The etiology of potential small-bowel bleeding depending on patient's age and gender
- Authors
- Song, Joo Hye; Hong, Sung Noh; Chang, Dong Kyung; Jeon, Seong Ran; Kim, Jin-Oh; Kim, Jinsu; Lee, Bo-In; Choi, Myung-Gyu; Kim, Kyeong Ok; Yang, Dong-Hoon; Song, Hyun Joo; Do, Jae Hyuk; Lim, Yun Jeong; Shim, Ki-Nam; Park, Soo Jung; Kim, Ji Hyun; Moon, Jeong Seop; Jang, Hyun Joo; Chun, Hoon Jai
- Issue Date
- 10월-2018
- Publisher
- SAGE PUBLICATIONS INC
- Keywords
- Potential small-bowel bleeding; obscure gastrointestinal bleeding; video capsule endoscopy; age; gender
- Citation
- UNITED EUROPEAN GASTROENTEROLOGY JOURNAL, v.6, no.8, pp.1169 - 1178
- Indexed
- SCIE
SCOPUS
- Journal Title
- UNITED EUROPEAN GASTROENTEROLOGY JOURNAL
- Volume
- 6
- Number
- 8
- Start Page
- 1169
- End Page
- 1178
- URI
- https://scholar.korea.ac.kr/handle/2021.sw.korea/73032
- DOI
- 10.1177/2050640618797841
- ISSN
- 2050-6406
- Abstract
- Background: Whether the etiology of potential small-bowel bleeding depends on the age and gender of the patient is not yet fully understood. Methods: A total of 1953 patients who underwent video capsule endoscopy (VCE) to evaluate potential small-bowel bleeding and were registered in the Capsule Endoscopy Nationwide Database Registry from 2003 to 2014 were eligible for this study. VCE findings and the etiology of small-bowel bleeding were analyzed by age and gender. Results: The diagnostic yield of VCE was 48.4% (95% CI: 46.2%-50.6%) and the diagnosis rate of etiology of potential small-bowel bleeding was 61.4% (95% CI: 59.2%-63.6%). The etiology of potential small-bowel bleeding depends on the age and gender of the patient. Crohn's disease and small-bowel diverticular diseases were more prevalent etiology of potential small-bowel bleeding in the young adults group (< 40 years) whereas angiodysplasia was revealed to be a most common etiology in elderly group (>= 60 years), reaching statistical significance (p<0.00152) by Bonferroni correction. Conclusions: The etiology of potential small-bowel bleeding depends on the age of the patient. Thus, an individualized lesion-specific diagnostic approach based on age might be needed for patients with potential small-bowel bleeding.
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Collections - College of Medicine > Department of Medical Science > 1. Journal Articles
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