The etiology of potential small-bowel bleeding depending on patient's age and gender
- 주제(키워드) Potential small-bowel bleeding , obscure gastrointestinal bleeding , video capsule endoscopy , age , gender
- 주제(기타) Gastroenterology & Hepatology
- 설명문(일반) [Song, Joo Hye; Hong, Sung Noh; Chang, Dong Kyung] Sungkyunkwan Univ, Sch Med, Samsung Med Ctr, Dept Med, Seoul, South Korea; [Jeon, Seong Ran; Kim, Jin-Oh] Soonchunhyang Univ, Coll Med, Dept Internal Med, Seoul, South Korea; [Kim, Jinsu; Lee, Bo-In; Choi, Myung-Gyu] Catholic Univ Korea, Coll Med, Dept Internal Med, Seoul, South Korea; [Kim, Kyeong Ok] Yeungnam Univ, Coll Med, Dept Internal Med, Daegu, South Korea; [Yang, Dong-Hoon] Univ Ulsan, Asan Med Ctr, Coll Med, Dept Gastroenterol, Seoul, South Korea; [Song, Hyun Joo] Jeju Natl Univ, Sch Med, Dept Internal Med, Jeju, South Korea; [Do, Jae Hyuk] Chung Ang Univ, Coll Med, Dept Internal Med, Seoul, South Korea; [Lim, Yun Jeong] Dongguk Univ, Coll Med, Dept Internal Med, Goyang, South Korea; [Shim, Ki-Nam] Ewha Womans Univ, Coll Med, Dept Internal Med, Seoul, South Korea; [Park, Soo Jung] Yonsei Univ, Coll Med, Dept Internal Med, Seoul, South Korea; [Kim, Ji Hyun] Inje Univ, Busan Paik Hosp, Dept Internal Med, Busan, South Korea; [Moon, Jeong Seop] Inje Univ, Seoul Paik Hosp, Coll Med, Dept Internal Med, Seoul, South Korea; [Jang, Hyun Joo] Hallym Univ, Dongtan Sacred Heart Hosp, Coll Med, Hwaseong, South Korea; [Chun, Hoon Jai] Korea Univ, Coll Med, Inst Digest Dis & Nutr, Dept Internal Med, Seoul, South Korea
- 등재 SCIE, SCOPUS
- 발행기관 SAGE PUBLICATIONS INC
- 발행년도 2018
- URI http://www.dcollection.net/handler/ewha/000000159918
- 본문언어 영어
- Published As http://dx.doi.org/10.1177/2050640618797841
초록/요약
Background: Whether the etiology of potential small-bowel bleeding depends on the age and gender of the patient is not yet fully understood. Methods: A total of 1953 patients who underwent video capsule endoscopy (VCE) to evaluate potential small-bowel bleeding and were registered in the Capsule Endoscopy Nationwide Database Registry from 2003 to 2014 were eligible for this study. VCE findings and the etiology of small-bowel bleeding were analyzed by age and gender. Results: The diagnostic yield of VCE was 48.4% (95% CI: 46.2%-50.6%) and the diagnosis rate of etiology of potential small-bowel bleeding was 61.4% (95% CI: 59.2%-63.6%). The etiology of potential small-bowel bleeding depends on the age and gender of the patient. Crohn's disease and small-bowel diverticular diseases were more prevalent etiology of potential small-bowel bleeding in the young adults group (< 40 years) whereas angiodysplasia was revealed to be a most common etiology in elderly group (>= 60 years), reaching statistical significance (p<0.00152) by Bonferroni correction. Conclusions: The etiology of potential small-bowel bleeding depends on the age of the patient. Thus, an individualized lesion-specific diagnostic approach based on age might be needed for patients with potential small-bowel bleeding.
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