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Clinical features of capsule endoscopy in young adults: A single‐center retrospective study
BACKGROUND AND AIM: Capsule endoscopy (CE) has been used in clinical examination among people of various ages, while few studies exclusively focused on the young. We aimed to explore its clinical features in young adults and those with obscure gastrointestinal bleeding (OGIB). METHODS: A total of 47...
Autores principales: | , , , |
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Formato: | Online Artículo Texto |
Lenguaje: | English |
Publicado: |
Wiley Publishing Asia Pty Ltd
2022
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Acceso en línea: | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9446405/ https://www.ncbi.nlm.nih.gov/pubmed/36091324 http://dx.doi.org/10.1002/jgh3.12801 |
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author | Xu, Hui‐Wen Chen, Yi‐Ru Wang, Mei‐Qian Zhu, Sen‐Lin |
author_facet | Xu, Hui‐Wen Chen, Yi‐Ru Wang, Mei‐Qian Zhu, Sen‐Lin |
author_sort | Xu, Hui‐Wen |
collection | PubMed |
description | BACKGROUND AND AIM: Capsule endoscopy (CE) has been used in clinical examination among people of various ages, while few studies exclusively focused on the young. We aimed to explore its clinical features in young adults and those with obscure gastrointestinal bleeding (OGIB). METHODS: A total of 479 young adults aged 18–44 years were analyzed, with median age of 33 years. Primary positive findings of patients were classified into four kinds of lesions, and potential risk of bleeding among patients with OGIB was assessed based on Saurin classification (P0‐2 lesions). RESULTS: The overall completion rate and diagnostic yield of CE among young adults were 89.77 and 77.04%, respectively. Significant differences were found among overall completion rate/diagnostic yield and inpatient status/CE brand. Positive diagnostic yield among 157 patients with OGIB was 51.59% (P1‐2 lesions), and the significant risk of bleeding was 37.04% (P2 lesions). Among patients with OGIB in which 134 patients with a total of 216 lesions, ulceration was the commonest P2 lesions, followed by angioectasia and telangiectasia. Inpatient rate, completion rate, and diagnostic yield were higher among patients with overt OGIB, and disease categories of overt OGIB were different compared with occult OGIB. CONCLUSION: CE is an optimal tool for discovering lesions in young adults and could play a role in evaluating the bleeding risk of young adults with OGIB. |
format | Online Article Text |
id | pubmed-9446405 |
institution | National Center for Biotechnology Information |
language | English |
publishDate | 2022 |
publisher | Wiley Publishing Asia Pty Ltd |
record_format | MEDLINE/PubMed |
spelling | pubmed-94464052022-09-09 Clinical features of capsule endoscopy in young adults: A single‐center retrospective study Xu, Hui‐Wen Chen, Yi‐Ru Wang, Mei‐Qian Zhu, Sen‐Lin JGH Open Original Articles BACKGROUND AND AIM: Capsule endoscopy (CE) has been used in clinical examination among people of various ages, while few studies exclusively focused on the young. We aimed to explore its clinical features in young adults and those with obscure gastrointestinal bleeding (OGIB). METHODS: A total of 479 young adults aged 18–44 years were analyzed, with median age of 33 years. Primary positive findings of patients were classified into four kinds of lesions, and potential risk of bleeding among patients with OGIB was assessed based on Saurin classification (P0‐2 lesions). RESULTS: The overall completion rate and diagnostic yield of CE among young adults were 89.77 and 77.04%, respectively. Significant differences were found among overall completion rate/diagnostic yield and inpatient status/CE brand. Positive diagnostic yield among 157 patients with OGIB was 51.59% (P1‐2 lesions), and the significant risk of bleeding was 37.04% (P2 lesions). Among patients with OGIB in which 134 patients with a total of 216 lesions, ulceration was the commonest P2 lesions, followed by angioectasia and telangiectasia. Inpatient rate, completion rate, and diagnostic yield were higher among patients with overt OGIB, and disease categories of overt OGIB were different compared with occult OGIB. CONCLUSION: CE is an optimal tool for discovering lesions in young adults and could play a role in evaluating the bleeding risk of young adults with OGIB. Wiley Publishing Asia Pty Ltd 2022-08-02 /pmc/articles/PMC9446405/ /pubmed/36091324 http://dx.doi.org/10.1002/jgh3.12801 Text en © 2022 The Authors. JGH Open published by Journal of Gastroenterology and Hepatology Foundation and John Wiley & Sons Australia, Ltd. https://creativecommons.org/licenses/by-nc-nd/4.0/This is an open access article under the terms of the http://creativecommons.org/licenses/by-nc-nd/4.0/ (https://creativecommons.org/licenses/by-nc-nd/4.0/) License, which permits use and distribution in any medium, provided the original work is properly cited, the use is non‐commercial and no modifications or adaptations are made. |
spellingShingle | Original Articles Xu, Hui‐Wen Chen, Yi‐Ru Wang, Mei‐Qian Zhu, Sen‐Lin Clinical features of capsule endoscopy in young adults: A single‐center retrospective study |
title | Clinical features of capsule endoscopy in young adults: A single‐center retrospective study |
title_full | Clinical features of capsule endoscopy in young adults: A single‐center retrospective study |
title_fullStr | Clinical features of capsule endoscopy in young adults: A single‐center retrospective study |
title_full_unstemmed | Clinical features of capsule endoscopy in young adults: A single‐center retrospective study |
title_short | Clinical features of capsule endoscopy in young adults: A single‐center retrospective study |
title_sort | clinical features of capsule endoscopy in young adults: a single‐center retrospective study |
topic | Original Articles |
url | https://www.ncbi.nlm.nih.gov/pmc/articles/PMC9446405/ https://www.ncbi.nlm.nih.gov/pubmed/36091324 http://dx.doi.org/10.1002/jgh3.12801 |
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