Endoscopia, Hospital de Especialidades del Centro Médico Nacional Siglo XXI. Instituto Mexicano del Seguro Socia.
Endoscopia, Hospital de Especialidades del Centro Médico Nacional Siglo XXI. Instituto Mexicano del Seguro Socia, México.
Rev Esp Enferm Dig. 2020 Apr;112(4):290-293. doi: 10.17235/reed.2020.6956/2020.
studies have examined the agreement between capsule endoscopy and double-balloon enteroscopy, with varying results. The aim of this study was to identify factors that predict the visualization of lesions in the small bowel by double-balloon enteroscopy after a positive capsule endoscopy.
a retrospective, observational and comparative study was performed that evaluated patients that underwent double-balloon enteroscopy after a positive capsule endoscopy, between January 2017 and August 2019. The data studied included demographics, indications, comorbidities and the results of capsule endoscopy and double-balloon enteroscopy, which were evaluated by multiple logistic regression.
91 patients were included (age 58 ± 16.5 years, 53 female). Sixty-two double-balloon enteroscopy (68.1 %) found the same lesions as capsule endoscopy. Predictive factors for a positive double-balloon enteroscopy were multiple lesions (OR 8.10, 1.50-43.78; p = 0.015) and < 15 days between both studies (OR 5.31, 1.19-23.66; p=0.029). In the subgroup of patients with small bowel bleeding (70 patients), the results of 46 double-balloon enteroscopies (65.7 %) agreed with the capsule endoscopy. Predictive factors in this group were multiple lesions (OR 13.51, 1.78-102.22; p = 0.012), < 15 days between both studies (OR 13.51, 1.78-102.22; p = 0.012), > 60 years of age (OR 7.45, 1.51-36.75; p = 0.014) and ulcers (OR 4.67, 1.08-20.22; p = 0.039).
predictive factors for a positive double-balloon enteroscopy after a positive capsule endoscopy were multiple lesions and < 15 days between both procedures. In patients with small bowel bleeding, age over 60 years and the presence of ulcers were also predictive factors.
已有研究对胶囊内镜和双气囊小肠镜检查的一致性进行了评估，结果不一。本研究旨在确定在胶囊内镜检查阳性后，哪些因素可预测双气囊小肠镜检查时小肠病变的可视化。
本回顾性、观察性和对比研究纳入了 2017 年 1 月至 2019 年 8 月间进行双气囊小肠镜检查的胶囊内镜检查阳性患者，评估了患者的人口统计学、适应证、合并症以及胶囊内镜和双气囊小肠镜检查的结果，采用多因素逻辑回归分析进行评估。
共纳入 91 例患者（年龄 58 ± 16.5 岁，女性 53 例）。62 例双气囊小肠镜检查（68.1%）发现与胶囊内镜相同的病变。双气囊小肠镜检查阳性的预测因素为多发病变（OR 8.10，1.50-43.78；p = 0.015）和两次检查间隔<15 天（OR 5.31，1.19-23.66；p=0.029）。在小肠出血患者亚组（70 例）中，46 例双气囊小肠镜检查（65.7%）结果与胶囊内镜一致。该组的预测因素为多发病变（OR 13.51，1.78-102.22；p = 0.012）、两次检查间隔<15 天（OR 13.51，1.78-102.22；p = 0.012）、年龄>60 岁（OR 7.45，1.51-36.75；p = 0.014）和溃疡（OR 4.67，1.08-20.22；p = 0.039）。
胶囊内镜检查阳性后行双气囊小肠镜检查的阳性预测因素为多发病变和两次检查间隔<15 天。在小肠出血患者中，年龄>60 岁和溃疡也是预测因素。
