Is There a Role for Sonde Enteroscopy in Patients with Obscure Gastrointestinal Bleeding? A Comparison with Capsule Endoscopy
Abstract
Methods:
Design: One hundred patients who underwent Sonde enteroscopy and 101 patients who underwent capsule endoscopy were retrospectively studied.
Setting: All patients had their procedures completed by physicians within the same gastroenterology practice.
Patients: All patients who underwent either Sonde enteroscopy or capsule endoscopy were enrolled.
Interventions: None
Main outcome measurements: Outcome was defined as the number of patients in which a distinct bleeding site could be identified.
Results: A total of 100 patients underwent Push and Sonde enteroscopy and a potential bleeding site was identified in 55 (55%) patients. A total of 101 patients underwent capsule endoscopy and a potential bleeding site was identified in 60 (59%) patients. A one-tailed P value showed no statistically significant difference in the diagnostic yield between the procedures.
Conclusions:Capsule endoscopy is at least as efficacious as Push/Sonde enteroscopy in evaluating patients with OGIB. We can comfortably retire Sonde enteroscopy as a diagnostic tool.
Gastroenterol Res. 2009;2(2):86-90
doi: https://doi.org/10.4021/gr2009.04.1284