Capsule Endoscopy for Obscure Gastrointestinal Bleeding in Patients with Comorbid Rheumatic Diseases
Joint Authors
Enns, Robert
Law, Joanna K.
Tong, Jessica
Ou, George
Galorport, Cherry
Shahidi, Neal
Kwok, Ricky
Source
Diagnostic and Therapeutic Endoscopy
Issue
Vol. 2014, Issue 2014 (31 Dec. 2014), pp.1-7, 7 p.
Publisher
Hindawi Publishing Corporation
Publication Date
2014-07-06
Country of Publication
Egypt
No. of Pages
7
Main Subjects
Abstract EN
Background and Aim.
We evaluated the association between patients with rheumatic diseases (RD) suffering from obscure gastrointestinal bleeding (OGIB) and positive capsule endoscopy (CE) findings.
Methods.
All CE procedures performed on patients with RD and OGIB were assessed from a large database at St.
Paul’s Hospital (Vancouver, BC, Canada) between December 2001 and April 2011.
A positive finding on CE was defined as any pathology, including ulcers/erosions, vascular lesions, and mass lesions, perceived to be the source of bleeding.
Results.
Of the 1133 CEs performed, 41 (4%) complete CEs were for OGIB in patients with RD.
Of these, 54% presented with overt bleeding.
Mean age was 66 years.
Positive findings were seen in 61% of patients.
Ulcerations/erosions (36%) and vascular lesions (36%) were the most common findings.
Significant differences between the RD versus non-RD populations included: inpatient status, nonsteroidal anti-inflammatory drug (NSAIDs) use, oral steroid use, and mean Charlson index score (all P≤0.008).
Similar nonsignificant trends were seen between positive and negative CEs among the RD population.
Conclusions.
The correlation between RD and positive CE findings is likely influenced by ongoing anti-inflammatory drug use, poorer health status, and a predisposition for angiodysplastic lesions.
American Psychological Association (APA)
Shahidi, Neal& Ou, George& Tong, Jessica& Kwok, Ricky& Galorport, Cherry& Law, Joanna K.…[et al.]. 2014. Capsule Endoscopy for Obscure Gastrointestinal Bleeding in Patients with Comorbid Rheumatic Diseases. Diagnostic and Therapeutic Endoscopy،Vol. 2014, no. 2014, pp.1-7.
https://search.emarefa.net/detail/BIM-479355
Modern Language Association (MLA)
Shahidi, Neal…[et al.]. Capsule Endoscopy for Obscure Gastrointestinal Bleeding in Patients with Comorbid Rheumatic Diseases. Diagnostic and Therapeutic Endoscopy No. 2014 (2014), pp.1-7.
https://search.emarefa.net/detail/BIM-479355
American Medical Association (AMA)
Shahidi, Neal& Ou, George& Tong, Jessica& Kwok, Ricky& Galorport, Cherry& Law, Joanna K.…[et al.]. Capsule Endoscopy for Obscure Gastrointestinal Bleeding in Patients with Comorbid Rheumatic Diseases. Diagnostic and Therapeutic Endoscopy. 2014. Vol. 2014, no. 2014, pp.1-7.
https://search.emarefa.net/detail/BIM-479355
Data Type
Journal Articles
Language
English
Notes
Includes bibliographical references
Record ID
BIM-479355