The etiology of potential small-bowel bleeding depending on patient’s age and gender

Joo Hye Song, Sung Noh Hong, Dong Kyung Chang, Seong Ran Jeon, Jin Oh Kim, Jinsu Kim, Bo In Lee, Myung Gyu Choi, Kyeong Ok Kim, Dong Hoon Yang, Hyun Joo Song, Jae Hyuk Do, Yun Jeong Lim, Ki Nam Shim, Soo Jung Park, Ji Hyun Kim, Jeong Seop Moon, Hyun Joo Jang, Hoon Jai Chun

    Research output: Contribution to journalArticlepeer-review

    5 Citations (Scopus)

    Abstract

    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.

    Original languageEnglish
    Pages (from-to)1169-1178
    Number of pages10
    JournalUnited European Gastroenterology Journal
    Volume6
    Issue number8
    DOIs
    Publication statusPublished - 2018 Oct 1

    Keywords

    • Potential small-bowel bleeding
    • age
    • gender
    • obscure gastrointestinal bleeding
    • video capsule endoscopy

    ASJC Scopus subject areas

    • Oncology
    • Gastroenterology

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