PMID- 23261095
OWN - NLM
STAT- MEDLINE
DCOM- 20130610
LR  - 20121224
IS  - 1097-6779 (Electronic)
IS  - 0016-5107 (Linking)
VI  - 77
IP  - 1
DP  - 2013 Jan
TI  - Diagnostic and therapeutic yield is not influenced by the timing of small-bowel 
      enteroscopy: morning versus afternoon.
PG  - 62-70
LID - S0016-5107(12)02653-3 [pii]
LID - 10.1016/j.gie.2012.08.032 [doi]
AB  - BACKGROUND: Small-bowel enteroscopies (BEs) are tedious and prolonged, and their 
      efficacy may be affected by the timing of procedures. OBJECTIVE: We aimed to 
      evaluate the differences in diagnostic yield, insertion depth, procedure 
      duration, therapeutic yield, and adverse events (AEs) of enteroscopies performed 
      in the morning versus the afternoon. DESIGN: Retrospective cohort study. SETTING: 
      Tertiary referral center. PATIENTS: Patients who underwent BE for suspected 
      small-bowel disease at a single institution between January 2008 and August 2009. 
      MAIN OUTCOME MEASUREMENT: Differences in diagnostic yield, insertion depth, 
      procedure duration, therapeutic yield, and AEs between morning (started before 
      noon) and afternoon (after noon) procedures. RESULTS: A total of 250 
      enteroscopies were performed on 250 patients, of which 125 patients (50%) 
      underwent a procedure in the morning and 125 patients (50%) underwent the 
      procedure in the afternoon. The diagnostic yield with anterograde enteroscopy was 
      the same in both the morning and afternoon (63.7% and 63.7%, respectively; P = 
      .99). The procedure durations were also similar (42.4 +/- 21.5 minutes vs 46.2 +/- 
      22.4 minutes, respectively; P = .25). Similarly the diagnostic yield with 
      retrograde enteroscopy was similar in morning and afternoon (44.1% and 35.3%, 
      respectively; P = .46). However, the procedure durations of retrograde BE were 
      significantly shorter in the morning compared with the afternoon (51.3 +/- 21.3 
      minutes vs 66.6 +/- 32.9 minutes, respectively; P = .03). Therapeutic yield and AEs 
      were similar. LIMITATIONS: Retrospective study. CONCLUSIONS: The timing of 
      procedure, morning versus afternoon, did not affect the diagnostic and 
      therapeutic efficacy of BE in patients with suspected small-bowel disease.
CI  - Copyright (c) 2013 American Society for Gastrointestinal Endoscopy. Published by 
      Mosby, Inc. All rights reserved.
FAU - Sanaka, Madhusudhan R
AU  - Sanaka MR
AD  - Department of Gastroenterology, Digestive Disease Institute, The Cleveland 
      Clinic, Cleveland, OH 44195, USA. sanakam@ccf.org
FAU - Navaneethan, Udayakumar
AU  - Navaneethan U
FAU - Upchurch, Bennie R
AU  - Upchurch BR
FAU - Lopez, Rocio
AU  - Lopez R
FAU - Vannoy, Sabrina
AU  - Vannoy S
FAU - Dodig, Milan
AU  - Dodig M
FAU - Santisi, Janice M
AU  - Santisi JM
FAU - Vargo, John J
AU  - Vargo JJ
LA  - eng
PT  - Comparative Study
PT  - Journal Article
PL  - United States
TA  - Gastrointest Endosc
JT  - Gastrointestinal endoscopy
JID - 0010505
SB  - IM
MH  - Cohort Studies
MH  - *Endoscopy, Gastrointestinal/adverse effects/methods
MH  - Female
MH  - Humans
MH  - Intestinal Diseases/diagnosis/surgery
MH  - Intestine, Small
MH  - Male
MH  - Middle Aged
MH  - Retrospective Studies
MH  - Time
MH  - Time Factors
EDAT- 2012/12/25 06:00
MHDA- 2013/06/12 06:00
CRDT- 2012/12/25 06:00
PHST- 2012/07/02 00:00 [received]
PHST- 2012/08/27 00:00 [accepted]
PHST- 2012/12/25 06:00 [entrez]
PHST- 2012/12/25 06:00 [pubmed]
PHST- 2013/06/12 06:00 [medline]
AID - S0016-5107(12)02653-3 [pii]
AID - 10.1016/j.gie.2012.08.032 [doi]
PST - ppublish
SO  - Gastrointest Endosc. 2013 Jan;77(1):62-70. doi: 10.1016/j.gie.2012.08.032.