title: Comparison of Capsule Endoscopy Findings to Subsequent Double Balloon Enteroscopy: A Dual Center Experience.
abstract: Background. There has been a growing use of both capsule endoscopy (CE) and double balloon enteroscopy (DBE) to diagnose and treat patients with obscure gastrointestinal blood loss and suspected small bowel pathology. Aim. To compare and correlate sequential CE and DBE findings in a large series of patients at two tertiary level hospitals in Wisconsin. Methods. An IRB approved retrospective study of patients who underwent sequential CE and DBE, at two separate tertiary care academic centers from May 2007 to December 2011, was performed. Results. 116 patients were included in the study. The mean age ± SD was 66.6 ± 13.2 years. There were 56% males and 43.9% females. Measure of agreement between prior capsule and DBE findings was performed using kappa statistics, which gave kappa value of 0.396 with P < 0.001. Also contingency coefficient was calculated and was found to be 0.732 (P < 0.001). Conclusions. Our study showed good overall agreement between DBE and CE. Findings of angioectasia had maximum agreement of 69%.
authors.affiliation: Division of Hospital Medicine, Department of Medicine, University of Wisconsin School of Medicine and Public Health, 1685 Highland Avenue, MFCB 3116, Madison, WI 53705, USA.
authors.forename: Amandeep S
authors.initials: AS
authors.lastname: Kalra
authors.affiliation: Division of Gastroenterology and Hepatology, Department of Medicine, University of Wisconsin School of Medicine and Public Health, 1685 Highland Avenue, MFCB 4223, Madison, WI 53705, USA.
authors.forename: Andrew J
authors.initials: AJ
authors.lastname: Walker
authors.affiliation: Division of Gastroenterology and Hepatology, Department of Medicine, University of Wisconsin School of Medicine and Public Health, 1685 Highland Avenue, MFCB 4223, Madison, WI 53705, USA.
authors.forename: Mark E
authors.initials: ME
authors.lastname: Benson
authors.affiliation: Division of Gastroenterology and Hepatology, Department of Medicine, University of Wisconsin School of Medicine and Public Health, 1685 Highland Avenue, MFCB 4223, Madison, WI 53705, USA.
authors.forename: Anurag
authors.initials: A
authors.lastname: Soni
authors.affiliation: Division of Gastroenterology & Hepatology, University of Wisconsin School of Medicine & Public Health, GI Associates-Aurora St. Luke's Medical Center, 2801 W Kinnickinnic River Pkwy, Suite 1030, Milwaukee, WI 53215, USA.
authors.forename: Nalini M
authors.initials: NM
authors.lastname: Guda
authors.affiliation: Department of Gynecology, Manipal College of Medical Sciences, Pokhara 33700, Nepal.
authors.forename: Mehak
authors.initials: M
authors.lastname: Misha
authors.affiliation: Division of Gastroenterology and Hepatology, Department of Medicine, University of Wisconsin School of Medicine and Public Health, 1685 Highland Avenue, MFCB 4223, Madison, WI 53705, USA.
authors.forename: Deepak V
authors.initials: DV
authors.lastname: Gopal