Related Experiment Video

Updated: Oct 6, 2025

Laparoscopic Common Bile Duct Exploration Followed by Primary Suture Using a Modified Bile Duct Incision
05:36

Laparoscopic Common Bile Duct Exploration Followed by Primary Suture Using a Modified Bile Duct Incision

Published on: May 2, 2025

283

[Clinical impact of small bowell capsule endoscopy in obscure gastrointestinal bleeding : retrospective single-center

A C Moreau1, L Seidel1, S Vieujean1

  • 1Service de Gastro-Entérologie, CHU Liège, Belgique.

Revue Medicale De Liege
|January 14, 2022
PubMed

Insights

Capsule endoscopy significantly changes management for obscure gastrointestinal bleeding (OGIB) patients, with a low rebleeding risk. However, some patients may not require this diagnostic tool, as indicated by a lack of therapeutic change or recurrence.

Area of Science:

  • Gastroenterology
  • Medical Diagnostics

Background:

  • Small-bowel capsule endoscopy (VCE) is a validated tool for investigating obscure gastrointestinal bleeding (OGIB).
  • Routine clinical practice evaluation of VCE for OGIB is essential.

Purpose of the Study:

  • To assess the clinical impact of VCE in managing OGIB patients in a real-world setting.
  • To determine the influence of VCE on subsequent patient management and rebleeding risk.

Main Methods:

  • Retrospective analysis of 110 patients with OGIB undergoing VCE.
  • Data collected at CHU of Liège between March 2016 and December 2019.

Main Results:

  • Diagnostic yield for VCE was 58%.
  • Therapeutic management changed in 39% of patients.
  • Recurrence rate was 22.5% over 2 years; rebleeding risk was low with normal VCE or therapeutic modification. 45% had no change in management or recurrence.

Conclusions:

  • VCE prompts therapeutic modification in approximately 40% of OGIB patients, associated with a low relapse rate.
  • VCE may be avoidable in a subset of patients (45%) who experience no management change or recurrence.
Abstract

Keywords:
Obscure gastrointestinal bleedingSmall bowelCapsule endoscopy

More Related Videos

Clinical Application of Single-Surgeon, Three-Port, Laparoscopic Resection for Colorectal Cancer with Natural Orifice Specimen Extraction08:26

Clinical Application of Single-Surgeon, Three-Port, Laparoscopic Resection for Colorectal Cancer with Natural Orifice Specimen Extraction

Published on: March 24, 2023

695
Laparoscopy-endoscopy Cooperative Surgery for the Treatment of Gastric Gastrointestinal Stromal Tumors05:16

Laparoscopy-endoscopy Cooperative Surgery for the Treatment of Gastric Gastrointestinal Stromal Tumors

Published on: February 19, 2022

6.1K

Related Concept Videos

Endoscopic Procedures III: Video Capsule Endoscopy01:28

Endoscopic Procedures III: Video Capsule Endoscopy

Capsule endoscopy, or wireless or video capsule endoscopy, is a diagnostic procedure for examining the entire gastrointestinal tract. Patients swallow a capsule about the size of a vitamin tablet. The capsule is equipped with a transmitter, a battery, an LED light source, and a color video camera to capture images throughout the gastrointestinal tract. This procedure is particularly useful for diagnosing conditions such as Crohn's disease, ulcerative colitis, tumors, polyps, ulcers,...
357
Endoscopic Procedures IV: Sigmoidoscopy and Laproscopy01:26

Endoscopic Procedures IV: Sigmoidoscopy and Laproscopy

Sigmoidoscopy and laparoscopy are distinct medical procedures that enable physicians to internally inspect different parts of the GI tract. Although they serve different purposes, each is essential for diagnosing and, in some cases, treating various medical conditions.
Sigmoidoscopy
Sigmoidoscopy is a diagnostic procedure that uses a flexible sigmoidoscope equipped with a light source and camera to examine the rectum and sigmoid colon. The procedure involves inserting the tube through the anus...
207
Esophageal Varices-II: Clinical Features and Management01:28

Esophageal Varices-II: Clinical Features and Management

Esophageal varices often manifest as gastrointestinal bleeding episodes, presenting symptoms like hematemesis (vomiting of blood), hematochezia (passing fresh blood via the rectum), and melena (black, tarry stools). Other signs can include weight loss, anorexia, abdominal discomfort, jaundice, pruritus, altered mental status, and muscle cramps.
In the initial assessment, a thorough review of the patient's medical history is vital to identify risk factors such as liver disease, alcohol...
168
Endoscopic Procedures V: ERCP01:26

Endoscopic Procedures V: ERCP

Endoscopic Retrograde Cholangiopancreatography (ERCP) is a diagnostic procedure that combines endoscopy and fluoroscopy to diagnose and treat conditions related to the bile ducts, pancreatic ducts, and gallbladder. This procedure is beneficial for identifying and addressing blockages, gallstones, strictures, and tumors within the biliary or pancreatic systems. ERCP is both diagnostic and therapeutic, offering the ability to visualize and treat identified problems in one session.
Patient...
1.1K
Inflammatory Bowel Disease V: Surgical Management01:21

Inflammatory Bowel Disease V: Surgical Management

Surgical interventions for inflammatory bowel disease (IBD), which includes ulcerative colitis and Crohn's disease, are essential in managing symptoms and addressing complications. The selection of surgical procedures is contingent upon the specific conditions and complications that stem from these illnesses.
Here are some common surgical interventions for IBD:
243
Barrett Esophagus-II: Clinical Manifestations and Management01:21

Barrett Esophagus-II: Clinical Manifestations and Management

Individuals with Barrett's esophagus are often asymptomatic, but they may experience symptoms commonly associated with GERD, such as heartburn and acid regurgitation. Additional symptoms can include difficulty swallowing, chest pain, unintentional weight loss, blood in the stool (which may appear black, tarry, or bloody), and episodes of vomiting.
To diagnose Barrett's esophagus, healthcare providers often recommend an endoscopy for those showing symptoms of acid reflux. The procedure...
335