caa a22 4500 445794887 CHVBK 20180317145121.0 cr unu---uuuuu 170323e20110301xx s 000 0 eng 10.1007/s10620-010-1336-9 doi (NATIONALLICENCE)springer-10.1007/s10620-010-1336-9 Live View Video Capsule Endoscopy Enables Risk Stratification of Patients with Acute Upper GI Bleeding in the Emergency Room: A Pilot Study [Elektronische Daten] [Moshe Rubin, Syed Hussain, Albert Shalomov, Rafael Cortes, Michael Smith, Sang Kim] Background: Risk stratification of patients with acute upper GI bleeding (UGIB) in the emergency room (ER) enables appropriate triage to urgent endoscopy and therapeutic intervention. Aim: The aim of this study was to evaluate the ability of Live View Video Capsule Endoscopy (VCE) with Pillcam Eso® to accurately identify high and low risk patients with UGIB. Methods: Twenty-four patients with a history of UGIB within 48h of admission to the ER were randomized to VCE versus standard clinical assessment. VCE was read real-time at the bedside and later reviewed after download. Positive VCE findings included coffee grounds, blood clot, red blood, or a bleeding lesion. VCE positive patients underwent EGD within 6h. Control patients and VCE negative patients underwent EGD within 24h. Results: Seven of 12 patients were VCE positive. All seven had confirmatory stigmata at EGD. Of the five VCE negative patients, four had no stigmata at EGD and one was not endoscoped due to comorbidities. The actual lesion was visualized at VCE in four of 12 patients during live view and in an additional two patients after download (6/12). Time to endoscopy in the VCE positive group was significantly shorter than control patients (2.5 vs. 8.9h, P=0.029). There was no mortality. Blood transfusion requirement and length of stay were not significantly different in the two groups. Conclusions: Live view VCE accurately identifies high and low risk ER patients with UGIB. Use of VCE to risk stratify these patients significantly reduced time to emergent EGD and therapeutic intervention. Springer Science+Business Media, LLC, 2010 Capsule endoscopy nationallicence Gastrointestinal hemorrhage nationallicence Endoscopy nationallicence Triage nationallicence Rubin Moshe Division of Gastroenterology, New York Hospital Queens, Weill Cornell Medical College, 56-45 Main Street, 11355, Flushing, NY, USA aut Hussain Syed Division of Gastroenterology, New York Hospital Queens, Weill Cornell Medical College, 56-45 Main Street, 11355, Flushing, NY, USA aut Shalomov Albert Division of Gastroenterology, New York Hospital Queens, Weill Cornell Medical College, 56-45 Main Street, 11355, Flushing, NY, USA aut Cortes Rafael Division of Gastroenterology, New York Hospital Queens, Weill Cornell Medical College, 56-45 Main Street, 11355, Flushing, NY, USA aut Smith Michael Division of Gastroenterology, Temple University School of Medicine, 3401 N. Broad Street, 19140, Philadelphia, PA, USA aut Kim Sang Division of Gastroenterology, New York Hospital Queens, Weill Cornell Medical College, 56-45 Main Street, 11355, Flushing, NY, USA aut Digestive Diseases and Sciences Springer US; http://www.springer-ny.com 56/3(2011-03-01), 786-791 0163-2116 56:3<786 2011 56 10620 https://doi.org/10.1007/s10620-010-1336-9 text/html Onlinezugriff via DOI 1 research-article jats NATIONALLICENCE 856 40 https://doi.org/10.1007/s10620-010-1336-9 text/html Onlinezugriff via DOI NATIONALLICENCE 700 1- Rubin Moshe Division of Gastroenterology, New York Hospital Queens, Weill Cornell Medical College, 56-45 Main Street, 11355, Flushing, NY, USA aut NATIONALLICENCE 700 1- Hussain Syed Division of Gastroenterology, New York Hospital Queens, Weill Cornell Medical College, 56-45 Main Street, 11355, Flushing, NY, USA aut NATIONALLICENCE 700 1- Shalomov Albert Division of Gastroenterology, New York Hospital Queens, Weill Cornell Medical College, 56-45 Main Street, 11355, Flushing, NY, USA aut NATIONALLICENCE 700 1- Cortes Rafael Division of Gastroenterology, New York Hospital Queens, Weill Cornell Medical College, 56-45 Main Street, 11355, Flushing, NY, USA aut NATIONALLICENCE 700 1- Smith Michael Division of Gastroenterology, Temple University School of Medicine, 3401 N. Broad Street, 19140, Philadelphia, PA, USA aut NATIONALLICENCE 700 1- Kim Sang Division of Gastroenterology, New York Hospital Queens, Weill Cornell Medical College, 56-45 Main Street, 11355, Flushing, NY, USA aut NATIONALLICENCE 773 0- Digestive Diseases and Sciences Springer US; http://www.springer-ny.com 56/3(2011-03-01), 786-791 0163-2116 56:3<786 2011 56 10620 Metadata rights reserved Springer special CC-BY-NC licence nationallicence BK010053 XK010053 XK010000 NATIONALLICENCE NATIONALLICENCE NL-springer