Obscure gastrointestinal bleeding
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Clinical Practice Guideline for Enteroscopy Open
Management of small bowel diseases has evolved since the advent of capsule endoscopy (CE) and balloon‐assisted enteroscopy (BAE). One of the most common indications for enteroscopy is obscure gastrointestinal bleeding (OGIB), followed by s…
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Clinical usefulness of a deep learning‐based system as the first screening on small‐bowel capsule endoscopy reading Open
Background and Aim To examine whether our convolutional neural network ( CNN ) system based on deep learning can reduce the reading time of endoscopists without oversight of abnormalities in the capsule‐endoscopy reading process. Methods T…
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The Future of Capsule Endoscopy: The Role of Artificial Intelligence and Other Technical Advancements Open
Capsule endoscopy has revolutionized the management of small-bowel diseases owing to its convenience and noninvasiveness. Capsule endoscopy is a common method for the evaluation of obscure gastrointestinal bleeding, Crohn's disease, small-…
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Management of obscure gastrointestinal bleeding: Comparison of guidelines between Japan and other countries Open
Small‐bowel bleeding accounts for the majority of obscure gastrointestinal bleeding, but it is caused by various types of small bowel disease, upper gastrointestinal disease, and colorectal disease. For the diagnosis, history taking and ph…
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Current Status and Research into Overcoming Limitations of Capsule Endoscopy Open
Endoscopic investigation has a critical role in the diagnosis and treatment of gastrointestinal (GI) diseases. Since 2001, capsule endoscopy (CE) has been available for small-bowel exploration and is under continuous development. During th…
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Quality Indicators for Small Bowel Capsule Endoscopy Open
Capsule endoscopy (CE) enables evaluation of the entire mucosal surface of the small bowel (SB), which is one of the most important steps for evaluating obscure gastrointestinal bleeding. Although the diagnostic yield of SB CE depends on m…
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Role of endoscopy in acute gastrointestinal bleeding in real clinical practice: An evidence-based review Open
Although upper gastrointestinal bleeding is usually segregated from lower gastrointestinal bleeding, and guidelines for gastrointestinal bleeding are divided into two separate sections, they may not be distinguished from each other in clin…
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The Usefulness of Capsule Endoscopy for Small Bowel Tumors Open
Video capsule endoscopy (VCE) has expanded the range of endoscopic examination of the small bowel. The clinical application of VCE is mainly for obscure gastrointestinal bleeding (OGIB) and small bowel tumor is one of the clinically signif…
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Video capsule endoscopy <i>vs</i> double-balloon enteroscopy in the diagnosis of small bowel bleeding: A systematic review and meta-analysis Open
The diagnostic accuracy of detecting small bowel bleeding from a vascular source is increased with the use of an isolated video capsule endoscope compared with isolated DBE. However, concomitant use increases the detection rate of the blee…
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AI-assisted capsule endoscopy reading in suspected small bowel bleeding: a multicentre prospective study Open
ANKON Technologies, China and AnX Robotica, USA provided the NaviCam SB system.
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Challenges and Future of Wireless Capsule Endoscopy Open
In 2015, capsule endoscopy was introduced as the main investigation method for small bowel mucosal diseases, and its role in colonic diseases has been gradually revealed. Future challenges for capsule endoscopy, besides improvements of ima…
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Fecal calprotectin and C-reactive protein are associated with positive findings in capsule endoscopy in suspected small bowel Crohns disease Open
C-reactive protein and fecal calprotectin are appropriate biomarkers for selecting patients with suspected Crohn's disease of the small bowel for capsule endoscopy studies.
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Impact of the timing of capsule endoscopy in overt obscure gastrointestinal bleeding on yield and rebleeding rate - is sooner than 14 d advisable? Catarina Gomes, Rolando Pinho, Adélia Rodrigues, Ana Ponte, Joana Silva, Jaime Pereira Rodrigues, Mafalda Sousa, João Carlos Silva, João Carvalho Open
Performing CE within 48 h from overt-OGIB is associated to a higher TY and a lower rebleeding rate and longer time to rebleed.
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Capsule endoscopy with PillCamSB2 versus PillCamSB3: has the improvement in technology resulted in a step forward? Open
Overall, PillCam® SB3 did not improve the diagnostic yield compared to SB2, although it improved the detection of villous atrophy and segmental edema.
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Recent Advance in Colon Capsule Endoscopy: What’s New? Open
Colon capsule endoscopy (CCE) is a relatively new diagnostic procedure for patients with suspected colonic diseases. This convenient,noninvasive method enables the physician to explore the entire colon without significant discomfort to the…
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Suspected blood indicator in capsule endoscopy: a valuable tool for gastrointestinal bleeding diagnosis Open
BACKGROUND Small bowel bleeding is a leading indication for small bowel capsule endoscopy. The Suspected Blood Indicator (SBI) is a software feature directed to automatically detect bleeding lesions during small bowel capsule endoscopy. OB…
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Artificial intelligence and capsule endoscopy: Is the truly “smart” capsule nearly here? Open
One wonders whether Gavriel Iddan truly realized what an impact his invention of wireless capsule endoscopy (CE) would have in the world of GI endoscopy.1Iddan G. Meron G. Glukhovsky A. et al.Wireless capsule endoscopy.Nature. 2000; 405: 4…
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Video capsule endoscopy in left ventricular assist device recipients with obscure gastrointestinal bleeding Open
VCE can be safely performed in LVAD recipients with a diagnostic yield of 40%. VCE does not affect recurrent bleeding in LVAD patients regardless of findings.
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Role of computed tomography angiography on the management of overt obscure gastrointestinal bleeding Open
CTA is useful in the diagnosis of acute overt OGIB, especially in patients with bleeding from tumors. In addition, it also can show the precise location of bleeding, and guide subsequent enteroscopic management.
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Multicenter prospective evaluation of the express view reading mode for small-bowel capsule endoscopy studies Open
Background Reducing the reading time of capsule endoscopy films is of high priority for gastroenterologists. We report a prospective multicenter evaluation of an “express view” reading mode (Intromedic capsule system). Methods Eighty-three…
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Predictors and characteristics of angioectasias in patients with obscure gastrointestinal bleeding identified by video capsule endoscopy Open
Background In obscure gastrointestinal bleeding, angioectasias are common findings in video capsule endoscopy (VCE). Objective The objective of this study was to identify predictors and characteristics of small bowel angioectasias. Methods…
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Where do I see minimally invasive endoscopy in 2020: clock is ticking Open
Since it was introduced 17 years ago, capsule endoscopy has become an important diagnostic tool for the small bowel. Three generations of the original small bowel capsule have been developed since (PillCam SB3, Medtronic, USA), and four co…
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Capsule endoscopy and single-balloon enteroscopy in small bowel diseases: Competing or complementary? Open
SBE is a safe and effective technique for diagnosing small bowel diseases. SBE with prior CE seemed to improve the diagnostic yield of small bowel diseases.
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Hematochezia due to Angiodysplasia of the Appendix Open
Common causes of lower gastrointestinal bleeding include diverticular disease, vascular disease, inflammatory bowel disease, neoplasms, and hemorrhoids. Lower gastrointestinal bleeding of appendiceal origin is extremely rare. We report a c…
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Obscure overt gastrointestinal bleeding: a review Open
Obscure gastrointestinal (GI) bleeding (OGIB) is defined as small bowel bleeding of unknown etiology after negative endoscopic evaluation including esophagogastroduodenoscopy and colonoscopy with endoscopic evaluation of the terminal ileum…
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Artificial Intelligence and Capsule Endoscopy: Automatic Detection of Small Bowel Blood Content Using a Convolutional Neural Network Open
Introduction: Capsule endoscopy has revolutionized the management of patients with obscure gastrointestinal bleeding. Nevertheless, reading capsule endoscopy images is time-consuming and prone to overlooking significant lesions, thus limit…
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Roles of Capsule Endoscopy and Single-Balloon Enteroscopy in Diagnosing Unexplained Gastrointestinal Bleeding Open
Both CE and SBE are useful to diagnose OGIB. For overt bleeding cases and ongoing bleeding cases, SBE may be more appropriate than CE because endoscopic diagnosis and treatment can be completed simultaneously.
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Preoperative detection and localization of small bowel hemangioma: Two case reports Open
Among the various diagnostic modalities for small bowel hemangioma, video capsule endoscopy (VCE) and double-balloon enteroscopy (DBE) can be recommended as part of the work-up in patients with obscure gastrointestinal bleeding (OGIB). DBE…
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Training in Endoscopy: Enteroscopy Open
The balloon-assisted enteroscope has been regarded as the standard device for direct visualization of deep small bowels and allows for the diagnosis and treatment of small bowel disease. At the beginning, its application was focused on the…
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Jejunal GIST: Hunting down an unusual cause of gastrointestinal bleed using double balloon enteroscopy. A case report Open
Bleeding jejunal GIST is very rare and only a handful of case reports have been published. The mainstay of management for small intestine GIST is complete surgical excision. It is essential to obtain a complete excision of localised diseas…