ID: 3523942 Endocuff assisted push enteroscopy increases the diagnosis of gastrointestinal angiodysplasia

摘要: Gastrointestinal angiodysplasias (GIADs) are the most common cause for suspected small bowel bleeding. Approximately 50% of GIADs do not need treatment secondary to bleeding cessations, while 45% have high re-bleeding rates, causing a significant impact on patient health and VA Healthcare resources. This is likely due to undetected lesions by the current endoscopic methods. Therefore, in this study we evaluated whether endoscopy assisted Endocuff (a device with two rows of soft projections that remain flattened during insertion but spreads out mucosal folds upon withdrawal with push enteroscopy (PE)) could improve GIAD detection. A retrospective chart review of a prospective data collection was performed from January 2006 to December 2018 at VA Loma Linda Healthcare System (VALLHCS) on both inpatients and outpatients with symptomatic GIADs initially detected via video capsule endoscopy …