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Small-bowel capsule...
Small-bowel capsule endoscopy in patients with Meckel's diverticulum : clinical features, diagnostic workup, and findings. A European multicenter I-CARE study
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- Baltes, Peter (author)
- Agaplesion Bethesda Krankenhaus Bergedorf
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- Dray, Xavier (author)
- Hospital Saint-Antoine
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- Riccioni, Maria Elena (author)
- Policlinico Universitario Agostino Gemelli
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- Pérez-Cuadrado-Robles, Enrique (author)
- Hospital General Universitario Morales Meseguer
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- Fedorov, Evgeny (author)
- Pirogov Russian National Research Medical University (RNRMU)
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- Wiedbrauck, Felix (author)
- Allgemeines Krankenhaus Celle
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- Chetcuti Zammit, Stefania (author)
- Sheffield Teaching Hospitals
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- Cadoni, Sergio (author)
- ATS Sardegna , ASSL Carbonia Presidio Ospedaliero C.T.O, Iglesias
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- Bruno, Mauro (author)
- Citta' della Salute e della Scienza Hospital-University of Turin
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- Rondonotti, Emanuele (author)
- Valduce Hospital
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- Johansson, Gabriele Wurm (author)
- Lund University,Lunds universitet,Gastroenterologi,Forskargrupper vid Lunds universitet,Gastroenterology,Lund University Research Groups,Skåne University Hospital
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- Mussetto, Alessandro (author)
- Santa Maria delle Croci Hospital
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- Beaumont, Hanneke (author)
- Amsterdam UMC - Vrije Universiteit Amsterdam
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- Perrod, Guillaume (author)
- Hôpital Européen Georges-Pompidou
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- McNamara, Deirdre (author)
- Tallaght University Hospital
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- Plevris, John (author)
- University of Edinburgh
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- Spada, Cristiano (author)
- Fondazione Poliambulanza Istituto Ospedaliero, Brescia,Catholic University of the Sacred Heart, Rome
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- Pinho, Rolando (author)
- Centro Hospitalar de Vila Nova de Gaia
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- Rosa, Bruno (author)
- Hospital da Senhora da Oliveira
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- Hervas, Nerea (author)
- Hospital of Navarra, Pamplona
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- Leenhardt, Romain (author)
- Hospital Saint-Antoine
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- Marmo, Clelia (author)
- Policlinico Universitario Agostino Gemelli
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- Esteban-Delgado, Pilar (author)
- Hospital General Universitario Morales Meseguer
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- Ivanova, Ekaterina (author)
- Pirogov Russian National Research Medical University (RNRMU)
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- Keuchel, Martin (author)
- Agaplesion Bethesda Krankenhaus Bergedorf,Asklepios Klinik Altona
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- Toth, E. (creator_code:cre_t)
- Lund University,Lunds universitet,Gastroenterologi,Forskargrupper vid Lunds universitet,Gastroenterology,Lund University Research Groups
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(creator_code:org_t)
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- Elsevier BV, 2023
- 2023
- English.
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In: Gastrointestinal Endoscopy. - : Elsevier BV. - 0016-5107. ; 97:5, s. 3-926
- Related links:
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http://dx.doi.org/10...
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https://lup.lub.lu.s...
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https://doi.org/10.1...
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Abstract
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- Background and Aims: Meckel's diverticulum (MD) may remain silent or be associated with adverse events such as GI bleeding. The main aim of this study was to evaluate indicative small-bowel capsule endoscopy (SBCE) findings, and the secondary aim was to describe clinical presentation in patients with MD. Methods: This retrospective European multicenter study included patients with MD undergoing SBCE from 2001 until July 2021. Results: Sixty-nine patients with a confirmed MD were included. Median age was 32 years with a male-to-female ratio of approximately 3:1. GI bleeding or iron-deficiency anemia was present in nearly all patients. Mean hemoglobin was 7.63 ± 1.8 g/dL with a transfusion requirement of 52.2%. Typical capsule endoscopy (CE) findings were double lumen (n = 49 [71%]), visible entrance into the MD (n = 49 [71%]), mucosal webs (n = 30 [43.5%]), and bulges (n = 19 [27.5%]). Two or more of these findings were seen in 48 patients (69.6%). Ulcers were detected in 52.2% of patients (n = 36). In 63.8% of patients (n = 44), a combination of double lumen and visible entrance into the MD was evident, additionally revealing ulcers in 39.1% (n = 27). Mean percent SB (small bowel) transit time for the first indicative image of MD was 57% of the total SB transit time. Conclusions: Diagnosis of MD is rare and sometimes challenging, and a preoperative criterion standard does not exist. In SBCE, the most frequent findings were double-lumen sign and visible diverticular entrance, sometimes together with ulcers.
Subject headings
- MEDICIN OCH HÄLSOVETENSKAP -- Klinisk medicin -- Gastroenterologi (hsv//swe)
- MEDICAL AND HEALTH SCIENCES -- Clinical Medicine -- Gastroenterology and Hepatology (hsv//eng)
Publication and Content Type
- art (subject category)
- ref (subject category)
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- By the author/editor
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Baltes, Peter
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Dray, Xavier
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Riccioni, Maria ...
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Pérez-Cuadrado-R ...
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Fedorov, Evgeny
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Wiedbrauck, Feli ...
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show more...
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Chetcuti Zammit, ...
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Cadoni, Sergio
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Bruno, Mauro
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Rondonotti, Eman ...
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Johansson, Gabri ...
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Mussetto, Alessa ...
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Beaumont, Hannek ...
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Perrod, Guillaum ...
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McNamara, Deirdr ...
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Plevris, John
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Spada, Cristiano
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Pinho, Rolando
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Rosa, Bruno
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Hervas, Nerea
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Leenhardt, Romai ...
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Marmo, Clelia
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Esteban-Delgado, ...
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Ivanova, Ekateri ...
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Keuchel, Martin
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Toth, E.
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- About the subject
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- MEDICAL AND HEALTH SCIENCES
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MEDICAL AND HEAL ...
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and Clinical Medicin ...
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and Gastroenterology ...
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Gastrointestinal ...
- By the university
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Lund University