Journal article

Value of fecal occult blood test as a screening test before capsule endoscopy

Marios Efthymiou, Patrick B Allen, Chatura Jayasekera, Paul V Taylor, Andrew CF Taylor

EUROPEAN JOURNAL OF GASTROENTEROLOGY & HEPATOLOGY | LIPPINCOTT WILLIAMS & WILKINS | Published : 2011

Abstract

BACKGROUND: The primary aim was to assess the value of immunochemical and guaiac fecal occult blood test (FOBT) as a screening test before capsule endoscopy (CE) in the setting of obscure gastrointestinal bleeding (OGIB). METHODS: A prospective study from the St Vincent's Hospital, a tertiary referral hospital in Melbourne, Australia. Sixty-eight patients referred for CE to investigate OGIB underwent two immunochemical/guaiac FOBTs within 2 weeks preceding CE. The correlation between a positive FOBT before CE and clinically significant findings (CSFs) on CE was assessed. RESULTS: Thirty of 68 (44%) patients with OGIB had significant findings on CE. The accuracy of a combined immunochemical a..

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