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dc.contributor.author심기남-
dc.date.accessioned2017-01-18T02:01:23Z-
dc.date.available2017-01-18T02:01:23Z-
dc.date.issued2007-
dc.identifier.issn0013-726X-
dc.identifier.otherOAK-4525-
dc.identifier.urihttp://dspace.ewha.ac.kr/handle/2015.oak/233897-
dc.description.abstractBackground and study aims: Although capsule endoscopy has become a central diagnostic tool for small-bowel evaluation, retention of a capsule remains a major concern. This study attempted to investigate the incidence and clinical outcomes of capsule retention, and to determine the factors predictive of spontaneous capsule passage after retention. Patients and methods: Through a nationwide multicenter survey, we retrospectively reviewed the records of 1291 patients who had a capsule endoscopy between February 2002 and July 2006 in Korea. Clinical and procedural characteristics and postprocedural outcomes were analyzed for the cases with capsule retention. Results: Capsule retention occurred in 2.5% of total cases (32/1291). The major diseases accompanying capsule retention were Crohn's disease, malignant tumors, and tuberculous enterocolitis, in decreasing order. In 11 of the 32 patients (34.4%), early surgical or endoscopic interventions were instituted for diagnosis or treatment of diseases before retention symptoms developed. The remaining 21 (65.6%) patients initially received medical treatments. Of these, 10 (31.3%) ultimately underwent surgical intervention due to the development of symptoms of intestinal obstruction or medical treatment failure. The other 11 (34.4%) eventually passed the capsule. The presence of a larger lumen diameter (greater than two-thirds of the capsule diameter) at the stricture site was associated with spontaneous passage. Conclusions: Our large-scale study suggests that retention occurs infrequently during capsule endoscopy. Moreover, a retained capsule might indicate the best intervention for the offending pathology, or it may spontaneously pass in the long run, particularly in patients with less small bowel stricture. © Georg Thieme Verlag KG Stuttgart.-
dc.languageEnglish-
dc.titleCan we predict spontaneous capsule passage after retention? A nationwide study to evaluate the incidence and clinical outcomes of capsule retention-
dc.typeArticle-
dc.relation.issue12-
dc.relation.volume39-
dc.relation.indexSCIE-
dc.relation.indexSCOPUS-
dc.relation.startpage1046-
dc.relation.lastpage1052-
dc.relation.journaltitleEndoscopy-
dc.identifier.doi10.1055/s-2007-966978-
dc.identifier.wosidWOS:000252061300004-
dc.identifier.scopusid2-s2.0-37449029154-
dc.author.googleCheon J.H.-
dc.author.googleKim Y.-S.-
dc.author.googleLee I.-S.-
dc.author.googleChang D.K.-
dc.author.googleRyu J.-K.-
dc.author.googleLee K.J.-
dc.author.googleMoon J.-S.-
dc.author.googlePark C.H.-
dc.author.googleKim J.-O.-
dc.author.googleShim K.-N.-
dc.author.googleChoi C.H.-
dc.author.googleCheung D.Y.-
dc.author.googleJang B.I.-
dc.author.googleSeo G.-S.-
dc.author.googleChun H.-J.-
dc.author.googleChoi M.-G.-
dc.contributor.scopusid심기남(13604838300)-
dc.date.modifydate20180329112219-
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의과대학 > 의학과 > Journal papers
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