Publications (2)18.39 Total impact
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Article: A prospective evaluation of iron deficiency anemia in the GI endoscopy setting: role of standard endoscopy, videocapsule endoscopy, and CT-enteroclysis.
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ABSTRACT: Iron deficiency anemia (IDA) is a frequently encountered condition in clinical practice. After conventional endoscopy, the cause of anemia remains unknown in up to 40% of patients. To evaluate prospectively the diagnostic efficacy of a systematic endoscopic approach to IDA and to compare the diagnostic yield of videocapsule endoscopy (VCE) and CT-enteroclysis in endoscopy-negative patients. Consecutive patients with IDA were enrolled prospectively. Open-access endoscopy within an academic hospital. This study involved 189 patients with IDA, including 98 women and 91 men; mean (±standard deviation) age 68 years±16.6 years. Patients with IDA underwent gastroscopy and colonoscopy plus ileoscopy. Endoscopy-negative patients were further blindly evaluated by both CT-enteroclysis and VCE. Diagnostic yield of conventional endoscopy; diagnostic yield of VCE versus CT-enteroclysis. Endoscopy results were positive in 144 of 189 patients (76.2%). CT-enteroclysis and VCE allowed a diagnosis in 37 of 45 endoscopy-negative patients (82.2%). Overall, VCE was superior to CT-enteroclysis (77.8% vs 22.2%; P<.001), in particular when flat lesions were found. Single-center study. A systematic approach to IDA, which includes standard endoscopy, VCE, and CT-enteroclysis allows an overall diagnostic rate of 95.7%; however, CT-enteroclysis should be limited to cases of nondiagnostic VCE.Gastrointestinal endoscopy 03/2011; 73(5):1002-8. · 6.71 Impact Factor -
Article: There is a relationship between celiac disease and patients with symptoms of irritable bowel syndrome.
Gastroenterology 11/2002; 123(4):1408-9; author reply 1409. · 11.68 Impact Factor
