Open AccessThe etiology of potential small‐bowel bleeding depending on patient's age and gender
Author(s) -
Song Joo Hye,
Hong Sung Noh,
Kyung Chang Dong,
Ran Jeon Seong,
Kim Jin-Oh,
Kim Jinsu,
Lee Bo-In,
Choi Myung-Gyu,
Kim Kyeong Ok,
Yang Dong-Hoon,
Song Hyun Joo,
Hyuk Do Jae,
Jeong Lim Yun,
Shim Ki-Nam,
Park Soo Jung,
Kim Ji Hyun,
Moon Jeong Seop,
Joo Jang Hyun,
Jai Chun Hoon
Publication year - 2018
Publication title -
ueg journal
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 1.667
H-Index - 35
eISSN - 2050-6414
pISSN - 2050-6406
DOI - 10.1177/2050640618797841
Subject(s) - etiology , medicine , angiodysplasia , capsule endoscopy , gastroenterology , surgery
Background Whether the etiology of potential small‐bowel bleeding depends on the age and gender of the patient is not yet fully understood. Methods A total of 1953 patients who underwent video capsule endoscopy (VCE) to evaluate potential small‐bowel bleeding and were registered in the Capsule Endoscopy Nationwide Database Registry from 2003 to 2014 were eligible for this study. VCE findings and the etiology of small‐bowel bleeding were analyzed by age and gender. Results The diagnostic yield of VCE was 48.4% (95% CI: 46.2%–50.6%) and the diagnosis rate of etiology of potential small‐bowel bleeding was 61.4% (95% CI: 59.2%–63.6%). The etiology of potential small‐bowel bleeding depends on the age and gender of the patient. Crohn's disease and small‐bowel diverticular diseases were more prevalent etiology of potential small‐bowel bleeding in the young adults group (< 40 years) whereas angiodysplasia was revealed to be a most common etiology in elderly group (≥ 60 years), reaching statistical significance ( p <0.00152) by Bonferroni correction. Conclusions The etiology of potential small‐bowel bleeding depends on the age of the patient. Thus, an individualized lesion‐specific diagnostic approach based on age might be needed for patients with potential small‐bowel bleeding.