%0 Journal Article
%T Is It Possible to Predict the Presence of Intestinal Angioectasias?
%A Tiago C¨²rdia Gon£¿alves
%A Joana Magalh£¿es
%A Pedro Boal Carvalho
%A Maria Jo£¿o Moreira
%A Bruno Rosa
%A Jos¨¦ Cotter
%J Diagnostic and Therapeutic Endoscopy
%D 2014
%I Hindawi Publishing Corporation
%R 10.1155/2014/461602
%X Background and Aim. Angioectasias are the most common vascular anomalies found in the gastrointestinal tract. In small bowel (SB), they can cause obscure gastrointestinal bleeding (OGIB) and in this setting, small bowel capsule endoscopy (SBCE) is an important diagnostic tool. This study aimed to identify predictive factors for the presence of SB angioectasias, detected by SBCE. Methods. We retrospectively analyzed the results of 284 consecutive SBCE procedures between April 2006 and December 2012, whose indication was OGIB, of which 47 cases with SB angioectasias and 53 controls without vascular lesions were selected to enter the study. Demographic and clinical data were collected. Results. The mean age of subjects with angioectasias was significantly higher than in controls ; . The presence of SB angioectasias was significantly higher when the indication for the exam was overt OGIB versus occult OGIB (13/19 versus 34/81, . Hypertension and hypercholesterolemia were significantly associated with the presence of SB angioectasias (38/62 versus 9/38, and 28/47 versus 19/53, , resp.). Other studied factors were not associated with small bowel angioectasias. Conclusions. In patients with OGIB, overt bleeding, older age, hypercholesterolemia, and hypertension are predictive of the presence of SB angioectasias detected by SBCE, which may be used to increase the diagnostic yield of the SBCE procedure and to reduce the proportion of nondiagnostic examinations. 1. Introduction Obscure gastrointestinal bleeding (OGIB) remains one of the most challenging issues for gastroenterologists. It is defined as bleeding from gastrointestinal (GI) tract that persists or recurs without obvious etiology after esophagogastroduodenoscopy (EGD), colonoscopy, and radiologic evaluation of the small bowel (SB). OGIB accounts for about 5% of the cases of gastrointestinal bleeding [1]. The source of bleeding is located in the SB in about 75% of cases, where lesions can be scarcely accessed by standard endoscopy [1, 2]. These patients frequently require several blood transfusions and repeated hospital admissions, being at risk for complications not only related to anemia, but also caused by numerous exploratory procedures [3]. As a consequence, OGIB negatively affects patients¡¯ quality of life and represents a significant burden of healthcare resources [3]. Small bowel capsule endoscopy (SBCE) has become a particularly useful tool in the management of OGIB, which remains the most common indication for the procedure [4]. Several studies have confirmed the higher diagnostic yield of
%U http://www.hindawi.com/journals/dte/2014/461602/