ArticleJournal of gastroenterology2010
Route selection for double-balloon endoscopy, based on capsule transit time, in obscure gastrointestinal bleeding.
Article in Journal of gastroenterology, 2010. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 22 papers.
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Who cites it
22 citing papers in PubMed, 39 citations in OpenAlex.
- Diagnostic and therapeutic yields of balloon-assisted enteroscopy on different subtypes of patients with suspected small bowel bleeding.Journal of the Canadian Association of Gastroenterology · 2026Article
- Role of Device-Assisted Enteroscopy in Crohn's Disease.Journal of clinical medicine · 2024Review
- Article
- Indications and Limitations Associated with the Patency Capsule Prior to Capsule Endoscopy.Internal medicine (Tokyo, Japan) · 2022Review
- Factors Affecting Route Selection of Balloon-Assisted Enteroscopy in Patients with Obscure Gastrointestinal Bleeding: A KASID Multicenter Study.Diagnostics (Basel, Switzerland) · 2021Article
- Scoring systems in clinical small-bowel capsule endoscopy: all you need to know!Endoscopy international open · 2021Review
- Endoscopic Features and Clinical Characteristics of Ulcerations With Isolated Involvement of the Small Bowel.The Turkish journal of gastroenterology : the official journal of Turkish Society of Gastroenterology · 2021Article
- Capsule endoscopy transit-related indicators in choosing the insertion route for double-balloon enteroscopy: a systematic review.Endoscopy international open · 2021Review
- Clinical Features of Ischemic Enteritis Diagnosed by Double-Balloon Endoscopy.Canadian journal of gastroenterology & hepatology · 2021Article
- Small Bowel Enteroscopy - A Joint Clinical Guideline from the Spanish and Portuguese Small Bowel Study Groups.GE Portuguese journal of gastroenterology · 2020Article
- The Clinical Usefulness of the PillCam Progress Indicator for Route Selection in Double Balloon Endoscopy.Internal medicine (Tokyo, Japan) · 2019Article
- Nomogram-based prediction of rebleeding in small bowel bleeding patients: the 'PRSBB' score.Scientific reports · 2018Observational
- Double-Balloon Endoscopy in Overt and Occult Small Bowel Bleeding: Results, Complications, and Correlation with Prior Videocapsule Endoscopy in a Tertiary Referral Center.Clinical endoscopy · 2017Article
- Evaluation of radiation exposure dose at double-balloon endoscopy for the patients with small bowel disease.Nagoya journal of medical science · 2016Article
- Long-Term Outcomes in Patients with Overt Obscure Gastrointestinal Bleeding After Negative Double-Balloon Endoscopy.Digestive diseases and sciences · 2015Article
- Overview of technical solutions and assessment of clinical usefulness of capsule endoscopy.Biomedical engineering online · 2015Review
- Utility of endoscopic diagnosis for postoperative small-bowel lesions in patients with Crohn's disease at double-balloon endoscopy.Nagoya journal of medical science · 2015Article
- Minimally invasive extraction of a foreign body from the small intestine using double-balloon endoscopy.Nagoya journal of medical science · 2015Article
- Comparison of MR enteroclysis with video capsule endoscopy in the investigation of small-intestinal disease.Abdominal imaging · 2013Article
- Use of Capsule Small Bowel Transit Time to Determine the Optimal Enteroscopy Approach.Gastroenterology research · 2012Article
Corrections and comments
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Authors and funding
12 authors at 2 institutions in 1 country.
Funding
No grant is acknowledged in the PubMed record.
Abstract
backgroundDouble-balloon endoscopy (DBE) utilizes both oral and anal routes. The proper selection of the initial route is important for more rapid management of obscure gastrointestinal bleeding (OGIB). The aim of this retrospective study was to clarify the accuracy of the transit time of video capsule endoscopy (VCE) to the lesion as a predictive indicator for the decision on the initial DBE route.
methodsOf 172 patients who underwent both DBE and VCE, 65 who were diagnosed with small-intestinal hemorrhagic lesions by both means were enrolled. The relation between VCE transit time to the lesion and the DBE route by which the lesion was discovered was analyzed, distinguishing between 46 complete and 19 incomplete VCEs.
resultsAmong the 46 patients with a complete VCE, the transit time and position of the lesion were strongly correlated. The best cutoff values for route selection by the VCE transit time from capsule intake and from the duodenal bulb to the lesion, determined using a receiver operating characteristic (ROC) curve, were 60% and 50%, respectively, of the transit time to the cecum. At that point, the accuracy of route selection was 90% and 94%, respectively. Positions shown by VCE for ileal lesions tended to be more proximal than those shown by surgery. In the 19 patients with incomplete VCEs, the best cutoff for transit time was 180 min from the duodenal bulb.
conclusionsThe VCE transit time was useful for determining the route for DBE in OGIB. This parameter was most accurate when the cutoff value for the selection was half of the small-bowel transit time in the complete VCE examination.
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