Evidence map›Paper›PMID 30631404›Full record

ArticleWorld journal of gastrointestinal endoscopy2018

Video capsule endoscopy

Hélcio Pedrosa Brito, Igor Braga Ribeiro, Diogo Turiani Hourneaux de Moura, Wanderley Marques Bernardo, Dalton Marques Chaves, Rogério Kuga, Ethan Dwane Maahs, Robson Kiyoshi Ishida, Eduardo Turiani Hourneaux de Moura, Eduardo Guimarães Hourneaux de Moura

Open access · hybridAbstract read
In one paragraph

Article in World journal of gastrointestinal endoscopy, 2018. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 17 papers, 1 of them a synthesis that pooled it.

0numbers the graph read from it
0cells of the map it votes in
17citing papers in PubMed, 1 pooled it
4.1field-weighted citation impact, top 6% of its field
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

17 citing papers in PubMed, 1 synthesis or guideline pooled it, 42 citations in OpenAlex.

  1. Pooled it
  2. Article
  3. Article
  4. Article
  5. Capsule endoscopy for small bowel bleed: Current update.Indian journal of gastroenterology : official journal of the Indian Society of Gastroenterology · 2024
    Review
  6. Review
  7. Review
  8. Article
  9. 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
  10. Article
  11. Article
  12. PropofolWorld journal of gastrointestinal endoscopy · 2020
    Article
  13. Review
  14. Causes and Clinical Characteristics of Small Bowel Bleeding in Northern Vietnam.Canadian journal of gastroenterology & hepatology · 2020
    Article
  15. Article
  16. Review
  17. 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

10 authors at 2 institutions in 2 countries.

Hélcio Pedrosa BritoDepartment of Endoscopy of Clinics Hospital of São Paulo University, São Paulo 05403-00, Brazil.
Igor Braga RibeiroDepartment of Endoscopy of Clinics Hospital of São Paulo University, São Paulo 05403-00, Brazil. igorbraga1@gmail.com.
Diogo Turiani Hourneaux de MouraDepartment of Endoscopy of Clinics Hospital of São Paulo University, São Paulo 05403-00, Brazil.
Wanderley Marques BernardoDepartment of Endoscopy of Clinics Hospital of São Paulo University, São Paulo 05403-00, Brazil.
Dalton Marques ChavesDepartment of Endoscopy of Clinics Hospital of São Paulo University, São Paulo 05403-00, Brazil.
Rogério KugaDepartment of Endoscopy of Clinics Hospital of São Paulo University, São Paulo 05403-00, Brazil.
Ethan Dwane MaahsMolecular and Cell Biology, University of California, California, Berkeley, CA 94720, United States.
Robson Kiyoshi IshidaDepartment of Endoscopy of Clinics Hospital of São Paulo University, São Paulo 05403-00, Brazil.
Eduardo Turiani Hourneaux de MouraDepartment of Endoscopy of Clinics Hospital of São Paulo University, São Paulo 05403-00, Brazil.
Eduardo Guimarães Hourneaux de MouraDepartment of Endoscopy of Clinics Hospital of São Paulo University, São Paulo 05403-00, Brazil.
Hospital das Clínicas da Faculdade de Medicina da Universidade de São Paulo · BRUniversity of California, Berkeley · US

Funding

No grant is acknowledged in the PubMed record.

6 · The paper itself

Abstract

aimTo compare the diagnostic accuracy of video capsule endoscopy (VCE) and double-balloon enteroscopy (DBE) in cases of obscure gastrointestinal bleeding (OGIB) of vascular origin.

methodsMEDLINE (

resultsIn the per-patient analysis, 17 studies (1477 lesions) were included. We identified 3150 exams (1722 VCE and 1428 DBE) in 2043 patients and identified 2248 sources of bleeding, 1467 of which were from vascular lesions. Of these lesions, 864 (58.5%) were diagnosed by VCE, and 613 (41.5%) were diagnosed by DBE. The pretest probability for bleeding of vascular origin was 54.34%. The sensitivity of DBE was 84% (95%CI: 0.82-0.86; heterogeneity: 78.00%), and the specificity was 92% (95%CI: 0.89-0.94; heterogeneity: 92.0%). For DBE, the positive likelihood ratio was 11.29 (95%CI: 4.83-26.40; heterogeneity: 91.6%), and the negative likelihood ratio was 0.20 (95%CI: 0.15-0.27; heterogeneity: 67.3%). Performing DBE after CE increased the diagnostic yield of vascular lesion by 7%, from 83% to 90%.

conclusionThe diagnostic accuracy of detecting small bowel bleeding from a vascular source is increased with the use of an isolated video capsule endoscope compared with isolated DBE. However, concomitant use increases the detection rate of the bleeding source.

Indexed as

EnteroscopyHemorrhageObscure hemorrhageSmall bowel bleedingUpper gastrointestinal bleeding

Identifiers

PMID30631404
PMCPMC6323498
OpenAlexW2906590886

What OpenQuestion holds

Textmetadata
LicenceCC BY-NC
Read underepoch 390

Registered trials

None linked

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.