Small-bowel capsule endoscopy in patients with Meckel's diverticulum: clinical features, diagnostic workup, and findings. A European multicenter I-CARE study

Baltes P.; Dray X.; Riccioni M.E.Perez-Cuadrado-Robles E.Fedorov E.Wiedbrauck F.Chetcuti Zammit S.Cadoni S.Bruno M.Rondonotti E.Johansson G.W.Mussetto A.Beaumont H.Perrod G.McNamara D.Plevris J.Spada C.Pinho R.Rosa B.Hervas N.Leenhardt R.Marmo C.Esteban-Delgado P.Ivanova E.Keuchel M.Tontini G.E.Nemeth A.Sidhu R.Koulaouzidis A.Eliakim A.Pennazio M.Tikhomirova E.Zebski H.Wulfert C.-H.Stachow F.Janssen G.Carretero C.Tontini E.Toth E.

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Small-bowel capsule endoscopy in patients with Meckel's diverticulum: clinical features, diagnostic workup, and findings. A European multicenter I-CARE study

机译：Small-bowel capsule endoscopy in patients with Meckel's diverticulum: clinical features, diagnostic workup, and findings. A European multicenter I-CARE study

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? 2023 American Society for Gastrointestinal EndoscopyBackground and Aims: Meckel's diverticulum (MD) may remain silent or be associated with adverse events such as GI bleeding. The main aim of this study was to evaluate indicative small-bowel capsule endoscopy (SBCE) findings, and the secondary aim was to describe clinical presentation in patients with MD. Methods: This retrospective European multicenter study included patients with MD undergoing SBCE from 2001 until July 2021. Results: Sixty-nine patients with a confirmed MD were included. Median age was 32 years with a male-to-female ratio of approximately 3:1. GI bleeding or iron-deficiency anemia was present in nearly all patients. Mean hemoglobin was 7.63 ± 1.8 g/dL with a transfusion requirement of 52.2. Typical capsule endoscopy (CE) findings were double lumen (n = 49 71), visible entrance into the MD (n = 49 71), mucosal webs (n = 30 43.5), and bulges (n = 19 27.5). Two or more of these findings were seen in 48 patients (69.6). Ulcers were detected in 52.2 of patients (n = 36). In 63.8 of patients (n = 44), a combination of double lumen and visible entrance into the MD was evident, additionally revealing ulcers in 39.1 (n = 27). Mean percent SB (small bowel) transit time for the first indicative image of MD was 57 of the total SB transit time. Conclusions: Diagnosis of MD is rare and sometimes challenging, and a preoperative criterion standard does not exist. In SBCE, the most frequent findings were double-lumen sign and visible diverticular entrance, sometimes together with ulcers.

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《Gastrointestinal Endoscopy》 |2023年第5期|917-926.e3|共10页
作者
Baltes P.; Dray X.; Riccioni M.E.Perez-Cuadrado-Robles E.Fedorov E.Wiedbrauck F.Chetcuti Zammit S.Cadoni S.Bruno M.Rondonotti E.Johansson G.W.Mussetto A.Beaumont H.Perrod G.McNamara D.Plevris J.Spada C.Pinho R.Rosa B.Hervas N.Leenhardt R.Marmo C.Esteban-Delgado P.Ivanova E.Keuchel M.Tontini G.E.Nemeth A.Sidhu R.Koulaouzidis A.Eliakim A.Pennazio M.Tikhomirova E.Zebski H.Wulfert C.-H.Stachow F.Janssen G.Carretero C.Tontini E.Toth E.;
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Clinic for Internal Medicine Agaplesion Bethesda Krankenhaus Bergedorf;

Sorbonne University Centre for Digestive Endoscopy Hospital Saint Antoine APHP;

Digestive Endoscopy Unit Fondazione Policlinico Universitario Agostino Gemelli IRCCS UniversitDepartment of Hepato-Gastroenterology Morales Meseguer HospitalDepartment of Surgical Gastroenterology and Endoscopy Moscow University Hospital N31 Pirogov RussiaDepartment of Gastroenterology Allgemeines Krankenhaus CelleGastroenterology Department Sheffield Teaching HospitalsDigestive Endoscopy Unit CTO Hospital IglesiasUniversity Division of Gastroenterology University Hospital City of Science and Health TurinGastroenterology Unit Valduce HospitalDepartment of Gastroenterology Sk?ne University Hospital Lund UniversityGastroenterology Unit Santa Maria delle Croci HospitalDepartment of Gastroenterology and Hepatology Amsterdam UMC location VUmcDepartment of Gastroenterology Georges Pompidou European HospitalDepartment of Gastroenterology Tallaght University Hospital and School of Medicine Trinity CollegeEndoscopy Unit The Royal Infirmary of Edinburgh University of EdinburghGastroenterology Department Vila Nova de Gaia/Espinho–Hospital CentreGastroenterology Department Hospital da Senhora da OliveiraDepartment of Gastroenterology Complejo Hospitalario Navarra;

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中图分类消化系及腹部疾病;
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Small-bowel capsule endoscopy in patients with Meckel's diverticulum: clinical features, diagnostic workup, and findings. A European multicenter I-CARE study

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