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논문 기본 정보

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Jeon Seong Ran (Department of Internal Medicine Soonchunhyang University College of Medicine Seoul Korea) Kim Jin-Oh (Department of Internal Medicine Soonchunhyang University College of Medicine Seoul Korea) Byeon Jeong-Sik (Department of Internal Medicine University of Ulsan College of Medicine Seoul Korea) Yang Dong-Hoon (Department of Internal Medicine University of Ulsan College of Medicine Seoul Korea) Ko Bong Min (Department of Internal Medicine Soonchunhyang University College of Medicine Bucheon Korea) Goong Hyeon Jeong (Department of Internal Medicine Soonchunhyang University College of Medicine Bucheon Korea) Jang Hyun Joo (Department of Internal Medicine Hallym University College of Medicine Hwaseong Korea) Park Soo Jung (Department of Internal Medicine Yonsei University College of Medicine Seoul Korea) Kim Eun Ran (Department of Internal Medicine Sungkyunkwan University School of Medicine Seoul Korea) Hong Sung Noh (Department of Internal Medicine Sungkyunkwan University School of Medicine Seoul Korea) Im Jong Pil (Department of Internal Medicine Seoul National University College of Medicine and Liver Research In) Kim Seong-Eun (Department of Internal Medicine Ewha Womans University College of Medicine Seoul Korea) Koo Ja Seol (Department of Internal Medicine Korea University College of Medicine Ansan Korea) Eun Chang Soo (Department of Internal Medicine Hanyang University College of Medicine Guri Korea) Chang Dong Kyung (Department of Internal Medicine Sungkyunkwan University School of Medicine Seoul Korea)
저널정보
거트앤리버 발행위원회 Gut and Liver Gut and Liver 제15권 제3호
발행연도
2021.1
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375 - 382 (8page)

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Background/Aims: Although balloon-assisted enteroscopy (BAE) enables endoscopic visualization of small bowel (SB) involvement in Crohn’s disease (CD), there is no data on the changes in outcomes over time. We therefore investigated the changes in BAE use on CD patients over different time periods in terms of its role and clinical outcomes. Methods: We used a multicenter enteroscopy database to identify CD patients with SB involvement who underwent BAE (131 procedures, 116 patients). We compared BAE-related factors and outcomes between the first period (70 procedures, 60 patients) and the second period (61 procedures, 56 patients). The specific cutoff point for dividing the two periods was 2007, when BAE guidelines were introduced. Results: Initial diagnosis of SB involvement in CD was the most common indication for BAE during each period (50.0% vs 31.1%, p=0.034). The largest change was in the number of BAE uses for stricture evaluation and/or treatment, which increased significantly in the latter period (2.9% vs 21.3%, p=0.002). The diagnostic yield in patients with suspected CD was 90.7% in the first period and 95.0% in the second (p=0.695). More endoscopic interventions were performed in the second period than in the first (5.1% vs 17.6%, p=0.041). Enteroscopic success rates were high throughout (100% in the first period vs 80.0% in the second period, p>0.999). In the first and second periods, therapeutic plans were adjusted in 62.7% and 61.4% of patients, respectively. Conclusions: The overall clinical indications, outcomes, and effectiveness of BAE were constant over time in CD patients with SB involvement, with the exception that the frequency of enteroscopic intervention increased remarkably.
#Balloon-assisted enteroscopy #Crohn disease #Small bowel #Time #Outcome

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참고문헌 (34)

참고문헌 신청
Hsu-Heng Yen / 2019 / Epidemiological trend in inflammatory bowel disease in Taiwan from 2001 to 2015: a nationwide population-based study / Intestinal research 17(1):54~62 dbpia Choon Jin Ooi / 2019 / Best practices on immunomodulators and biologic agents for ulcerative colitis and Crohn’s disease in Asia / Intestinal research 17(3):285~310 dbpia Masoud M Malekzadeh / 2019 / Iranian Registry of Crohn’s and Colitis: study profile of first nation-wide inflammatory bowel disease registry in Middle East / Intestinal research 17(3):330~339 dbpia Gerson LB / 2015 / ACG clinical guideline : diagnosis and management of small bowel bleeding / Am J Gastroenterol 110:1265~1287 google schola Papadakis KA / 2009 / Diagnostic approach to small bowel involvement in inflammatory bowel disease : view of the endoscopist / Dig Dis 27:476~481 google schola

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