Posible sangrado del intestino delgado, ¿Es la videocápsula endoscópica la mejor opción?

Autores/as

  • Jose Augusto Urrego Díaz Asociación Colombiana de Medicina Interna
  • William Otero Regino Universidad Nacional de Colombia
  • Martín Alonso Gómez Zuleta Universidad Nacional de Colombia

DOI:

https://doi.org/10.22516/25007440.262

Palabras clave:

endoscopia por cápsula, hemorragia gastrointestinal, intestino delgado, endoscopia del sistema digestivo

Resumen

En pacientes sin una causa clara de sangrado gastrointestinal luego de una endoscopia digestiva alta y baja, la causa se encontrará en el intestino delgado hasta en el 77 % de los casos. Ante el excelente rendimiento diagnóstico de la videocápsula endoscópica (VCE) para el estudio de este segmento del tracto gastrointestinal, surge la duda de si debería ser el método diagnóstico inicial de este grupo de pacientes con posible sangrado del intestino delgado (PSID) o si la realización de una nueva endoscopia alta y baja o algún método alternativo de estudio del intestino delgado debería serlo. En esta revisión se evalúa y evidencia el rendimiento diagnóstico superior y la mayor seguridad de la VCE como abordaje inicial de pacientes con PSID en relación con otros métodos. Sin embargo, se pone en tela de juicio la mejor costo-efectividad de este abordaje en nuestro medio, que en otros ha sido claramente demostrada.

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Biografía del autor/a

Jose Augusto Urrego Díaz, Asociación Colombiana de Medicina Interna

Residente medicina interna

William Otero Regino, Universidad Nacional de Colombia

Gastroenterólogo, Hospital Universitario Nacional de Colombia. Bogotá, Colombia.

Martín Alonso Gómez Zuleta, Universidad Nacional de Colombia

Gastroenterólogo, Hospital Universitario Nacional de Colombia. Bogotá, Colombia.

Referencias bibliográficas

Szold A, Katz LB, Lewis BS. Surgical approach to occult gastrointestinal bleeding. Am J Surg. 1992;163(1):90-2; discussion 2-3.

https://doi.org/10.1016/0002-9610(92)90258-S

Longstreth GF. Epidemiology and outcome of patients hospitalized with acute lower gastrointestinal hemorrhage: a population-based study. Am J Gastroenterol. 1997;92(3):419-24.

Triester SL, Leighton JA, Leontiadis GI, Fleischer DE, Hara AK, Heigh RI, Shiff AD, Sharma VK. A meta-analysis of the yield of capsule endoscopy compared to other diagnostic modalities in patients with obscure gastrointestinal bleeding. Am J Gastroenterol. 2005;100(11):2407-18.

https://doi.org/10.1111/j.1572-0241.2005.00274.x

Chong J, Tagle M, Barkin JS, Reiner DK. Small bowel push-type fiberoptic enteroscopy for patients with occult gastrointestinal bleeding or suspected small bowel pathology. Am J Gastroenterol. 1994;89(12):2143-6.

Tee HP, Kaffes AJ. Non-small-bowel lesions encountered during double-balloon enteroscopy performed for obscure gastrointestinal bleeding. World J Gastroenterol. 2010;16(15):1885-9.

https://doi.org/10.3748/wjg.v16.i15.1885

ASGE Technology Committee, Wang A, Banerjee S, Barth BA, Bhat YM, Chauhan S, Gottlieb KT, Konda V, Maple JT, Murad F, Pfau PR, Pleskow DK, Siddiqui UD, Tokar JL, Rodriguez SA. Wireless capsule endoscopy. Gastrointest Endosc. 2013;78(6):805-15.

https://doi.org/10.1016/j.gie.2013.06.026

Ell C, Remke S, May A, Helou L, Henrich R, Mayer G. The first prospective controlled trial comparing wireless capsule endoscopy with push enteroscopy in chronic gastrointestinal bleeding. Endoscopy. 2002;34(9):685-9.

https://doi.org/10.1055/s-2002-33446

American Gastroenterological Association medical position statement: evaluation and management of occult and obscure gastrointestinal bleeding. Gastroenterology. 2000;118(1):197-201.

https://doi.org/10.1016/S0016-5085(00)70429-X

Gerson LB, Fidler JL, Cave DR, Leighton JA. ACG Clinical Guideline: Diagnosis and Management of Small Bowel Bleeding. Am J Gastroenterol. 2015;110(9):1265-87; quiz 88.

https://doi.org/10.1038/ajg.2015.246

Liu K, Kaffes AJ. Review article: the diagnosis and investigation of obscure gastrointestinal bleeding. Aliment Pharmacol Ther. 2011;34(4):416-23.

https://doi.org/10.1111/j.1365-2036.2011.04744.x

Hale MF, Sidhu R, McAlindon ME. Capsule endoscopy: current practice and future directions. World J Gastroenterol. 2014;20(24):7752-9.

https://doi.org/10.3748/wjg.v20.i24.7752

Gay G, Delvaux M, Rey JF. The role of video capsule endoscopy in the diagnosis of digestive diseases: a review of current possibilities. Endoscopy. 2004;36(10):913-20. https://doi.org/10.1055/s-2004-825868

Nakamura T, Terano A. Capsule endoscopy: past, present, and future. J Gastroenterol. 2008;43(2):93-9.

https://doi.org/10.1007/s00535-007-2153-6

Zaman A, Katon RM. Push enteroscopy for obscure gastrointestinal bleeding yields a high incidence of proximal lesions within reach of a standard endoscope. Gastrointest Endosc. 1998;47(5):372-6.

https://doi.org/10.1016/S0016-5107(98)70221-4

Descamps C, Schmit A, Van Gossum A. “Missed” upper gastrointestinal tract lesions may explain “occult” bleeding. Endoscopy. 1999;31(6):452-5.

https://doi.org/10.1055/s-1999-151

Tang SJ, Christodoulou D, Zanati S, Dubcenco E, Petroniene R, Cirocco M, Kandel G, Haber GB, Kortan P, Marcon NE. Wireless capsule endoscopy for obscure gastrointestinal bleeding: a single-centre, one-year experience. Can J Gastroenterol. 2004;18(9):559-65.

https://doi.org/10.1155/2004/205685

Sandoval Riveros C, Lúquez Mindiola A, Marulanda Fernandez H, Otero Regino W. Sangrado del intestino delgado: enfoque y tratamiento Rev Colomb Gastroenterol. 2017;32(3):245-57.

https://doi.org/10.22516/25007440.156

Gilbert D, O’Malley S, Selby W. Are repeat upper gastrointestinal endoscopy and colonoscopy necessary within six months of capsule endoscopy in patients with obscure gastrointestinal bleeding? J Gastroenterol Hepatol. 2008;23(12):1806-9.

https://doi.org/10.1111/j.1440-1746.2008.05643.x

Galiano de Sánchez MT, Sánchez Arciniegas F, Pineda Ovalle LF. Experiencia clínica del uso de la videocápsula endoscópica en el diagnóstico de patología del intestino delgado. Rev Col Gastroenterol. 2009;24(1):17-25.

Swain P. Wireless capsule endoscopy. Gut. 2003;52 Suppl 4:iv48-50. https://doi.org/10.1136/gut.52.suppl_4.iv48

Swain CP, Gong F, Mills TN. Wireless transmission of a color television moving image from the stomach using a miniature CCD camera, light source and microwave transmitter [abstract]. Gut. 1996;39:A26.

https://doi.org/10.1016/S0016-5107(97)80063-6

Gerber J, Bergwerk A, Fleischer D. A capsule endoscopy guide for the practicing clinician: technology and troubleshooting. Gastrointest Endosc. 2007;66(6):1188-95. https://doi.org/10.1016/j.gie.2007.06.003

Mustafa BF, Samaan M, Langmead L, Khasraw M. Small bowel video capsule endoscopy: an overview. Expert Rev Gastroenterol Hepatol. 2013;7(4):323-9.

https://doi.org/10.1586/egh.13.20

Hartmann D, Eickhoff A, Damian U, Riemann JF. Diagnosis of small-bowel pathology using paired capsule endoscopy with two different devices: a randomized study. Endoscopy. 2007;39(12):1041-5.

https://doi.org/10.1055/s-2007-966943

Schostek S, Schurr MO. European research on wireless endoscopy--the VECTOR project. Stud Health Technol Inform. 2013;189:193-9.

Bouchard S, Ibrahim M, Van Gossum A. Video capsule endoscopy: perspectives of a revolutionary technique. World J Gastroenterol. 2014;20(46):17330-44.

https://doi.org/10.3748/wjg.v20.i46.17330

Kalla R, McAlindon ME, Drew K, Sidhu R. Clinical utility of capsule endoscopy in patients with Crohn’s disease and inflammatory bowel disease unclassified. Eur J Gastroenterol Hepatol. 2013;25(6):706-13.

https://doi.org/10.1097/MEG.0b013e32835ddb85

Rokkas T, Niv Y. The role of video capsule endoscopy in the diagnosis of celiac disease: a meta-analysis. Eur J Gastroenterol Hepatol. 2012;24(3):303-8.

https://doi.org/10.1097/MEG.0b013e32834fa914

Cobrin GM, Pittman RH, Lewis BS. Increased diagnostic yield of small bowel tumors with capsule endoscopy. Cancer. 2006;107(1):22-7.

https://doi.org/10.1002/cncr.21975

Endo H, Hosono K, Inamori M, Kato S, Nozaki Y, Yoneda K, Akiyama T, Fujita K, Takahashi H, Yoneda M, Abe Y, Kirikoshi H, Kobayashi N, Kubota K, Saito S, Matsuhashi N, Nakajima A. Incidence of small bowel injury induced by low-dose aspirin: a crossover study using capsule endoscopy in healthy volunteers. Digestion. 2009;79(1):44-51. https://doi.org/10.1159/000204465

Riccioni ME, Urgesi R, Spada C, Cianci R, Pelecca G, Bizzotto A, Costamagna G. Unexplained iron deficiency anaemia: Is it worthwhile to perform capsule endoscopy? Dig Liver Dis. 2010;42(8):560-6.

https://doi.org/10.1016/j.dld.2010.01.023

Koulaouzidis A, Rondonotti E, Giannakou A, Plevris JN. Diagnostic yield of small-bowel capsule endoscopy in patients with iron-deficiency anemia: a systematic review. Gastrointest Endosc. 2012;76(5):983-92.

https://doi.org/10.1016/j.gie.2012.07.035

Mishkin DS, Chuttani R, Croffie J, Disario J, Liu J, Shah R, Somogyi L, Tierney W, Song LM, Petersen BT; Technology Assessment Committee, American Society for Gastrointestinal Endoscopy. ASGE Technology Status Evaluation Report: wireless capsule endoscopy. Gastrointest Endosc. 2006;63(4):539-45.

https://doi.org/10.1016/j.gie.2006.01.014

Van Gossum A, Devière J. Colon capsule endoscopy: a new tool for colon examination? Discov Med. 2010;9(44):46-50.

Sánchez-Yagüe A, Caunedo-Alvarez A, García-Montes JM, Romero-Vázquez J, Pellicer-Bautista FJ, Herrerías-Gutiérrez JM. Esophageal capsule endoscopy in patients refusing conventional endoscopy for the study of suspected esophageal pathology. Eur J Gastroenterol Hepatol. 2006;18(9):977-83.

https://doi.org/10.1097/01.meg.0000230094.21911.f8

Chavalitdhamrong D, Chen GC, Roth BE, Goltzer O, Sul J, Jutabha R. Esophageal capsule endoscopy for evaluation of patients with chronic gastroesophageal reflux symptoms: findings and its image quality. Dis Esophagus. 2011;24(5):295-8.

https://doi.org/10.1111/j.1442-2050.2010.01136.x

Romero-Vázquez J, Jiménez-García VA, Herrerías-Gutiérrez JM. Esophageal capsule endoscopy and Barrett’s esophagus: where are we in 2013? Rev Gastroenterol Mex. 2013;78(2):55-6.

https://doi.org/10.1016/j.rgmx.2013.02.002

Ishiguro H, Saito S, Imazu H, Aihara H, Kato T, Tajiri H. Esophageal Capsule Endoscopy for Screening Esophageal Varices among Japanese Patients with Liver Cirrhosis. Gastroenterol Res Pract. 2012;2012:946169.

https://doi.org/10.1155/2012/946169

Lu Y, Gao R, Liao Z, Hu LH, Li ZS. Meta-analysis of capsule endoscopy in patients diagnosed or suspected with esophageal varices. World J Gastroenterol. 2009;15(10):1254-8.

https://doi.org/10.3748/wjg.15.1254

Romero-Vázquez J, Argüelles-Arias F, García-Montes JM, Caunedo-Álvarez Á, Pellicer-Bautista FJ, Herrerías-Gutiérrez JM. Capsule endoscopy in patients refusing conventional endoscopy. World J Gastroenterol. 2014;20(23):7424-33.

https://doi.org/10.3748/wjg.v20.i23.7424

Yamashita K, Okumura H, Oka Y, Urakami A, Shiotani A, Nakashima H, Matsumoto H, Hirai T, Nakamura M. Minimally invasive surgery using intraoperative real-time capsule endoscopy for small bowel lesions. Surg Endosc. 2013;27(7):2337-41.

https://doi.org/10.1007/s00464-012-2777-3

Vlachogiannakos J, Papaxoinis K, Viazis N, Kegioglou A, Binas I, Karamanolis D, Ladas S. Bleeding lesions within reach of conventional endoscopy in capsule endoscopy examinations for obscure gastrointestinal bleeding: is repeating endoscopy economically feasible? Dig Dis Sci. 2011;56(6):1763-8.

https://doi.org/10.1007/s10620-011-1592-3

Marmo R, Rotondano G, Rondonotti E, de Franchis R, D’Incà R, Vettorato MG, Costamagna G, Riccioni ME, Spada C, D’Angella R, Milazzo G, Faraone A, Rizzetto M, Barbon V, Occhipinti P, Saettone S, Iaquinto G, Rossini FP; Club Italiano Capsula Endoscopica - CICE. Capsule enteroscopy vs. other diagnostic procedures in diagnosing obscure gastrointestinal bleeding: a cost-effectiveness study. Eur J Gastroenterol Hepatol. 2007;19(7):535-42.

https://doi.org/10.1097/MEG.0b013e32812144dd

Liao Z, Gao R, Xu C, Li ZS. Indications and detection, completion, and retention rates of small-bowel capsule endoscopy: a systematic review. Gastrointest Endosc. 2010;71(2):280-6.

https://doi.org/10.1016/j.gie.2009.09.031

Pennazio M, Santucci R, Rondonotti E, Abbiati C, Beccari G, Rossini FP, De Franchis R. Outcome of patients with obscure gastrointestinal bleeding after capsule endoscopy: report of 100 consecutive cases. Gastroenterology. 2004;126(3):643-53.

https://doi.org/10.1053/j.gastro.2003.11.057

Chak A, Cooper GS, Canto MI, Pollack BJ, Sivak MV. Enteroscopy for the initial evaluation of iron deficiency. Gastrointest Endosc. 1998;47(2):144-8.

https://doi.org/10.1016/S0016-5107(98)70347-5

Landi B, Tkoub M, Gaudric M, Guimbaud R, Cervoni JP, Chaussade S, Couturier D, Barbier JP, Cellier C. Diagnostic yield of push-type enteroscopy in relation to indication. Gut. 1998;42(3):421-5.

https://doi.org/10.1136/gut.42.3.421

Fry LC, Bellutti M, Neumann H, Malfertheiner P, Mönkemüller K. Incidence of bleeding lesions within reach of conventional upper and lower endoscopes in patients undergoing double-balloon enteroscopy for obscure gastrointestinal bleeding. Aliment Pharmacol Ther. 2009;29(3):342-9.

https://doi.org/10.1111/j.1365-2036.2008.03888.x

Viazis N, Papaxoinis K, Theodoropoulos I, Sgouros S, Vlachogiannakos J, Pipis P, Markoglou C, Avgerinos A. Impact of capsule endoscopy in obscure small-bowel bleeding: defining strict diagnostic criteria for a favorable outcome. Gastrointest Endosc. 2005;62(5):717-22. https://doi.org/10.1016/j.gie.2005.06.049

Estévez E, González-Conde B, Vázquez-Iglesias JL, de Los Angeles Vázquez-Millán M, Pértega S, Alonso PA, Clofent J, Santos E, Ulla JL, Sánchez E. Diagnostic yield and clinical outcomes after capsule endoscopy in 100 consecutive patients with obscure gastrointestinal bleeding. Eur J Gastroenterol Hepatol. 2006;18(8):881-8.

https://doi.org/10.1097/00042737-200608000-00014

Kitiyakara T, Selby W. Non-small-bowel lesions detected by capsule endoscopy in patients with obscure GI bleeding. Gastrointest Endosc. 2005;62(2):234-8.

https://doi.org/10.1016/S0016-5107(05)00292-0

Chong AK, Taylor AC, Miller AM, Desmond PV. Initial experience with capsule endoscopy at a major referral hospital. Med J Aust. 2003;178(11):537-40.

https://doi.org/10.5694/j.1326-5377.2003.tb05354.x

Sturniolo GC, Di Leo V, Vettorato MG, De Boni M, Lamboglia F, De Bona M, Bellumat A, Martines D, D›Inca R. Small bowel exploration by wireless capsule endoscopy: results from 314 procedures. Am J Med. 2006;119(4):341-7.

https://doi.org/10.1016/j.amjmed.2005.08.029

Carey EJ, Leighton JA, Heigh RI, Shiff AD, Sharma VK, Post JK, Fleischer DE. A single-center experience of 260 consecutive patients undergoing capsule endoscopy for obscure gastrointestinal bleeding. Am J Gastroenterol. 2007;102(1):89-95.

https://doi.org/10.1111/j.1572-0241.2006.00941.x

Hoedemaker RA, Westerhof J, Weersma RK, Koornstra JJ. Non-small-bowel abnormalities identified during small bowel capsule endoscopy. World J Gastroenterol. 2014;20(14):4025-9.

https://doi.org/10.3748/wjg.v20.i14.4025

ASGE Standards of Practice Committee, Fisher L, Lee Krinsky M, Anderson MA, Appalaneni V, Banerjee S, Ben-Menachem T, Cash BD, Decker GA, Fanelli RD, Friis C, Fukami N, Harrison ME, Ikenberry SO, Jain R, Jue T, Khan K, Maple JT, Strohmeyer L, Sharaf R, Dominitz JA. The role of endoscopy in the management of obscure GI bleeding. Gastrointest Endosc. 2010;72(3):471-9.

https://doi.org/10.1016/j.gie.2010.04.032

Rey JF, Ladas S, Alhassani A, Kuznetsov K, Committee EG. European Society of Gastrointestinal Endoscopy (ESGE). Video capsule endoscopy: update to guidelines (May 2006). Endoscopy. 2006;38(10):1047-53.

https://doi.org/10.1055/s-2006-944874

Melmed GY, Lo SK. Capsule endoscopy: practical applications. Clin Gastroenterol Hepatol. 2005;3(5):411-22. https://doi.org/10.1016/S1542-3565(05)00019-4

Marmo R, Rotondano G, Piscopo R, Bianco MA, Cipolletta L. Meta-analysis: capsule enteroscopy vs. conventional modalities in diagnosis of small bowel diseases. Aliment Pharmacol Ther. 2005;22(7):595-604.

https://doi.org/10.1111/j.1365-2036.2005.02625.x

de Leusse A, Vahedi K, Edery J, Tiah D, Fery-Lemonnier E, Cellier C, Bouhnik Y, Jian R. Capsule endoscopy or push enteroscopy for first-line exploration of obscure gastrointestinal bleeding? Gastroenterology. 2007;132(3):855-62; quiz 1164-5.

https://doi.org/10.1053/j.gastro.2006.12.002

Saurin JC, Delvaux M, Vahedi K, Gaudin JL, Villarejo J, Florent C, Gay G, Ponchon T. Clinical impact of capsule endoscopy compared to push enteroscopy: 1-year follow-up study. Endoscopy. 2005;37(4):318-23.

https://doi.org/10.1055/s-2005-861114

Matsumoto T, Esaki M, Moriyama T, Nakamura S, Iida M. Comparison of capsule endoscopy and enteroscopy with the double-balloon method in patients with obscure bleeding and polyposis. Endoscopy. 2005;37(9):827-32. https://doi.org/10.1055/s-2005-870207

Chen X, Ran ZH, Tong JL. A meta-analysis of the yield of capsule endoscopy compared to double-balloon enteroscopy in patients with small bowel diseases. World J Gastroenterol. 2007;13(32):4372-8.

https://doi.org/10.3748/wjg.v13.i32.4372

Nakamura M, Niwa Y, Ohmiya N, Miyahara R, Ohashi A, Itoh A, Hirooka Y, Goto H. Preliminary comparison of capsule endoscopy and double-balloon enteroscopy in patients with suspected small-bowel bleeding. Endoscopy. 2006;38(1):59-66.

https://doi.org/10.1055/s-2005-870446

Arakawa D, Ohmiya N, Nakamura M, Honda W, Shirai O, Itoh A, Hirooka Y, Niwa Y, Maeda O, Ando T, Goto H. Outcome after enteroscopy for patients with obscure GI bleeding: diagnostic comparison between double-balloon endoscopy and videocapsule endoscopy. Gastrointest Endosc. 2009;69(4):866-74.

https://doi.org/10.1016/j.gie.2008.06.008

Hadithi M, Heine GD, Jacobs MA, van Bodegraven AA, V Bodegraven AA, Mulder CJ. A prospective study comparing video capsule endoscopy with double-balloon enteroscopy in patients with obscure gastrointestinal bleeding. Am J Gastroenterol. 2006;101(1):52-7.

https://doi.org/10.1111/j.1572-0241.2005.00346.x

Pasha SF, Leighton JA, Das A, Harrison ME, Decker GA, Fleischer DE, Sharma VK. Double-balloon enteroscopy and capsule endoscopy have comparable diagnostic yield in small-bowel disease: a meta-analysis. Clin Gastroenterol Hepatol. 2008;6(6):671-6.

https://doi.org/10.1016/j.cgh.2008.01.005

Douard R, Wind P, Panis Y, Marteau P, Bouhnik Y, Cellier C, Cugnenc P, Valleur P. Intraoperative enteroscopy for diagnosis and management of unexplained gastrointestinal bleeding. Am J Surg. 2000;180(3):181-4.

https://doi.org/10.1016/S0002-9610(00)00447-5

Hartmann D, Schmidt H, Bolz G, Schilling D, Kinzel F, Eickhoff A, Huschner W, Möller K, Jakobs R, Reitzig P, Weickert U, Gellert K, Schultz H, Guenther K, Hollerbuhl H, Schoenleben K, Schulz HJ, Riemann JF. A prospective two-center study comparing wireless capsule endoscopy with intraoperative enteroscopy in patients with obscure GI bleeding. Gastrointest Endosc. 2005;61(7):826-32. https://doi.org/10.1016/S0016-5107(05)00372-X

Voderholzer WA, Ortner M, Rogalla P, Beinhölzl J, Lochs H. Diagnostic yield of wireless capsule enteroscopy in comparison with computed tomography enteroclysis. Endoscopy. 2003;35(12):1009-14.

https://doi.org/10.1055/s-2003-44583

Gölder SK, Schreyer AG, Endlicher E, Feuerbach S, Schölmerich J, Kullmann F, Seitz J, Rogler G, Herfarth H. Comparison of capsule endoscopy and magnetic resonance (MR) enteroclysis in suspected small bowel disease. Int J Colorectal Dis. 2006;21(2):97-104.

https://doi.org/10.1007/s00384-005-0755-0

Malik A, Lukaszewski K, Caroline D, Parkman H, DeSipio J, Banson F, Bazir K, Reddy L, Srinivasan R, Fisher R, Miller L. A retrospective review of enteroclysis in patients with obscure gastrointestinal bleeding and chronic abdominal pain of undetermined etiology. Dig Dis Sci. 2005;50(4):649-55.

https://doi.org/10.1007/s10620-005-2551-7

Kepczyk T, Kadakia SC. Prospective evaluation of gastrointestinal tract in patients with iron-deficiency anemia. Dig Dis Sci. 1995;40(6):1283-9. https://doi.org/10.1007/BF02065539

Moch A, Herlinger H, Kochman ML, Levine MS, Rubesin SE, Laufer I. Enteroclysis in the evaluation of obscure gastrointestinal bleeding. AJR Am J Roentgenol. 1994;163(6):1381-4.

https://doi.org/10.2214/ajr.163.6.7992733

Rex DK, Lappas JC, Maglinte DD, Malczewski MC, Kopecky KA, Cockerill EM. Enteroclysis in the evaluation of suspected small intestinal bleeding. Gastroenterology. 1989;97(1):58-60.

https://doi.org/10.1016/0016-5085(89)91415-7

Mylonaki M, Fritscher-Ravens A, Swain P. Wireless capsule endoscopy: a comparison with push enteroscopy in patients with gastroscopy and colonoscopy negative gastrointestinal bleeding. Gut. 2003;52(8):1122-6.

https://doi.org/10.1136/gut.52.8.1122

Leung WK, Ho SS, Suen BY, Lai LH, Yu S, Ng EK, Ng SM, Chiu PW, Sung JY, Chan FK, Lau JY. Capsule endoscopy or angiography in patients with acute overt obscure gastrointestinal bleeding: a prospective randomized study with long-term follow-up. Am J Gastroenterol. 2012;107(9):1370-6.

https://doi.org/10.1038/ajg.2012.212

Saperas E, Dot J, Videla S, Alvarez-Castells A, Perez-Lafuente M, Armengol JR, Malagelada JR. Capsule endoscopy versus computed tomographic or standard angiography for the diagnosis of obscure gastrointestinal bleeding. Am J Gastroenterol. 2007;102(4):731-7.

https://doi.org/10.1111/j.1572-0241.2007.01058.x

Rana SS, Bhasin DK, Nagi B, Zargar SA, Malhi NS, Sinha SK, Singh K. Comparative evaluation of barium meal follow-through and barium enteroclysis before capsule endoscopy in obscure gastrointestinal bleeding. Hepatogastroenterology. 2012;59(114):418-21.

https://doi.org/10.5754/hge10312

Sachdev MS, Leighton JA, Fleischer DE, Heigh RI, Hara AK, Post JA, Erickson PJ, Sharma VK. A prospective study of the utility of abdominal radiographs after capsule endoscopy for the diagnosis of capsule retention. Gastrointest Endosc. 2007;66(5):894-900.

https://doi.org/10.1016/j.gie.2007.06.066

Enns RA, Hookey L, Armstrong D, Bernstein CN, Heitman SJ, Teshima C, Leontiadis G, Tse F, Sadowski D. Clinical Practice Guidelines for the Use of Video Capsule Endoscopy. Gastroenterology. 2017;152(3):497-514. https://doi.org/10.1053/j.gastro.2016.12.032

Saurin JC, Delvaux M, Gaudin JL, Fassler I, Villarejo J, Vahedi K, Bitoun A, Canard JM, Souquet JC, Ponchon T, Florent C, Gay C. Diagnostic value of endoscopic capsule in patients with obscure digestive bleeding: blinded comparison with video push-enteroscopy. Endoscopy. 2003;35(7):576-84.

https://doi.org/10.1055/s-2003-40244

Mata A, Bordas JM, Feu F, Ginés A, Pellisé M, Fernández-Esparrach G, Balaguer F, Piqué JM, Llach J. Wireless capsule endoscopy in patients with obscure gastrointestinal bleeding: a comparative study with push enteroscopy. Aliment Pharmacol Ther. 2004;20(2):189-94.

https://doi.org/10.1111/j.1365-2036.2004.02067.x

Costamagna G, Shah SK, Riccioni ME, Foschia F, Mutignani M, Perri V, Vecchioli A, Brizi MG, Picciocchi A, Marano P. A prospective trial comparing small bowel radiographs and video capsule endoscopy for suspected small bowel disease. Gastroenterology. 2002;123(4):999-1005. https://doi.org/10.1053/gast.2002.35988

Kameda N, Higuchi K, Shiba M, Machida H, Okazaki H, Yamagami H, Tanigawa T, Watanabe K, Watanabe T, Tominaga K, Fujiwara Y, Oshitani N, Arakawa T. A prospective, single-blind trial comparing wireless capsule endoscopy and double-balloon enteroscopy in patients with obscure gastrointestinal bleeding. J Gastroenterol. 2008;43(6):434-40.

https://doi.org/10.1007/s00535-008-2182-9

Li X, Dai J, Lu H, Gao Y, Chen H, Ge Z. A prospective study on evaluating the diagnostic yield of video capsule endoscopy followed by directed double-balloon enteroscopy in patients with obscure gastrointestinal bleeding. Dig Dis Sci. 2010;55(6):1704-10.

https://doi.org/10.1007/s10620-009-0911-4

Heine GD, Hadithi M, Groenen MJ, Kuipers EJ, Jacobs MA, Mulder CJ. Double-balloon enteroscopy: indications, diagnostic yield, and complications in a series of 275 patients with suspected small-bowel disease. Endoscopy. 2006;38(1):42-8.

https://doi.org/10.1055/s-2005-921188

García del Risco F, Arrieta López E. Rendimiento diagnóstico y hallazgos con la cápsula endoscópica en pacientes con sangrado digestivo de origen oscuro en la Clínica Universitaria San Juan de Dios en Cartagena, Colombia. Rev Col Gastroenterol. 2014;29(2):101-11.

Tabla 2. Causas de sangrado en PSID (10)

Publicado

2020-07-03

Cómo citar

Urrego Díaz, J. A., Otero Regino, W., & Gómez Zuleta, M. A. (2020). Posible sangrado del intestino delgado, ¿Es la videocápsula endoscópica la mejor opción?. Revista Colombiana De Gastroenterología, 35(2), 196–206. https://doi.org/10.22516/25007440.262

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