지원사업
학술연구/단체지원/교육 등 연구자 활동을 지속하도록 DBpia가 지원하고 있어요.
커뮤니티
연구자들이 자신의 연구와 전문성을 널리 알리고, 새로운 협력의 기회를 만들 수 있는 네트워킹 공간이에요.
논문 기본 정보
- 자료유형
- 학술저널
- 저자정보
- 발행연도
- 2017.1
- 수록면
- 253 - 260 (8page)
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초록· 키워드
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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.
목차
등록된 정보가 없습니다.
참고문헌 (17)
참고문헌 신청
Bardan E / 2003 / Capsule endoscopy for the evaluation of patients with chronic abdominal pain / Endoscopy 35 : 688 ~ 689
Cappellini MD / 2015 / Anemia in clinical practice-definition and classification: does hemoglobin change with aging / Semin Hematol 52 : 261 ~ 269
Egnatios J / 2015 / Video capsule endoscopy in patients with chronic abdominal pain with or without associated symptoms: a retrospective study / PLoS One 10 : e0126509 ~
Freitas GP / 2011 / Capsule endoscopy in clinical practice: four years of experience from a single center / Arq Gastroenterol 48 : 220 ~ 222
Juckett G / 2011 / Evaluation of chronic diarrhea / Am Fam Physician 84 : 1119 ~ 1126
Cappellini MD / 2015 / Anemia in clinical practice-definition and classification: does hemoglobin change with aging / Semin Hematol 52 : 261 ~ 269
Egnatios J / 2015 / Video capsule endoscopy in patients with chronic abdominal pain with or without associated symptoms: a retrospective study / PLoS One 10 : e0126509 ~
Freitas GP / 2011 / Capsule endoscopy in clinical practice: four years of experience from a single center / Arq Gastroenterol 48 : 220 ~ 222
Juckett G / 2011 / Evaluation of chronic diarrhea / Am Fam Physician 84 : 1119 ~ 1126
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