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논문 기본 정보

자료유형
학술저널
저자정보
Park Jihye (Department of Internal Medicine, Severance Hospital, Yonsei University College of Medicine, Seoul, KoreaInstitute of Gastroenterology, Severance Hospital, Yonsei University College of Medici) Kim Jin Su (Department of Internal Medicine, Eunpyeong St. Mary’s Hospital, College of Medicine, The Catholic University of Korea, Seoul, Korea) Song Joo Hye (Department of Internal Medicine, Konkuk University Medical Center, Konkuk University School of Medicine, Seoul, Korea) Nam Kwangwoo (Department of Gastroenterology, Dankook University Hospital, Dankook University College of Medicine, Cheonan, Korea) Kim Seong-Eun (Department of Internal Medicine, Ewha Womans University College of Medicine, Seoul, Korea) Jeong Eui Sun (Department of Internal Medicine, Ewha Womans University College of Medicine, Seoul, Korea) Kim Jae Hyun (Department of Internal Medicine, Kosin University College of Medicine, Busan, Korea) Jeon Seong Ran (Institute for Digestive Research, Digestive Disease Center, Soonchunhyang University College of Medicine, Seoul, Korea)
저널정보
거트앤리버 발행위원회 Gut and Liver Gut and Liver Vol.18 No.4
발행연도
2024.7
수록면
686 - 694 (9page)
DOI
10.5009/gnl240030

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Background/Aims: Despite advances in imaging and endoscopic technology, diagnostic modalities for small bowel tumors are simultaneously performed. We investigated the discrepancy rate between each modality and predictive factors of discrepancy in patients with definite small bowel tumors. Methods: Data of patients with definite small bowel tumors who underwent both device-assisted enteroscopy (DAE) and computed tomography (CT) were retrieved from web-based enteroscopy registry database in Korea. Predictive risk factors associated with discrepancy were analyzed using logistic regression analysis. Results: Among 998 patients, 210 (21.0%) were diagnosed with small bowel tumor using DAE, in 193 patients with definite small bowel tumor, DAE and CT were performed. Of these patients, 12 (6.2%) showed discrepancy between examinations. Among 49 patients who underwent DAE and video capsule endoscopy (VCE) examination, 13 (26.5%) showed discrepancy between examinations. No significant independent risk factors were associated with concordance between DAE and CT in multivariate logistic regression analysis among the patients. In a multivariate logistic regression analysis, red blood cell transfusion was negatively associated with concordance between DAE and VCE in patients with small bowel tumor (odds ratio, 0.163; 95% confidence interval, 0.026 to 1.004; p=0.050). Conclusions: For small bowel tumors, the discrepancy rate between DAE and CT was 6.2%, and 26.5% between DAE and VCE. Despite developments in cross-sectional imaging (VCE and DAE modalities), discrepancies still exist. For small bowel bleeding that require significant transfusion while showing insignificant VCE findings, DAE should be considered as the next diagnostic approach, considering the possibility of missed small bowel tumor.
#Balloon enteroscopy #Tomography #X-ray computed #Capsule endoscopy #Neoplasms

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