Capsule endoscopy in patients with obscure gastrointestinal bleeding

Masanao Nakamura, Naoki Ohmiya, Ryoji Miyahara, Takafumi Ando, Osamu Watanabe, Hiroki Kawashima, Akihiro Itoh, Yoshiki Hirooka, Yasumasa Niwa, Hidemi Goto

Research output: Contribution to journalArticle

Abstract

[Purpose] Recently, video capsule endoscopy (VCE) and double-balloon endoscopy (DBE) have been introduced into clinical practice for obscure gastrointestinal bleeding (OGIB). Both are said to be very useful. This study assessed the VCE images and effectiveness of VCE. [Methods] 116 patients who had both VCE and DBE for OGIB were enrolled in the study. The diagnosis or findings obtained by VCE were compared to the final diagnosis, and the results and the efficacy of VCE were assessed. [Results] The VCE positive finding rate was 62.9%, but a definitive diagnosis was made in only 13 patients (11.2%) using VCE. The sensitivity, specificity, positive predictive value, negative predictive value, and accuracy were 76.7% , 74.2 %, 87.5% , 57.5% , and 76.0% , respectively. The accuracy of VCE diagnosis was around 76%. [Conclusion] It is difficult to make a definitive diagnosis based on VCE findings. However, VCE findings play a "guide role" to the definitive diagnosis.

Original languageEnglish
Pages (from-to)2866-2876
Number of pages11
JournalJapanese Journal of Urology
Volume100
Issue number7
Publication statusPublished - 01-11-2009
Externally publishedYes

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Capsule Endoscopy
Hemorrhage
Gastrointestinal Endoscopy
Endoscopy

All Science Journal Classification (ASJC) codes

  • Urology

Cite this

Nakamura, M., Ohmiya, N., Miyahara, R., Ando, T., Watanabe, O., Kawashima, H., ... Goto, H. (2009). Capsule endoscopy in patients with obscure gastrointestinal bleeding. Japanese Journal of Urology, 100(7), 2866-2876.
Nakamura, Masanao ; Ohmiya, Naoki ; Miyahara, Ryoji ; Ando, Takafumi ; Watanabe, Osamu ; Kawashima, Hiroki ; Itoh, Akihiro ; Hirooka, Yoshiki ; Niwa, Yasumasa ; Goto, Hidemi. / Capsule endoscopy in patients with obscure gastrointestinal bleeding. In: Japanese Journal of Urology. 2009 ; Vol. 100, No. 7. pp. 2866-2876.
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Nakamura, M, Ohmiya, N, Miyahara, R, Ando, T, Watanabe, O, Kawashima, H, Itoh, A, Hirooka, Y, Niwa, Y & Goto, H 2009, 'Capsule endoscopy in patients with obscure gastrointestinal bleeding', Japanese Journal of Urology, vol. 100, no. 7, pp. 2866-2876.

Capsule endoscopy in patients with obscure gastrointestinal bleeding. / Nakamura, Masanao; Ohmiya, Naoki; Miyahara, Ryoji; Ando, Takafumi; Watanabe, Osamu; Kawashima, Hiroki; Itoh, Akihiro; Hirooka, Yoshiki; Niwa, Yasumasa; Goto, Hidemi.

In: Japanese Journal of Urology, Vol. 100, No. 7, 01.11.2009, p. 2866-2876.

Research output: Contribution to journalArticle

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T1 - Capsule endoscopy in patients with obscure gastrointestinal bleeding

AU - Nakamura, Masanao

AU - Ohmiya, Naoki

AU - Miyahara, Ryoji

AU - Ando, Takafumi

AU - Watanabe, Osamu

AU - Kawashima, Hiroki

AU - Itoh, Akihiro

AU - Hirooka, Yoshiki

AU - Niwa, Yasumasa

AU - Goto, Hidemi

PY - 2009/11/1

Y1 - 2009/11/1

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Nakamura M, Ohmiya N, Miyahara R, Ando T, Watanabe O, Kawashima H et al. Capsule endoscopy in patients with obscure gastrointestinal bleeding. Japanese Journal of Urology. 2009 Nov 1;100(7):2866-2876.