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Cited 8 time in webofscience Cited 9 time in scopus
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The etiology of potential small-bowel bleeding depending on patient's age and genderopen access

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 Jai
Issue Date
Oct-2018
Publisher
SAGE PUBLICATIONS INC
Keywords
Potential small-bowel bleeding; obscure gastrointestinal bleeding; video capsule endoscopy; age; gender
Citation
UNITED EUROPEAN GASTROENTEROLOGY JOURNAL, v.6, no.8, pp.1169 - 1178
Indexed
SCIE
SCOPUS
Journal Title
UNITED EUROPEAN GASTROENTEROLOGY JOURNAL
Volume
6
Number
8
Start Page
1169
End Page
1178
URI
https://scholarworks.korea.ac.kr/kumedicine/handle/2020.sw.kumedicine/3044
DOI
10.1177/2050640618797841
ISSN
2050-6406
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.
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Chun, Hoon Jai
Anam Hospital (Department of Gastroenterology and Hepatology, Anam Hospital)
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