Multicenter survey on the use of device-assisted enteroscopy in Portugal
Autor(a) principal: | |
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Data de Publicação: | 2016 |
Outros Autores: | , , , , , , , , |
Tipo de documento: | Artigo |
Idioma: | eng |
Título da fonte: | Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) |
Texto Completo: | http://hdl.handle.net/1822/47056 |
Resumo: | Background: Device-assisted enteroscopies (DAEs) are recent endoscopic techniques that enable direct endoscopic smallbowel evaluation. Objective: The objective of this article is to evaluate the implementation of DAEs in Portugal and assess the main indications, diagnoses, diagnostic yield, therapeutic yield and complication rate. Methods: We conducted a multicenter retrospective series using a national Web-based survey on behalf of the Portuguese Small-Bowel Study Group. Participants were asked to fill out two online databases regarding procedural data, indications, diagnoses, endoscopic therapy and complications using prospectively collected institutional data records. Results: A total of eight centers were enrolled in the survey, corresponding to 1411 DAEs. The most frequent indications were obscure gastrointestinal bleeding (OGIB), inflammatory bowel disease and small-bowel tumors. The pooled diagnostic yield was 63%. A relation between the diagnostic yield and the indications was clear, with a diagnostic yield for OGIB of 69% (p ¼ 0.02) with a 52% therapeutic yield. Complications occurred in 1.2%, with a major complication rate of 0.57%. Perforations occurred in four patients (0.28%). Conclusion: DAEs are safe and effective procedures, with complication rates of 1.2%, the most serious of which is perforation. Most procedures are performed in the setting of OGIB. Diagnostic and therapeutic yields are dependent on the indication, hence appropriate patient selection is crucial. |
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Multicenter survey on the use of device-assisted enteroscopy in PortugalEnteroscopyDouble-balloon enteroscopySingle-balloon enteroscopySpiral enteroscopySmall-bowelSurveyDiagnosisTherapyComplicationsScience & TechnologyBackground: Device-assisted enteroscopies (DAEs) are recent endoscopic techniques that enable direct endoscopic smallbowel evaluation. Objective: The objective of this article is to evaluate the implementation of DAEs in Portugal and assess the main indications, diagnoses, diagnostic yield, therapeutic yield and complication rate. Methods: We conducted a multicenter retrospective series using a national Web-based survey on behalf of the Portuguese Small-Bowel Study Group. Participants were asked to fill out two online databases regarding procedural data, indications, diagnoses, endoscopic therapy and complications using prospectively collected institutional data records. Results: A total of eight centers were enrolled in the survey, corresponding to 1411 DAEs. The most frequent indications were obscure gastrointestinal bleeding (OGIB), inflammatory bowel disease and small-bowel tumors. The pooled diagnostic yield was 63%. A relation between the diagnostic yield and the indications was clear, with a diagnostic yield for OGIB of 69% (p ¼ 0.02) with a 52% therapeutic yield. Complications occurred in 1.2%, with a major complication rate of 0.57%. Perforations occurred in four patients (0.28%). Conclusion: DAEs are safe and effective procedures, with complication rates of 1.2%, the most serious of which is perforation. Most procedures are performed in the setting of OGIB. Diagnostic and therapeutic yields are dependent on the indication, hence appropriate patient selection is crucial.info:eu-repo/semantics/publishedVersionSAGE[et al.]Universidade do MinhoPinho, RolandoSaraiva, Miguel MascarenhasMão-de-Ferro, SusanaFerreira, SaraAlmeida, NunoFigueiredo, PedroRodrigues, AdéliaCardoso, HélderMarques, MargaridaCotter, José20162016-01-01T00:00:00Zinfo:eu-repo/semantics/publishedVersioninfo:eu-repo/semantics/articleapplication/pdfhttp://hdl.handle.net/1822/47056eng2050-64062050-641410.1177/2050640615604775http://journals.sagepub.com/home/ueginfo:eu-repo/semantics/openAccessreponame:Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos)instname:Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informaçãoinstacron:RCAAP2023-07-21T12:43:21Zoai:repositorium.sdum.uminho.pt:1822/47056Portal AgregadorONGhttps://www.rcaap.pt/oai/openaireopendoar:71602024-03-19T19:40:48.984826Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) - Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informaçãofalse |
dc.title.none.fl_str_mv |
Multicenter survey on the use of device-assisted enteroscopy in Portugal |
title |
Multicenter survey on the use of device-assisted enteroscopy in Portugal |
spellingShingle |
Multicenter survey on the use of device-assisted enteroscopy in Portugal Pinho, Rolando Enteroscopy Double-balloon enteroscopy Single-balloon enteroscopy Spiral enteroscopy Small-bowel Survey Diagnosis Therapy Complications Science & Technology |
title_short |
Multicenter survey on the use of device-assisted enteroscopy in Portugal |
title_full |
Multicenter survey on the use of device-assisted enteroscopy in Portugal |
title_fullStr |
Multicenter survey on the use of device-assisted enteroscopy in Portugal |
title_full_unstemmed |
Multicenter survey on the use of device-assisted enteroscopy in Portugal |
title_sort |
Multicenter survey on the use of device-assisted enteroscopy in Portugal |
author |
Pinho, Rolando |
author_facet |
Pinho, Rolando Saraiva, Miguel Mascarenhas Mão-de-Ferro, Susana Ferreira, Sara Almeida, Nuno Figueiredo, Pedro Rodrigues, Adélia Cardoso, Hélder Marques, Margarida Cotter, José |
author_role |
author |
author2 |
Saraiva, Miguel Mascarenhas Mão-de-Ferro, Susana Ferreira, Sara Almeida, Nuno Figueiredo, Pedro Rodrigues, Adélia Cardoso, Hélder Marques, Margarida Cotter, José |
author2_role |
author author author author author author author author author |
dc.contributor.none.fl_str_mv |
[et al.] Universidade do Minho |
dc.contributor.author.fl_str_mv |
Pinho, Rolando Saraiva, Miguel Mascarenhas Mão-de-Ferro, Susana Ferreira, Sara Almeida, Nuno Figueiredo, Pedro Rodrigues, Adélia Cardoso, Hélder Marques, Margarida Cotter, José |
dc.subject.por.fl_str_mv |
Enteroscopy Double-balloon enteroscopy Single-balloon enteroscopy Spiral enteroscopy Small-bowel Survey Diagnosis Therapy Complications Science & Technology |
topic |
Enteroscopy Double-balloon enteroscopy Single-balloon enteroscopy Spiral enteroscopy Small-bowel Survey Diagnosis Therapy Complications Science & Technology |
description |
Background: Device-assisted enteroscopies (DAEs) are recent endoscopic techniques that enable direct endoscopic smallbowel evaluation. Objective: The objective of this article is to evaluate the implementation of DAEs in Portugal and assess the main indications, diagnoses, diagnostic yield, therapeutic yield and complication rate. Methods: We conducted a multicenter retrospective series using a national Web-based survey on behalf of the Portuguese Small-Bowel Study Group. Participants were asked to fill out two online databases regarding procedural data, indications, diagnoses, endoscopic therapy and complications using prospectively collected institutional data records. Results: A total of eight centers were enrolled in the survey, corresponding to 1411 DAEs. The most frequent indications were obscure gastrointestinal bleeding (OGIB), inflammatory bowel disease and small-bowel tumors. The pooled diagnostic yield was 63%. A relation between the diagnostic yield and the indications was clear, with a diagnostic yield for OGIB of 69% (p ¼ 0.02) with a 52% therapeutic yield. Complications occurred in 1.2%, with a major complication rate of 0.57%. Perforations occurred in four patients (0.28%). Conclusion: DAEs are safe and effective procedures, with complication rates of 1.2%, the most serious of which is perforation. Most procedures are performed in the setting of OGIB. Diagnostic and therapeutic yields are dependent on the indication, hence appropriate patient selection is crucial. |
publishDate |
2016 |
dc.date.none.fl_str_mv |
2016 2016-01-01T00:00:00Z |
dc.type.status.fl_str_mv |
info:eu-repo/semantics/publishedVersion |
dc.type.driver.fl_str_mv |
info:eu-repo/semantics/article |
format |
article |
status_str |
publishedVersion |
dc.identifier.uri.fl_str_mv |
http://hdl.handle.net/1822/47056 |
url |
http://hdl.handle.net/1822/47056 |
dc.language.iso.fl_str_mv |
eng |
language |
eng |
dc.relation.none.fl_str_mv |
2050-6406 2050-6414 10.1177/2050640615604775 http://journals.sagepub.com/home/ueg |
dc.rights.driver.fl_str_mv |
info:eu-repo/semantics/openAccess |
eu_rights_str_mv |
openAccess |
dc.format.none.fl_str_mv |
application/pdf |
dc.publisher.none.fl_str_mv |
SAGE |
publisher.none.fl_str_mv |
SAGE |
dc.source.none.fl_str_mv |
reponame:Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) instname:Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informação instacron:RCAAP |
instname_str |
Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informação |
instacron_str |
RCAAP |
institution |
RCAAP |
reponame_str |
Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) |
collection |
Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) |
repository.name.fl_str_mv |
Repositório Científico de Acesso Aberto de Portugal (Repositórios Cientìficos) - Agência para a Sociedade do Conhecimento (UMIC) - FCT - Sociedade da Informação |
repository.mail.fl_str_mv |
|
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1799132954353467392 |