Enteroscopy in Crohn's Disease: Are There Any Changes in Role or Outcomes Over Time? A KASID Multicenter Study
- 주제(키워드) Balloon-assisted enteroscopy , Crohn disease , Small bowel , Time , Outcome
- 주제(기타) Gastroenterology & Hepatology
- 설명문(일반) [Jeon, Seong Ran; Kim, Jin-Oh] Soonchunhyang Univ, Dept Internal Med, Coll Med, Seoul, South Korea; [Byeon, Jeong-Sik; Yang, Dong-Hoon] Univ Ulsan, Dept Internal Med, Coll Med, Seoul, South Korea; [Ko, Bong Min; Goong, Hyeon Jeong] Soonchunhyang Univ, Dept Internal Med, Coll Med, Bucheon, South Korea; [Jang, Hyun Joo] Hallym Univ, Dept Internal Med, Coll Med, Hwaseong, South Korea; [Park, Soo Jung] Yonsei Univ, Dept Internal Med, Coll Med, Seoul, South Korea; [Kim, Eun Ran; Hong, Sung Noh; Chang, Dong Kyung] Sungkyunkwan Univ, Dept Internal Med, Sch Med, Seoul, South Korea; [Im, Jong Pil] Seoul Natl Univ, Dept Internal Med, Coll Med, Seoul, South Korea; [Im, Jong Pil] Liver Res Inst, Seoul, South Korea; [Kim, Seong-Eun] Ewha Womans Univ, Dept Internal Med, Coll Med, Seoul, South Korea; [Koo, Ja Seol] Korea Univ, Dept Internal Med, Coll Med, Ansan, South Korea; [Eun, Chang Soo] Hanyang Univ, Dept Internal Med, Coll Med, Guri, South Korea
- 등재 SCIE, SCOPUS, KCI등재
- 발행기관 EDITORIAL OFFICE GUT & LIVER
- 발행년도 2021
- 총서유형 Journal
- URI http://www.dcollection.net/handler/ewha/000000181595
- 본문언어 영어
- Published As http://dx.doi.org/10.5009/gnl20023
초록/요약
Background/Aims: Although balloon-assisted enteroscopy (BAE) enables endoscopic visualization of small bowel (SB) involvement in Crohn's disease (CD), there is no data on the changes in outcomes over time. We therefore investigated the changes in BAE use on CD patients over different time periods in terms of its role and clinical outcomes. Methods: We used a multicenter enteroscopy database to identify CD patients with SB involvement who underwent BAE (131 procedures, 116 patients). We compared BAE-related factors and outcomes between the first period (70 procedures, 60 patients) and the second period (61 procedures, 56 patients). The specific cutoff point for dividing the two periods was 2007, when BAE guidelines were introduced. Results: Initial diagnosis of SB involvement in CD was the most common indication for BAE during each period (50.0% vs 31.1%, p=0.034). The largest change was in the number of BAE uses for stricture evaluation and/or treatment, which increased significantly in the latter period (2.9% vs 21.3%, p=0.002). The diagnostic yield in patients with suspected CD was 90.7% in the first period and 95.0% in the second (p=0.695). More endoscopic interventions were performed in the second period than in the first (5.1% vs 17.6%, p=0.041). Enteroscopic success rates were high throughout (100% in the first period vs 80.0% in the second period, p>0.999). In the first and second periods, therapeutic plans were adjusted in 62.7% and 61.4% of patients, respectively. Conclusions: The overall clinical indications, outcomes, and effectiveness of BAE were constant over time in CD patients with SB involvement, with the exception that the frequency of enteroscopic intervention increased remarkably.
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