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Volume 14
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Article

Diagnostic Yield and Outcomes of Small Bowel Capsule Endoscopy in Patients with Small Bowel Bleeding Receiving Antithrombotics

by
Nikos Viazis
1,*,
Dimitris Christodoulou
2,
Vasilis Papastergiou
1,
Konstantinos Mousourakis
1,
Dimitra Kozompoli
1,
Giannis Stasinos
3,
Konstantina Dimopoulou
4,
Periklis Apostolopoulos
3,
Fotios Fousekis
2,
Christos Liatsos
5,
Nikolaos Kyriakos
5,
Theodoros Argyropoulos
4 and
George Tribonias
4
1
Gastroenterology Department, “Evangelismos” General Hospital, 16121 Athens, Greece
2
Department of Gastroenterology and Hepatology, University Hospital of Ioannina, University of Ioannina, 45110 Ioannina, Greece
3
Gastroenterology Department, NIMTS, 19010 Kalivia, Greece
4
Gastroenterology Department, Red Cross Hospital, 11526 Athens, Greece
5
Gastroenterology Department, 401 Military Hospital of Athens, 11525 Athens, Greece
*
Author to whom correspondence should be addressed.
Diagnostics 2024, 14(13), 1361; https://doi.org/10.3390/diagnostics14131361
Submission received: 8 April 2024 / Revised: 18 June 2024 / Accepted: 20 June 2024 / Published: 27 June 2024
(This article belongs to the Special Issue Imaging Research on Gastrointestinal Disorders)
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Abstract

We aimed to determine the diagnostic yield and outcome of patients receiving antithrombotic drug therapy subjected to small bowel capsule endoscopy (SBCE) for the investigation of small bowel bleeding (SBB). A multicenter retrospective analysis of collected data from all patients undergoing SBCE for the investigation of SBB from March 2003 to June 2023 was performed. The diagnostic yield of SBCE was defined as the detection of positive findings that could explain the cause of the patient’s bleeding. Rebleeding was defined as evidence of bleeding within 1 year after the index episode. During the study period, 8401 patients underwent SBCE for SBB investigation. Bleeding lesions were detected in 1103/2535 (43.5%) antithrombotic users, compared to 1113/5866 (18.9%) in nonusers (p < 0.00001). Following capsule endoscopy, a therapeutic intervention was possible in 390/2216 (17.5%) patients with a bleeding lesion. Rebleeding occurred in 927 (36.5%) of antithrombotic users (36.5%), compared to 795 (13.5%) of nonusers (13.5%, p < 0.00001). Both the diagnostic yield of SBCE and the rebleeding rates were higher in patients with SBB receiving antithrombotics. Therapeutic intervention was possible in a real-world setting only for a minority of patients with positive findings.
Keywords: small bowel; capsule endoscopy; bleeding; antithrombotic; antiplatelet therapy small bowel; capsule endoscopy; bleeding; antithrombotic; antiplatelet therapy

Share and Cite

MDPI and ACS Style

Viazis, N.; Christodoulou, D.; Papastergiou, V.; Mousourakis, K.; Kozompoli, D.; Stasinos, G.; Dimopoulou, K.; Apostolopoulos, P.; Fousekis, F.; Liatsos, C.; et al. Diagnostic Yield and Outcomes of Small Bowel Capsule Endoscopy in Patients with Small Bowel Bleeding Receiving Antithrombotics. Diagnostics 2024, 14, 1361. https://doi.org/10.3390/diagnostics14131361

AMA Style

Viazis N, Christodoulou D, Papastergiou V, Mousourakis K, Kozompoli D, Stasinos G, Dimopoulou K, Apostolopoulos P, Fousekis F, Liatsos C, et al. Diagnostic Yield and Outcomes of Small Bowel Capsule Endoscopy in Patients with Small Bowel Bleeding Receiving Antithrombotics. Diagnostics. 2024; 14(13):1361. https://doi.org/10.3390/diagnostics14131361

Chicago/Turabian Style

Viazis, Nikos, Dimitris Christodoulou, Vasilis Papastergiou, Konstantinos Mousourakis, Dimitra Kozompoli, Giannis Stasinos, Konstantina Dimopoulou, Periklis Apostolopoulos, Fotios Fousekis, Christos Liatsos, and et al. 2024. "Diagnostic Yield and Outcomes of Small Bowel Capsule Endoscopy in Patients with Small Bowel Bleeding Receiving Antithrombotics" Diagnostics 14, no. 13: 1361. https://doi.org/10.3390/diagnostics14131361

APA Style

Viazis, N., Christodoulou, D., Papastergiou, V., Mousourakis, K., Kozompoli, D., Stasinos, G., Dimopoulou, K., Apostolopoulos, P., Fousekis, F., Liatsos, C., Kyriakos, N., Argyropoulos, T., & Tribonias, G. (2024). Diagnostic Yield and Outcomes of Small Bowel Capsule Endoscopy in Patients with Small Bowel Bleeding Receiving Antithrombotics. Diagnostics, 14(13), 1361. https://doi.org/10.3390/diagnostics14131361

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