Management of Obscure Occult Gastrointestinal Bleeding: A Cost-Minimization Analysis

Clinical Gastroenterology and Hepatology

Volumn 6, Issue 6, 2008, Pages 661-670

  Somsouk, Ma ^a,b   Gralnek, Ian M ^c,d   Inadomi, John M ^a  

^a UNIVERSITY OF CALIFORNIA   (United States)

^b SAN FRANCISCO GENERAL HOSPITAL   (United States)

^c TECHNION ISRAEL INSTITUTE OF TECHNOLOGY   (Israel)

^d Department of Gastroenterology ^*  (Israel)

Author keywords

[No Author keywords available]

Indexed keywords

ENEMA;

ARTICLE; CAPSULE ENDOSCOPY; COST MINIMIZATION ANALYSIS; DIAGNOSTIC APPROACH ROUTE; DOUBLE BALLOON ENTEROSCOPY; GASTROINTESTINAL HEMORRHAGE; HEALTH CARE COST; HUMAN; MONEY; MONTE CARLO METHOD; OCCULT BLOOD; PARAMETER; PUSH ENTEROSCOPY; SENSITIVITY ANALYSIS;

COSTS AND COST ANALYSIS; DECISION MAKING; ENDOSCOPY, DIGESTIVE SYSTEM; GASTROINTESTINAL HEMORRHAGE; HUMANS;

EID: 44649158339     PISSN: 15423565     EISSN: None     Source Type: Journal    
DOI: 10.1016/j.cgh.2008.02.033     Document Type: Article

References (45)

1. Zuckerman G.R., Prakash C., Askin M.P., et al. AGA technical review on the evaluation and management of occult and obscure gastrointestinal bleeding. Gastroenterology 118 (2000) 201-221
2. Heine G.D., Hadithi M., Groenen M.J., et al. Double-balloon enteroscopy: indications, diagnostic yield, and complications in a series of 275 patients with suspected small-bowel disease. Endoscopy 38 (2006) 42-48
3. Prakash C., and Zuckerman G.R. Acute small bowel bleeding: a distinct entity with significantly different economic implications compared with GI bleeding from other locations. Gastrointest Endosc 58 (2003) 330-335
4. Lewis B.S. Small intestinal bleeding. Gastroenterol Clin North Am 23 (1994) 67-91
5. Lewis B., and Goldfarb N. Review article: the advent of capsule endoscopy-a not-so-futuristic approach to obscure gastrointestinal bleeding. Aliment Pharmacol Ther 17 (2003) 1085-1096
6. Bloomfeld R.S., Smith T.P., Schneider A.M., et al. Provocative angiography in patients with gastrointestinal hemorrhage of obscure origin. Am J Gastroenterol 95 (2000) 2807-2812
7. Moch A., Herlinger H., Kochman M.L., et al. Enteroclysis in the evaluation of obscure gastrointestinal bleeding. AJR Am J Roentgenol 163 (1994) 1381-1384
8. Rex D.K., Lappas J.C., Maglinte D.D., et al. Enteroclysis in the evaluation of suspected small intestinal bleeding. Gastroenterology 97 (1989) 58-60
9. Saurin J.C., Delvaux M., Gaudin J.L., et al. Diagnostic value of endoscopic capsule in patients with obscure digestive bleeding: blinded comparison with video push-enteroscopy. Endoscopy 35 (2003) 576-584
10. Pennazio M., Santucci R., Rondonotti E., et al. Outcome of patients with obscure gastrointestinal bleeding after capsule endoscopy: report of 100 consecutive cases. Gastroenterology 126 (2004) 643-653
11. Mylonaki M., Fritscher-Ravens A., and Swain P. Wireless capsule endoscopy: a comparison with push enteroscopy in patients with gastroscopy and colonoscopy negative gastrointestinal bleeding. Gut 52 (2003) 1122-1126
12. Mata A., Bordas J.M., Feu F., et al. Wireless capsule endoscopy in patients with obscure gastrointestinal bleeding: a comparative study with push enteroscopy. Aliment Pharmacol Ther 20 (2004) 189-194
13. Fireman Z., Eliakim R., Adler S., et al. Capsule endoscopy in real life: a four-centre experience of 160 consecutive patients in Israel. Eur J Gastroenterol Hepatol 16 (2004) 927-931
14. Sun B., Rajan E., Cheng S., et al. Diagnostic yield and therapeutic impact of double-balloon enteroscopy in a large cohort of patients with obscure gastrointestinal bleeding. Am J Gastroenterol 101 (2006) 2011-2015
15. May A., Nachbar L., and Ell C. Double-balloon enteroscopy (push-and-pull enteroscopy) of the small bowel: feasibility and diagnostic and therapeutic yield in patients with suspected small bowel disease. Gastrointest Endosc 62 (2005) 62-70
16. Hara A.K., Leighton J.A., Sharma V.K., et al. Small bowel: preliminary comparison of capsule endoscopy with barium study and CT. Radiology 230 (2004) 260-265
17. Costamagna G., Shah S.K., Riccioni M.E., et al. A prospective trial comparing small bowel radiographs and video capsule endoscopy for suspected small bowel disease. Gastroenterology 123 (2002) 999-1005
18. Appleyard M., Fireman Z., Glukhovsky A., et al. A randomized trial comparing wireless capsule endoscopy with push enteroscopy for the detection of small-bowel lesions. Gastroenterology 119 (2000) 1431-1438
19. Hadithi M., Heine G.D., Jacobs M.A., et al. A prospective study comparing video capsule endoscopy with double-balloon enteroscopy in patients with obscure gastrointestinal bleeding. Am J Gastroenterol 101 (2006) 52-57
20. Cave D., Legnani P., de Franchis R., et al. ICCE consensus for capsule retention. Endoscopy 37 (2005) 1065-1067
21. Mehdizadeh S., Ross A., Gerson L., et al. What is the learning curve associated with double-balloon enteroscopy?. Technical details and early experience in 6 U.S. tertiary care centers. Gastrointest Endosc 64 (2006) 740-750
22. Yamamoto H., Kita H., Sunada K., et al. Clinical outcomes of double-balloon endoscopy for the diagnosis and treatment of small-intestinal diseases. Clin Gastroenterol Hepatol 2 (2004) 1010-1016
23. Chong J., Tagle M., Barkin J.S., et al. Small bowel push-type fiberoptic enteroscopy for patients with occult gastrointestinal bleeding or suspected small bowel pathology. Am J Gastroenterol 89 (1994) 2143-2146
24. Landi B., Tkoub M., Gaudric M., et al. Diagnostic yield of push-type enteroscopy in relation to indication. Gut 42 (1998) 421-425
25. Ell C., Remke S., May A., et al. The first prospective controlled trial comparing wireless capsule endoscopy with push enteroscopy in chronic gastrointestinal bleeding. Endoscopy 34 (2002) 685-689
26. Hartmann D., Schilling D., Bolz G., et al. Capsule endoscopy versus push enteroscopy in patients with occult gastrointestinal bleeding. Z Gastroenterol 41 (2003) 377-382
27. Triester S.L., Leighton J.A., Leontiadis G.I., et al. A meta-analysis of the yield of capsule endoscopy compared to other diagnostic modalities in patients with obscure gastrointestinal bleeding. Am J Gastroenterol 100 (2005) 2407-2418
28. Marmo R., Rotondano G., Piscopo R., et al. Meta-analysis: capsule enteroscopy vs. conventional modalities in diagnosis of small bowel diseases. Aliment Pharmacol Ther 22 (2005) 595-604
29. Chong A.K., Chin B.W., and Meredith C.G. Clinically significant small-bowel pathology identified by double-balloon enteroscopy but missed by capsule endoscopy. Gastrointest Endosc 64 (2006) 445-449
30. Lin S., and Rockey D.C. Obscure gastrointestinal bleeding. Gastroenterol Clin North Am 34 (2005) 679-698
31. Rockey D.C. Occult gastrointestinal bleeding. Gastroenterol Clin North Am 34 (2005) 699-718
32. Karagiannis S., Goulas S., Kosmadakis G., et al. Wireless capsule endoscopy in the investigation of patients with chronic renal failure and obscure gastrointestinal bleeding (preliminary data). World J Gastroenterol 12 (2006) 5182-5185
33. Foutch P.G. Angiodysplasia of the gastrointestinal tract. Am J Gastroenterol 88 (1993) 807-818
34. Hartmann D., Schmidt H., Bolz G., et al. A prospective two-center study comparing wireless capsule endoscopy with intraoperative enteroscopy in patients with obscure GI bleeding. Gastrointest Endosc 61 (2005) 826-832
35. Adler D.G., Knipschield M., and Gostout C. A prospective comparison of capsule endoscopy and push enteroscopy in patients with GI bleeding of obscure origin. Gastrointest Endosc 59 (2004) 492-498
36. Lewis B.S., and Swain P. Capsule endoscopy in the evaluation of patients with suspected small intestinal bleeding: results of a pilot study. Gastrointest Endosc 56 (2002) 349-353
37. Rabe F.E., Becker G.J., Besozzi M.J., et al. Efficacy study of the small-bowel examination. Radiology 140 (1981) 47-50
38. Fried A.M., Poulos A., and Hatfield D.R. The effectiveness of the incidental small-bowel series. Radiology 140 (1981) 45-46
39. Manabe N., Tanaka S., Fukumoto A., et al. Double-balloon enteroscopy in patients with GI bleeding of obscure origin. Gastrointest Endosc 64 (2006) 135-140
40. Kendrick M.L., Buttar N.S., Anderson M.A., et al. Contribution of intraoperative enteroscopy in the management of obscure gastrointestinal bleeding. J Gastrointest Surg 5 (2001) 162-167
41. Douard R., Wind P., Panis Y., et al. Intraoperative enteroscopy for diagnosis and management of unexplained gastrointestinal bleeding. Am J Surg 180 (2000) 181-184
42. Hartmann D., Schmidt H., Schilling D., et al. Follow-up of patients with obscure gastrointestinal bleeding after capsule endoscopy and intraoperative enteroscopy. Hepatogastroenterology 54 (2007) 780-783
43. Kaffes A.J., Siah C., and Koo J.H. Clinical outcomes after double-balloon enteroscopy in patients with obscure GI bleeding and a positive capsule endoscopy. Gastrointest Endosc 66 (2007) 304-309
44. Lai L.H., Wong G.L., Chow D.K., et al. Long-term follow-up of patients with obscure gastrointestinal bleeding after negative capsule endoscopy. Am J Gastroenterol 101 (2006) 1224-1228
45. Rondonotti E., Herrerias J.M., Pennazio M., et al. Complications, limitations, and failures of capsule endoscopy: a review of 733 cases. Gastrointest Endosc 62 (2005) 712-716