Diagnostic Yield and Clinical Impact of Video Capsule Endoscopy in Patients with Chronic Diarrhea: A Korean Multicenter CAPENTRY Study
In some cases, chronic diarrhea is unexplained, and small bowel disorders may be one of the causes. The aim of this study was to assess the diagnostic yield and clinical impact of video capsule endoscopy (VCE) in patients with chronic diarrhea. We retrospectively analyzed records from October 2002 t...
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| Published in | Gut and liver Vol. 11; no. 2; pp. 253 - 260 |
|---|---|
| Main Authors | , , , , , , , , , , , , , , , , , , |
| Format | Journal Article |
| Language | English |
| Published |
Korea (South)
Editorial Office of Gut and Liver
01.03.2017
Gastroenterology Council for Gut and Liver 거트앤리버 소화기연관학회협의회 |
| Subjects | |
| Online Access | Get full text |
| ISSN | 1976-2283 2005-1212 2005-1212 |
| DOI | 10.5009/gnl16231 |
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| Abstract | In some cases, chronic diarrhea is unexplained, and small bowel disorders may be one of the causes. The aim of this study was to assess the diagnostic yield and clinical impact of video capsule endoscopy (VCE) in patients with chronic diarrhea.
We retrospectively analyzed records from October 2002 to August 2013 in the VCE nationwide database registry (n=2,964). Ninety-one patients from 15 medical centers (60 males and 31 females; mean age, 47±19 years) were evaluated for VCE as a result of chronic diarrhea.
The duration of chronic diarrhea was 8.3±14.7 months. The positive diagnostic yield of VCE was 42.9% (39/91). However, 15.4% (14/91) exhibited an inconsistent result, and 41.8% (38/91) were negative. Abnormal findings consistent with chronic diarrhea included erosions/aphthous ulcers (19.8%), ulcers (17.6%), mucosal erythema (3.3%), edema (1.1%), and luminal narrowing (1.1%). The most common diagnoses were functional diarrhea associated with irritable bowel syndrome in 37 patients (40.7%) and Crohn's disease in 18 patients (19.8%). After VCE examination, the diagnosis was changed in 34.1% of the patients (31/91). Hematochezia (odds ratio [OR], 8.802; 95% confidence interval [CI], 2.126 to 36.441) and hypoalbuminemia (OR, 4.811; 95% CI, 1.241 to 18.655) are predictive factors of a positive diagnostic yield.
VCE had a favorable diagnostic yield and clinical impact on the management of patients with chronic diarrhea. |
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| AbstractList | Background/AimsIn some cases, chronic diarrhea is unexplained, and small bowel disorders may be one of the causes. The aim of this study was to assess the diagnostic yield and clinical impact of video capsule endoscopy (VCE) in patients with chronic diarrhea.Methods : We retrospectively analyzed records from October 2002 to August 2013 in the VCE nationwide database registry (n=2,964). Ninety-one patients from 15 medical centers (60 males and 31 females; mean age, 47±19 years) were evaluated for VCE as a result of chronic diarrhea.Results : The duration of chronic diarrhea was 8.3±14.7 months. The positive diagnostic yield of VCE was 42.9% (39/91). However, 15.4% (14/91) exhibited an inconsistent result, and 41.8% (38/91) were negative. Abnormal findings consistent with chronic diarrhea included erosions/aphthous ulcers (19.8%), ulcers (17.6%), mucosal erythema (3.3%), edema (1.1%), and luminal narrowing (1.1%). The most common diagnoses were functional diarrhea associated with irritable bowel syndrome in 37 patients (40.7%) and Crohn’s disease in 18 patients (19.8%). After VCE examination, the diagnosis was changed in 34.1% of the patients (31/91). Hematochezia (odds ratio [OR], 8.802; 95% confidence interval [CI], 2.126 to 36.441) and hypoalbuminemia (OR, 4.811; 95% CI, 1.241 to 18.655) are predictive factors of a positive diagnostic yield.Conclusion : sVCE had a favorable diagnostic yield and clinical impact on the management of patients with chronic diarrhea. BACKGROUND/AIMSIn some cases, chronic diarrhea is unexplained, and small bowel disorders may be one of the causes. The aim of this study was to assess the diagnostic yield and clinical impact of video capsule endoscopy (VCE) in patients with chronic diarrhea.METHODSWe retrospectively analyzed records from October 2002 to August 2013 in the VCE nationwide database registry (n=2,964). Ninety-one patients from 15 medical centers (60 males and 31 females; mean age, 47±19 years) were evaluated for VCE as a result of chronic diarrhea.RESULTSThe duration of chronic diarrhea was 8.3±14.7 months. The positive diagnostic yield of VCE was 42.9% (39/91). However, 15.4% (14/91) exhibited an inconsistent result, and 41.8% (38/91) were negative. Abnormal findings consistent with chronic diarrhea included erosions/aphthous ulcers (19.8%), ulcers (17.6%), mucosal erythema (3.3%), edema (1.1%), and luminal narrowing (1.1%). The most common diagnoses were functional diarrhea associated with irritable bowel syndrome in 37 patients (40.7%) and Crohn's disease in 18 patients (19.8%). After VCE examination, the diagnosis was changed in 34.1% of the patients (31/91). Hematochezia (odds ratio [OR], 8.802; 95% confidence interval [CI], 2.126 to 36.441) and hypoalbuminemia (OR, 4.811; 95% CI, 1.241 to 18.655) are predictive factors of a positive diagnostic yield.CONCLUSIONSVCE had a favorable diagnostic yield and clinical impact on the management of patients with chronic diarrhea. Background/Aims: In some cases, chronic diarrhea is unexplained, and small bowel disorders may be one of the causes. The aim of this study was to assess the diagnostic yield and clinical impact of video capsule endoscopy (VCE) in patients with chronic diarrhea. Methods: We retrospectively analyzed records from October 2002 to August 2013 in the VCE nationwide database registry (n=2,964). Ninety-one patients from 15 medical centers (60 males and 31 females; mean age, 47±19 years) were evaluated for VCE as a result of chronic diarrhea. Results: The duration of chronic diarrhea was 8.3±14.7 months. The positive diagnostic yield of VCE was 42.9% (39/91). However, 15.4% (14/91) exhibited an inconsistent result, and 41.8% (38/91) were negative. Abnormal findings consistent with chronic diarrhea included erosions/aphthous ulcers (19.8%), ulcers (17.6%), mucosal erythema (3.3%), edema (1.1%), and luminal narrowing (1.1%). The most common diagnoses were functional diarrhea associated with irritable bowel syndrome in 37 patients (40.7%) and Crohn’s disease in 18 patients (19.8%). After VCE examination, the diagnosis was changed in 34.1% of the patients (31/91). Hematochezia (odds ratio [OR], 8.802; 95% confidence interval [CI], 2.126 to 36.441) and hypoalbuminemia (OR, 4.811; 95% CI, 1.241 to 18.655) are predictive factors of a positive diagnostic yield. Conclusions: VCE had a favorable diagnostic yield and clinical impact on the management of patients with chronic diarrhea. KCI Citation Count: 4 In some cases, chronic diarrhea is unexplained, and small bowel disorders may be one of the causes. The aim of this study was to assess the diagnostic yield and clinical impact of video capsule endoscopy (VCE) in patients with chronic diarrhea. We retrospectively analyzed records from October 2002 to August 2013 in the VCE nationwide database registry (n=2,964). Ninety-one patients from 15 medical centers (60 males and 31 females; mean age, 47±19 years) were evaluated for VCE as a result of chronic diarrhea. The duration of chronic diarrhea was 8.3±14.7 months. The positive diagnostic yield of VCE was 42.9% (39/91). However, 15.4% (14/91) exhibited an inconsistent result, and 41.8% (38/91) were negative. Abnormal findings consistent with chronic diarrhea included erosions/aphthous ulcers (19.8%), ulcers (17.6%), mucosal erythema (3.3%), edema (1.1%), and luminal narrowing (1.1%). The most common diagnoses were functional diarrhea associated with irritable bowel syndrome in 37 patients (40.7%) and Crohn's disease in 18 patients (19.8%). After VCE examination, the diagnosis was changed in 34.1% of the patients (31/91). Hematochezia (odds ratio [OR], 8.802; 95% confidence interval [CI], 2.126 to 36.441) and hypoalbuminemia (OR, 4.811; 95% CI, 1.241 to 18.655) are predictive factors of a positive diagnostic yield. VCE had a favorable diagnostic yield and clinical impact on the management of patients with chronic diarrhea. |
| Author | Do, Jae Hyuk Jang, Byung Ik Kim, Jin-Oh Choi, Myung-Gyu Kim, Kyeong Ok Shin, Sung-Jae Kim, Jinsu Moon, Jeong Seop Cheung, Dae Young Cheon, Jae Hee Kim, Hyun-Soo Kim, Ji Hyun Chang, Dong Kyung Lim, Yun Jeong Shim, Ki-Nam Park, Cheol Hee Song, Hyun Joo Ye, Byong Duk Jeon, Seong Ran |
| AuthorAffiliation | 11 Department of Internal Medicine, Inje University College of Medicine, Busan, Korea 2 Department of Internal Medicine, Inje University College of Medicine, Seoul, Korea 6 Department of Internal Medicine, Ewha Womans University School of Medicine, Seoul, Korea 7 Department of Gastroenterology, University of Ulsan College of Medicine, Seoul, Korea 8 Department of Internal Medicine, Yonsei University College of Medicine, Seoul, Korea 4 Department of Internal Medicine, The Catholic University of Korea College of Medicine, Seoul, Korea 5 Department of Internal Medicine, Dongguk University College of Medicine, Goyang, Korea 3 Department of Internal Medicine, Soonchunhyang University College of Medicine, Seoul, Korea 12 Department of Internal Medicine, Sungkyunkwan University School of Medicine, Seoul, Korea 15 Department of Internal Medicine, Ajou University School of Medicine, Suwon, Korea 13 Department of Internal Medicine, Chung-Ang University College of Medicine, Seoul, Korea 10 Department of Int |
| AuthorAffiliation_xml | – name: 9 Department of Internal Medicine, Hallym University College of Medicine, Anyang, Korea – name: 11 Department of Internal Medicine, Inje University College of Medicine, Busan, Korea – name: 4 Department of Internal Medicine, The Catholic University of Korea College of Medicine, Seoul, Korea – name: 3 Department of Internal Medicine, Soonchunhyang University College of Medicine, Seoul, Korea – name: 1 Department of Internal Medicine, Jeju National University School of Medicine, Jeju, Korea – name: 7 Department of Gastroenterology, University of Ulsan College of Medicine, Seoul, Korea – name: 14 Department of Internal Medicine, Yeungnam University College of Medicine, Daegu, Korea – name: 5 Department of Internal Medicine, Dongguk University College of Medicine, Goyang, Korea – name: 15 Department of Internal Medicine, Ajou University School of Medicine, Suwon, Korea – name: 12 Department of Internal Medicine, Sungkyunkwan University School of Medicine, Seoul, Korea – name: 8 Department of Internal Medicine, Yonsei University College of Medicine, Seoul, Korea – name: 13 Department of Internal Medicine, Chung-Ang University College of Medicine, Seoul, Korea – name: 6 Department of Internal Medicine, Ewha Womans University School of Medicine, Seoul, Korea – name: 10 Department of Internal Medicine, Yonsei University Wonju College of Medicine, Wonju, Korea – name: 2 Department of Internal Medicine, Inje University College of Medicine, Seoul, Korea |
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| Cites_doi | 10.1016/j.bpg.2012.11.013 10.1055/s-2007-966640 10.1080/00365520600548974 10.1055/s-2003-41520 10.1590/S0004-28032011000300013 10.1055/s-0034-1391855 10.1016/j.crohns.2010.12.004 10.1097/MEG.0b013e3283352ced 10.1371/journal.pone.0087396 10.1053/j.seminhematol.2015.07.006 10.1371/journal.pone.0126509 10.1016/j.ejim.2011.06.012 10.5946/ce.2015.48.2.128 10.1159/000324548 10.1016/j.giec.2003.10.015 |
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| Copyright | Copyright © 2017 by The Korean Society of Gastroenterology, the Korean Society of Gastrointestinal Endoscopy, the Korean Society of Neurogastroenterology and Motility, Korean College of Helicobacter and Upper Gastrointestinal Research, Korean Association the Study of Intestinal Diseases, the Korean Association for the Study of the Liver, Korean Pancreatobiliary Association, and Korean Society of Gastrointestinal Cancer. 2017 |
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| Snippet | In some cases, chronic diarrhea is unexplained, and small bowel disorders may be one of the causes. The aim of this study was to assess the diagnostic yield... BACKGROUND/AIMSIn some cases, chronic diarrhea is unexplained, and small bowel disorders may be one of the causes. The aim of this study was to assess the... Background/AimsIn some cases, chronic diarrhea is unexplained, and small bowel disorders may be one of the causes. The aim of this study was to assess the... Background/Aims: In some cases, chronic diarrhea is unexplained, and small bowel disorders may be one of the causes. The aim of this study was to assess the... |
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| SubjectTerms | Adult Aged capsule endoscopy Capsule Endoscopy - methods Capsule Endoscopy - statistics & numerical data chronic Chronic Disease Crohn Disease - complications Crohn Disease - diagnostic imaging diarrhea Diarrhea - etiology Female Humans Intestinal Diseases - complications Intestinal Diseases - diagnostic imaging Irritable Bowel Syndrome - complications Irritable Bowel Syndrome - diagnostic imaging Male Middle Aged Original Predictive Value of Tests Retrospective Studies 내과학 |
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| Title | Diagnostic Yield and Clinical Impact of Video Capsule Endoscopy in Patients with Chronic Diarrhea: A Korean Multicenter CAPENTRY Study |
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