title: Real-time viewing of video capsule endoscopy for on-going mid GI bleeding.
abstract: RAPID Access Real-Time (RT) has the ability to provide an endoscopist with the presence of bleeding and its location for cases with on-going mid GI bleeding. However, to date, the clinical benefits of this device remain unknown as studies on it have not yet been published. We present a case of recurrent GI bleeding where video capsule endoscopy (VCE) with real time viewing helped them decide on the route of double-balloon enteroscopy (DBE). Since the bleeding image of RT had not been obtained over 150 minutes after passing the pylorus, the patient underwent retrograde DBE. In the middle of the ileum, active bleeding from Dieulafoy's lesion was found and we treated it successfully. It was suggested the effectiveness of VCE in reference to the determination of RT for on-going mid GI bleeding.
authors.affiliation: Department of Gastroenterology, Nagoya University Graduate School of Medicine, Nagoya, Japan. makamura@med.nagoya-u.ac.jp
authors.forename: Masanao
authors.initials: M
authors.lastname: Nakamura
authors.forename: Naoki
authors.initials: N
authors.lastname: Ohmiya
authors.forename: Hiroyuki
authors.initials: H
authors.lastname: Takenaka
authors.forename: Kenji
authors.initials: K
authors.lastname: Morishima
authors.forename: Makoto
authors.initials: M
authors.lastname: Ishihara
authors.forename: Ryoji
authors.initials: R
authors.lastname: Miyahara
authors.forename: Takafumi
authors.initials: T
authors.lastname: Ando
authors.forename: Osamu
authors.initials: O
authors.lastname: Watanabe
authors.forename: Hiroki
authors.initials: H
authors.lastname: Kawashima
authors.forename: Akihiro
authors.initials: A
authors.lastname: Itoh
authors.forename: Yoshiki
authors.initials: Y
authors.lastname: Hirooka
authors.forename: Hidemi
authors.initials: H
authors.lastname: Goto
mesh_terms: D000368:Aged; D053704:Capsule Endoscopy; D058582:Double-Balloon Enteroscopy; D006471:Gastrointestinal Hemorrhage / Q000175:diagnosis* / Q000209:etiology / Q000628:therapy; D006489:Hemostatic Techniques; D006801:Humans; D007077:Ileal Diseases / Q000150:complications / Q000175:diagnosis* / Q000628:therapy; D007090:Image Interpretation, Computer-Assisted; D008297:Male; D011237:Predictive Value of Tests; D012008:Recurrence; D013997:Time Factors; D016896:Treatment Outcome