Asses and adequacy for diagnosis reported by the pathologist had been recorded andA included for evaluation. Immediate and delayed complications among days post process had been also recorded. Final results: individuals had been recruited (median age years, men); have been randomized to FNAC and to FNAB. Two have been excluded soon after randomization; no mass lesion was observed in patient randomized to FNAC plus the needle failed in patient within the FNAB group and FNAC was performed. A total of sufferers were analyzed,FNAC (G and G. Median lesion size mm,range mm) and FNAB (G and G. Median lesion size mm,range mm). There was no statistical considerable distinction in variety of passes (median ,range in the FNAC group vs. median ,range inside the FNAB group,p.),necessary time to acquire sufficient samples (median min,range min vs. median min,variety min,p.) and adequacy in the specimen for diagnosis vs. ,p.). Ponte,R. Pinho,A. Rodrigues,T. PintoPais,I. Ribeiro,J. Silva,J. Rodrigues,J. Carvalho Gastroenterology,Centro Hospitalar Vila Nova de GaiaEspinho,Vila Nova de Gaia,Portugal Stibogluconate (sodium) Contact E mail Address: ana.ilpontegmail Introduction: Capsule enteroscopy (CE) allows the evaluation of the entire small bowel,representing a vital tool inside the management of obscure gastrointestinal bleeding (OGIB),Nonetheless,the genuine influence of CE within the management of active overt OGIB (OOGIB) lacks proof. The aim of this study was to evaluate the diagnostic yield of CE and its therapeutic impact in patients with active OOGIB. Aims Solutions: In between April and January ,all sufferers with active OOGIB who underwent emergency CE within the initial hours just after a adverse esophagogastroduodenoscopy and ileocolonoscopy were incorporated. Extreme active OOGIB was classified as persistency of melena PubMed ID:https://www.ncbi.nlm.nih.gov/pubmed/23136856 or hematochezia despite an initial unfavorable endoscopic assessment,resulting in hemodynamic instability (systemic arterial stress mmHg and pulse beatsmin) andor the need for ! units of packed red blood cells (PRBC). Sufferers with active OOGIB not fulfilling the preceding criteria had been classified as mildtomoderate. Descriptive analysis was performed. Final results: individuals underwent emergency CE, were guys with a imply age of . years. The imply hemoglobin at admission was .. gdL and . (n) needed PRBC transfusion,using a mean variety of . units. OOGIB manifested with melena in . (n) of patients and with hematochezia in . (n) and was classified as severe in . (n) and as mildtomoderate in . (n). CE identified a lesion in . (n) sufferers with active OOGIB (n severe; n mildtomoderate) and identified the place of bleeding in . (n) of active OOGIB (n serious; n mildtomoderate),totaling a diagnostic yield of . in active OOGIB ( in serious; . in mildtomoderate). Findings integrated active bleeding (n); ulcers erosions (n); angiodysplasias (n); tumors (n); Meckels diverticulum (n); polyps (n); indicators of recent bleeding (n); varices (n). Additional diagnostic and therapeutic procedures had been performed in . individuals,like endoscopy in . ,surgery in ,endoscopysurgery in . ,endoscopyradiology in . ; radiologysurgery in . and radiology in . . Conclusion: The diagnostic yield of emergency CE was . ,establishing the diagnosis in . of your individuals and identifying the location of bleeding in more . ,resulting inside a distinct management in . of situations. This study highlights the significance of emergency CE in the diagnostic method and subsequent therapeutic management in active OOGIB. References . Lecleire S,IwanickiCaron I,DiFiore A,et al. Yield and imp.
