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Ross A , Mehdizadeh S , Tokar J , Leighton JA , Kamal A , Chen A , Schembre D , Chen G , Binmoeller K , Kozarek R , Waxman I , Dye C , Gerson L , Harrison ME , Haluszka O , Lo S , Semrad C
Double balloon enteroscopy detects small bowel mass lesions missed by capsule endoscopy
Digestive Diseases and Sciences. 2008 Aug;53(8) :2140-2143
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Abstract
Background Small bowel mass lesions (SBML) are a relatively common cause of obscure gastrointestinal bleeding (OGIB). Their detection has been limited by the inability to endoscopically examine the entire small intestine. This has changed with the introduction of capsule endoscopy (CE) and double balloon enteroscopy (DBE) into clinical practice. Study Aim To evaluate the detection of SBML by DBE and CE in patients with OGIB who were found to have SBML by DBE and underwent both procedures. Methods A retrospective review of a prospectively collected database of all patients undergoing DBE for OGIB at seven North American tertiary centers was performed. Those patients who were found to have SBML as a cause of their OGIB were further analyzed. Results During an 18 month period, 183 patients underwent DBE for OGIB. A small bowel mass lesion was identified in 18 patients. Of these, 15 patients had prior CE. Capsule endoscopy identified the mass lesion in five patients; fresh lu!
Notes
Ross, Andrew Mehdizadeh, Shahab Tokar, Jeffrey Leighton, Jonathan A. Kamal, Ahmad Chen, Ann Schembre, Drew Chen, Gary Binmoeller, Kenneth Kozarek, Richard Waxman, Irving Dye, Charles Gerson, Lauren Harrison, M. Edwyn Haluszka, Oleh Lo, Simon Semrad, Carol SPRINGER