{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2023,11,27]],"date-time":"2023-11-27T10:50:44Z","timestamp":1701082244189},"reference-count":0,"publisher":"Georg Thieme Verlag KG","issue":"02","license":[{"start":{"date-parts":[[2017,2,13]],"date-time":"2017-02-13T00:00:00Z","timestamp":1486944000000},"content-version":"vor","delay-in-days":12,"URL":"https:\/\/creativecommons.org\/licenses\/by-nc-nd\/4.0\/"}],"content-domain":{"domain":[],"crossmark-restriction":false},"short-container-title":["Endosc Int Open"],"published-print":{"date-parts":[[2017,2]]},"abstract":"<jats:title>Abstract<\/jats:title><jats:p>\n          Background and study aims\u2003Clinical impact of single-balloon enteroscopy (SBE) is fairly known, as well as its diagnostic yield comparing with other small bowel gastrointestinal investigations. This study represents a contribution to better understand it and is designed to <\/jats:p><jats:p>evaluate SBE efficacy and degree of concordance with previous evaluation of small bowel.<\/jats:p><jats:p>\n          Patients and methods\u2003This is a single-center retrospective study of patients that underwent SBE with suspected small bowel disease based on non-invasive imaging. Demographic, clinical, procedural and outcome data were collected for analysis. Agreement beyond positive findings was evaluated using \u03ba-coefficient.<\/jats:p><jats:p>\n          Results\u2003A total of 197 SBEs were performed in 168 patients; mainly men (64.3\u200a%) with mean age 53.3\u00b117.6 years. Most SBEs (86.3\u200a%) performed were preceded by a noninvasive evaluation: in 61.4\u200a% (n\u200a=\u200a119) of cases, capsule enteroscopy (CE) was performed, in 18.8\u200a% (n\u200a=\u200a37), computed tomography was performed, and in 6.1\u200a% (n\u200a=\u200a12) magnetic resonance enterography was performed. Fourty-three patients (25.6\u200a%) underwent endoscopic treatments, mainly: argon plasma coagulation in angioectasias (53.4\u200a%) and polypectomy (34.9\u200a%). The most common diagnoses made with SBE were findings consistent with inflammatory small bowel disease (21.8\u200a%) and vascular lesions (14.2\u200a%). The diagnostic yield of SBE was of 69\u200a%, confirming the suspicion of small bowel disease. The degree of concordance between CE and SBE for positive findings was substantial, \u03ba-coefficient\u200a=\u200a0.635 (P\u200a&lt;\u200a0.001). However, the degree of concordance between imaging examinations (CT or MR) and SBE was only moderate, \u03ba-coefficient\u200a=\u200a0.410 (P\u200a&lt;\u200a0.001). SBE had an immediate effect in 20\u200a% of patients, changing diagnostic approaches, medical and surgical treatments.<\/jats:p><jats:p>\n          Conclusions\u2003Our study supports the idea that for suspected small bowel disease, CE and SBE have an overall good degree of concordance for all the diagnostics included.<\/jats:p>","DOI":"10.1055\/s-0042-121415","type":"journal-article","created":{"date-parts":[[2017,2,13]],"date-time":"2017-02-13T23:57:46Z","timestamp":1487030266000},"page":"E96-E102","source":"Crossref","is-referenced-by-count":6,"title":["Single-balloon enteroscopy efficacy and degree of concordance with noninvasive evaluation of small bowel"],"prefix":"10.1055","volume":"05","author":[{"given":"Margarida","family":"Marques","sequence":"additional","affiliation":[{"name":"Gastroenterology Department, Centro Hospitalar S\u00e3o Jo\u00e3o, Porto (Porto)"}]},{"given":"Jo\u00e3o","family":"Santos-Antunes","sequence":"additional","affiliation":[{"name":"Gastroenterology Department, Centro Hospitalar S\u00e3o Jo\u00e3o, Porto (Porto)"}]},{"given":"Rosa","family":"Coelho","sequence":"additional","affiliation":[{"name":"Gastroenterology Department, Centro Hospitalar S\u00e3o Jo\u00e3o, Porto (Porto)"}]},{"given":"H\u00e9lder","family":"Cardoso","sequence":"additional","affiliation":[{"name":"Gastroenterology Department, Centro Hospitalar S\u00e3o Jo\u00e3o, Porto (Porto)"}]},{"given":"Filipe","family":"Vilas Boas","sequence":"additional","affiliation":[{"name":"Gastroenterology Department, Centro Hospitalar S\u00e3o Jo\u00e3o, Porto (Porto)"}]},{"given":"Armando","family":"Ribeiro","sequence":"additional","affiliation":[{"name":"Gastroenterology Department, Centro Hospitalar S\u00e3o Jo\u00e3o, Porto (Porto)"}]},{"given":"Guilherme","family":"Macedo","sequence":"additional","affiliation":[{"name":"Gastroenterology Department, Centro Hospitalar S\u00e3o Jo\u00e3o, Porto (Porto)"}]}],"member":"194","published-online":{"date-parts":[[2017,2,13]]},"container-title":["Endoscopy International Open"],"original-title":[],"language":"en","link":[{"URL":"http:\/\/www.thieme-connect.de\/products\/ejournals\/pdf\/10.1055\/s-0042-121415.pdf","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2019,5,6]],"date-time":"2019-05-06T18:26:14Z","timestamp":1557167174000},"score":1,"resource":{"primary":{"URL":"http:\/\/www.thieme-connect.de\/DOI\/DOI?10.1055\/s-0042-121415"}},"subtitle":[],"short-title":[],"issued":{"date-parts":[[2017,2]]},"references-count":0,"journal-issue":{"issue":"02","published-online":{"date-parts":[[2017,2,10]]},"published-print":{"date-parts":[[2017,2]]}},"URL":"https:\/\/doi.org\/10.1055\/s-0042-121415","relation":{},"ISSN":["2364-3722","2196-9736"],"issn-type":[{"value":"2364-3722","type":"print"},{"value":"2196-9736","type":"electronic"}],"subject":[],"published":{"date-parts":[[2017,2]]}}}