double-balloon endoscopy and videocapsule endoscopy. Gastrointest Endosc 2009; 69(4): 866-874.
https://doi.org/10.1016/j.gie.2008.06.008
Triester SL, Leighton JA, Leontiadis GI, Fleischer DE, Hara AK, Heigh RI, et al. A meta-analysis of the yield of capsule endoscopy compared to other diagnostic modalities in patients with obscure gastrointestinal bleeding. Am J Gastroenterol 2005; 100(11): 2407-2418.
https://doi.org/10.1111/j.1572-0241.2005.00274.x
de Leusse A, Vahedi K, Edery J, Tiah D, Fery-Lemonnier E, Cellier C, et al. Capsule endoscopy or push enteroscopy for first-line exploration of obscure gastrointestinal bleeding? Gastroenterology 2007; 132(3): 855-862.
https://doi.org/10.1053/j.gastro.2006.12.002
Kaffes AJ, Siah C, Koo JH. Clinical outcomes after doubleballoon enteroscopy in patients with obscure GI bleeding and a positive capsule endoscopy. Gastrointest Endosc 2007; 66(2): 304-309.
https://doi.org/10.1016/j.gie.2007.02.044
Fry LC, Neumann H, Jovanovic I, Malfertheiner P, Monkemuller K. Capsule endoscopy increases the diagnostic yield of double balloon enteroscopy in patients being investigated for obscure gastrointestinal bleeding. Arch Gastroenterohepatol 2012; 29(1): 9–14.
Gay G, Delvaux M, Fassler I. Outcome of capsule endoscopy in determining indication and route for push-and-pull enteroscopy. Endoscopy 2006; 38(1): 49–58.
https://doi.org/10.1055/s-2005-921176
Hendel JW, Vilmann P, Jensen T. Double-balloon endoscopy: Who needs it? Scand J Gastroenterol 2008; 43(3): 363–7.
https://doi.org/10.1080/00365520701799468
Riccioni ME, Urgesi R, Cianci R, Rizzo G, D'Angelo L, Marmo R, et al. Negative capsule endoscopy in patients with obscure gastrointestinal bleeding reliable: recurrence of bleeding on long-term follow-up. World J Gastroenterol 2013; 19(28): 4520-4525.
https://doi.org/10.3748/wjg.v19.i28.4520
Fisher L, Lee Krinsky M, Anderson MA, Appalaneni v, Banerjee S, Ben-Menachem T, et al. The role of endoscopy in the management of obscure GI bleeding. Gas¬trointest Endosc 2010; 72(3): 471-479.
https://doi.org/10.1016/j.gie.2010.04.032
Gerson LB. Small bowel endoscopy: cost-effectiveness of the different approaches. Best Pract Res Clin Gastroenterol 2012; 26(3): 325-335.
https://doi.org/10.1016/j.bpg.2012.01.018
Tae CH, Shim KN. Should Capsule Endoscopy Be the First Test for Every Obscure Gastrointestinal Bleeding? Clin Endosc 2014; 47(5): 409-414.
https://doi.org/10.5946/ce.2014.47.5.409
Viazis N, Papaxoinis K, Vlachogiannakos J, Efthymiou A, Theodoro¬poulos I, Karamanolis DG. Is there a role for second-look capsule en¬doscopy in patients with obscure GI bleeding after a nondiagnostic first test? Gastrointest Endosc 2009; 69(4): 850-856. https://doi.org/10.1016/j.gie.2008.05.053
Teshima CW, Kuipers EJ, van Zanten SV, Mensink PB. Double balloon enteroscopy and capsule endoscopy for obscure gastrointestinal bleed¬ing: an updated meta-analysis. J Gastroenterol Hepatol 2011; 26(5): 796-801.
https://doi.org/10.1111/j.1440-1746.2010.06530.x
May A, Färber M, Aschmoneit I, Pohl J, Manner H, Lotterer E, et al. Prospective multicenter trial comparing push-and-pull enteroscopy with the single- and double-balloon techniques in patients with small-bowel disorders. Am J Gastroenterol 2010; 105(3): 575-81.
https://doi.org/10.1038/ajg.2009.712
Lenz P, Domagk D. Double- vs. single-balloon vs. spiral enteroscopy. Best Pract Res Clin Gastroenterol 2012; 26(3): 303-313. https://doi.org/10.1016/j.bpg.2012.01.021
Endo H, Matsuhashi N, Inamori M, Akimoto K, Ohya T, Yanagawa T, et al. Rebleeding rate after interventional therapy directed by capsule endoscopy in patients with obscure gastrointestinal bleeding. BMC Gastroenterol 2008; 8: 12-17.
https://doi.org/10.1186/1471-230X-8-12
Delvaux M, Fassler I, Gay G. Clinical usefulness of the endoscopic video capsule as the initial intestinal investigation in patients with obscure digestive bleeding: validation of a diagnostic strategy based on the patient outcome after 12 months. Endoscopy 2004; 36(12): 1067-1073.
https://doi.org/10.1055/s-2004-826034
Estévez E, González-Conde B, Vázquez-Iglesias JL, de Los Angeles Vázquez-Millán M, Pértega S, Alonso PA, et al. Diagnostic yield and clinical outcomes after capsule endoscopy in 100 consecutive patients with obscure gastrointestinal bleeding. Eur J Gastroenterol Hepatol 2006; 18(18): 881-888.
https://doi.org/10.1097/00042737-200608000-00014
Macdonald J, Porter V, McNamara D. Negative capsule endoscopy in patients with obscure GI bleeding predicts low rebleeding rates. Gastrointest Endosc 2008; 68(6): 1122-1127.
https://doi.org/10.1016/j.gie.2008.06.054
Gerson LB, Batenic MA, Newsom SL, Ross A, Semrad CE. Long-term outcomes after double-balloon enteroscopy for obscure gastrointestinal bleeding. Clin Gastroenterol Hepatol 2009; 7(6): 664–669.
https://doi.org/10.1016/j.cgh.2009.01.021
Fujita M, Manabe N, Honda K, Tarumi K, Murao T, Katada S, et al. Long-term outcome after double-balloon endoscopy in patients with obscure gastrointestinal bleeding. Digestion 2010; 82(3): 173–178.
https://doi.org/10.1159/000313360
Shinozaki S, Yano T, Sakamoto H, Sunada K, Hayashi Y, Sato H, et al. Long-term outcomes in patients with overt obscure gastrointestinal bleeding after negative double-balloon endoscopy. Dig Dis Sci 2015; 60(12): 3691–3696.
https://doi.org/10.1007/s10620-015-3792-8
Williamson JB, Judah JR, Gaidos JK, Collins DP, Wagh MS, Chauhan SS, et al. Prospective evaluation of the long-term outcomes after deep small-bowel spiral enteroscopy in patients with obscure GI bleeding. Gastrointest Endosc 2012; 76(4): 771-778. https://doi.org/10.1016/j.gie.2012.05.025
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