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The etiology of potential small-bowel bleeding depending on patient's age and gender

Title
The etiology of potential small-bowel bleeding depending on patient's age and gender
Authors
Song, Joo HyeHong, Sung NohChang, Dong KyungJeon, Seong RanKim, Jin-OhKim, JinsuLee, Bo-InChoi, Myung-GyuKim, Kyeong OkYang, Dong-HoonSong, Hyun JooDo, Jae HyukLim, Yun JeongShim, Ki-NamPark, Soo JungKim, Ji HyunMoon, Jeong SeopJang, Hyun JooChun, Hoon JaiKorean Gut Image Study Grp
Ewha Authors
심기남
SCOPUS Author ID
심기남scopus
Issue Date
2018
Journal Title
UNITED EUROPEAN GASTROENTEROLOGY JOURNAL
ISSN
2050-6406JCR Link

2050-6414JCR Link
Citation
UNITED EUROPEAN GASTROENTEROLOGY JOURNAL vol. 6, no. 8, pp. 1169 - 1178
Keywords
Potential small-bowel bleedingobscure gastrointestinal bleedingvideo capsule endoscopyagegender
Publisher
SAGE PUBLICATIONS INC
Indexed
SCIE; SCOPUS WOS scopus
Document Type
Article
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.
DOI
10.1177/2050640618797841
Appears in Collections:
의과대학 > 의학과 > Journal papers
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