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首页> 外文期刊>Gastrointestinal Endoscopy >Impact of inpatient status and gender on small-bowel capsule endoscopy findings.
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Impact of inpatient status and gender on small-bowel capsule endoscopy findings.

机译：住院状况和性别对小肠内镜检查结果的影响。

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BACKGROUND: Video capsule endoscopy (VCE) is most commonly performed in the outpatient setting to evaluate obscure GI bleeding. OBJECTIVE: To determine the impact of gender and inpatient status on VCE findings. DESIGN: Retrospective study. SETTING: Two tertiary medical centers and a VA medical center. PATIENTS: A total of 167 inpatients and 540 outpatients undergoing 707 VCE examinations for obscure GI bleeding. INTERVENTIONS: VCE study. MAIN OUTCOME MEASUREMENTS: Patient age, sex, indication for VCE, gastric and small-bowel transit times, significant VCE findings including detection of blood in the lumen and major lesions outside the small bowel, and presence of comorbid conditions. RESULTS: Significant VCE findings were identified more frequently during inpatient VCE examinations (48% vs 37%, P = .009). Endoscopic placement, nongastric passage, and incomplete studies to the cecum were more common for inpatient VCE examinations. Gastric transit time, but not small-bowel transit time, was longer in inpatient VCE studies. Inpatient VCE examinations were more common in male patients (73% vs 61%, P = .004) and patients with overt bleeding (83% vs 46%, P < .05). The overall diagnostic VCE rate was higher for male patients because of a higher prevalence of angiodysplastic lesions and major findings outside the small bowel. LIMITATIONS: Retrospective study. Lack of information regarding timing of VCE study, most recent episode of obscure bleeding, and comorbidity data for outpatients. CONCLUSION: The overall diagnostic yield was higher for inpatient VCE examinations. Male patients were more likely to demonstrate significant findings on both inpatient and outpatient VCE studies because of a higher prevalence of angiodysplastic lesions and findings outside the small bowel.
机译：背景：视频胶囊内窥镜检查（VCE）最常用于门诊患者，以评估模糊的胃肠道出血。目的：确定性别和住院状态对VCE发现的影响。设计：回顾性研究。地点：两个三级医疗中心和一个VA医疗中心。患者：共有167名住院患者和540名门诊患者接受了707次VCE检查，以检查其胃肠道出血。干预措施：VCE研究。主要观察指标：患者年龄，性别，VCE指征，胃和小肠转运时间，重要的VCE表现，包括腔内血液和小肠外主要病变的检测，以及合并症。结果：住院VCE检查期​​间发现VCE的重要发现更为频繁（48％比37％，P = .009）。内窥镜检查放置，非胃道通行和盲肠不完整研究在住院VCE检查中更为常见。住院VCE研究中胃转移时间较长，但不包括小肠转移时间。男性患者（73％比61％，P = .004）和明显出血患者（83％比46％，P <.05）的住院VCE检查更为常见。男性患者的总体VCE诊断率较高，因为血管增生性病变的患病率较高，并且在小肠外也有主要发现。局限性：回顾性研究。缺乏有关VCE研究时间，最近一次难治性出血事件以及门诊患者合并症数据的信息。结论：住院VCE检查的总体诊断率较高。男性患者更有可能在住院和门诊VCE研究中显示出重要发现，因为血管增生性病变的患病率更高，并且在小肠之外也有发现。

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