Cho JH, Kim HM, Lee S, Kim YJ, Han KJ, Cho HG, Song SY. A pilot study of single-use endoscopy in screening acute gastrointestinal bleeding. World J Gastroenterol 2013; 19(1): 103-107 [PMID: 23326170 DOI: 10.3748/wjg.v19.i1.103]
Corresponding Author of This Article
Hee Man Kim, MD, Division of Gastroenterology, Department of Internal Medicine, Myongji Hospital, Kwandong University College of Medicine, Goyang 412-270, South Korea. eastin@kd.ac.kr
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World J Gastroenterol. Jan 7, 2013; 19(1): 103-107 Published online Jan 7, 2013. doi: 10.3748/wjg.v19.i1.103
A pilot study of single-use endoscopy in screening acute gastrointestinal bleeding
Jae Hee Cho, Hee Man Kim, Sangheun Lee, Yu Jin Kim, Ki Jun Han, Hyeon Geun Cho, Si Young Song
Jae Hee Cho, Hee Man Kim, Sangheun Lee, Yu Jin Kim, Ki Jun Han, Hyeon Geun Cho, Division of Gastroenterology, Department of Internal Medicine, Myongji Hospital, Kwandong University College of Medicine, Goyang 412-270, South Korea
Jae Hee Cho, Hee Man Kim, Department of Internal Medicine, Graduate School, Yonsei University College of Medicine, Seoul 120-752, South Korea
Si Young Song, Division of Gastroenterology, Department of Internal Medicine, Brain Korea 21 Project for Medical Science, Severance Biomedical Science Institute, Yonsei University College of Medicine, Seoul 120-752, South Korea
Author contributions: Cho JH, Kim HM, Han KJ, Cho HG and Song SY designed the research; Lee S and Kim YJ performed the research; Cho JH, Kim HM and Lee S analyzed the data; and Kim HM wrote the paper.
Supported by Basic Science Research Program through the National Research Foundation of Korea, the Ministry of Education, Science and Technology, No. 2011-0008901; and Research Program of Clinical Professor Research committee of Myongji Hospital, No. 20120106
Correspondence to: Hee Man Kim, MD, Division of Gastroenterology, Department of Internal Medicine, Myongji Hospital, Kwandong University College of Medicine, Goyang 412-270, South Korea. eastin@kd.ac.kr
Telephone: +82-31-8105412 Fax: +82-31-9690500
Received: April 9, 2012 Revised: September 19, 2012 Accepted: September 22, 2012 Published online: January 7, 2013
Abstract
AIM: To investigate the feasibility of a single-use endoscopy as an alternative procedure to nasogastric lavage in patients with acute gastrointestinal (GI) bleeding.
METHODS: Patients who presented with hematemesis, melena or hematochezia were enrolled in this study. EG scan™ and conventional esophagogastroduodenoscopy (EGD) were subsequently performed. Active bleeding was defined as blood in the stomach, and inactive bleeding was defined as coffee ground clots and clear fluid in the stomach. The findings were recorded and compared.
RESULTS: Between January and March, 2011, 13 patients that presented with hematemesis (n = 4), melena (n = 6), or bleeding from a previous nasogastric feeding tube (n = 3), were enrolled in this study. In 12 patients with upper GI bleeding, the EG scan device revealed that 7 patients had active bleeding and 5 patients had inactive bleeding, whereas conventional EGD revealed that 8 patients had active bleeding and 4 patients had inactive bleeding. The sensitivity and specificity of the EG scan device was 87.5% and 100% for active bleeding, with conventional EGD serving as a reference. No complication were reported during the EG scan procedures.
CONCLUSION: The EG scan is a feasible device for screening acute upper GI bleeding. It may replace nasogastric lavage for the evaluation of acute upper GI bleeding.
