Evidence map›Paper›PMID 30023065›Full record

ArticleUnited European gastroenterology journal2018

Usefulness of small bowel reexamination in obscure gastrointestinal bleeding patients with negative capsule endoscopy findings: Comparison of repeat capsule endoscopy and double-balloon enteroscopy.

Koji Otani, Toshio Watanabe, Sunao Shimada, Yuji Nadatani, Shuhei Hosomi, Yasuaki Nagami, Fumio Tanaka, Noriko Kamata, Koichi Taira, Hirokazu Yamagami and 3 more

Abstract read
In one paragraph

Article in United European gastroenterology journal, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 4 papers, 2 of them syntheses that pooled it.

0numbers the graph read from it
0cells of the map it votes in
4citing papers in PubMed, 2 pooled it
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

4 citing papers in PubMed, 2 syntheses or guidelines pooled it.

  1. Taiwan practical consensus for evaluation and management of small-bowel bleeding.Journal of the Chinese Medical Association : JCMA · 2026
    Guideline
  2. Pooled it
  3. Clinical features of capsule endoscopy in young adults: A single-center retrospective study.JGH open : an open access journal of gastroenterology and hepatology · 2022
    Article
  4. Article
4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

13 authors.

Koji OtaniDepartment of Gastroenterology, Osaka City University Graduate School of Medicine, Osaka, Japan.
Toshio WatanabeDepartment of Gastroenterology, Osaka City University Graduate School of Medicine, Osaka, Japan.
Sunao ShimadaDepartment of Gastroenterology, Osaka City University Graduate School of Medicine, Osaka, Japan.
Yuji NadataniDepartment of Gastroenterology, Osaka City University Graduate School of Medicine, Osaka, Japan.
Shuhei HosomiDepartment of Gastroenterology, Osaka City University Graduate School of Medicine, Osaka, Japan.
Yasuaki NagamiDepartment of Gastroenterology, Osaka City University Graduate School of Medicine, Osaka, Japan.
Fumio TanakaDepartment of Gastroenterology, Osaka City University Graduate School of Medicine, Osaka, Japan.
Noriko KamataDepartment of Gastroenterology, Osaka City University Graduate School of Medicine, Osaka, Japan.
Koichi TairaDepartment of Gastroenterology, Osaka City University Graduate School of Medicine, Osaka, Japan.
Hirokazu YamagamiDepartment of Gastroenterology, Osaka City University Graduate School of Medicine, Osaka, Japan.
Tetsuya TanigawaDepartment of Gastroenterology, Osaka City University Graduate School of Medicine, Osaka, Japan.
Masatsugu ShibaDepartment of Gastroenterology, Osaka City University Graduate School of Medicine, Osaka, Japan.
Yasuhiro FujiwaraDepartment of Gastroenterology, Osaka City University Graduate School of Medicine, Osaka, Japan.

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

backgroundAlthough capsule endoscopy (CE) is a noninvasive diagnostic tool for patients with obscure gastrointestinal bleeding (OGIB), bleeding lesions are often not detected. No strategies have been established to determine whether CE or double-balloon enteroscopy (DBE) should be performed after negative CE.

methodsAmong 652 patients who underwent CE for OGIB, a total of 359 patients had negative findings. Of these, 41 and 48 patients underwent repeat CE and DBE for small bowel reexamination, respectively. We compared the rate of positive findings between the two groups. The findings were considered positive if mucosal break, vascular lesion, tumor, or active bleeding was observed.

resultsThe rate of positive findings in the repeat CE group was significantly higher than that in the DBE group (73.2% vs. 39.6%;

conclusionsReexamination via CE appears to have more diagnostic value than DBE for OGIB patients with negative CE findings.

Indexed as

capsule endoscopydouble-balloon enteroscopyObscure gastrointestinal bleedingpositive findingssmall intestine

Identifiers

PMID30023065
PMCPMC6047281

What OpenQuestion holds

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Registered trials

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Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.