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| 1 | Negative capsule endoscopy in patients with obscure gastrointestinal bleeding reliable: Recurrence of bleeding on long-term follow-up显示文摘AIM: To assess the rate of recurrent bleeding of the small bowel in patients with obscure bleeding already undergone capsule endoscopy (CE) with negative results. METHODS: We reviewed the medical records related to 696 consecutive CE performed from December 2002 to January 2011, focusing our attention on patients with recurrence of obscure bleeding and negative CE. Evaluating the patient follow-up, we analyzed the recurrence rate of obscure bleeding in patient with a negative CE. Actuarial rates of rebleeding during follow-up were calculated, and factors associated with rebleeding were assessed through an univariate and multivariate analysis. A P value of less than 0.05 was regarded as statistically significant. The sensitivity, specificity, and positive and negative predictive values (PPV and NPV) of negative CE were calculated. RESULTS: Two hundred and seven out of 696 (29.7%) CE studies resulted negative in patient with obscure/overt gastrointestinal bleeding. Overall, 489 CE (70.2%) were positive studies. The median follow-up was 24 mo (range 12-36 mo). During follow-up, recurrence of obscure bleeding was observed only in 34 out of 207 negative CE patients (16.4%); 26 out of 34 with obscure overt bleeding and 8 out of 34 with obscure occult bleeding. The younger age (< 65 years) and the onset of bleeding such as melena are independent risk factors of rebleeding after a negative CE (OR = 2.6703, 95%CI: 1.1651-6.1202, P = 0.0203; OR 4.7718, 95%CI: 1.9739-11.5350, P = 0.0005). The rebleeding rate (CE+ vs CE-) was 16.4% vs 45.1% (χ 2 test, P = 0.00001). The sensitivity, specificity, and PPV and NPV were 93.8%, 100%, 100%, 80.1%, respectively. CONCLUSION: Patients with obscure gastrointestinal bleeding and negative CE had a significantly lower rebleeding rate, and further invasive investigations can be deferred. | Maria Elena Riccioni Riccardo Urgesi Rossella Cianci Gianluca Rizzo Luca D'Angelo Riccardo Marmo Guido Costamagna | 2013 | World Journal of Gastroenterology2013，19，28： | 14 |
| 2 | Effects of exercise traning on left ventricular filling at rest and during exercise in patitnes with ischemic cardimyopathy and severe left ventricular systolic dysfunction显示文摘 | Belardinelli R Georgiou D Cianci G | 1996 | Am Heart J1996，132，1： | 1 |
| 3 | Randomized, controlled trial of long-term moderate exercise training in chronic heart failure: effects on functional capacity,quality of life,and clinical outcome显示文摘 | Belardinelli R Georgion D Cianci G | 1999 | Circulation1999，99，9： | 1 |
| 4 | Brain and muscle express a unique alternative transcript of alpha Ⅱ spectrin 显示文摘 | Cianci CD Zhang Z Pradhan D | 1999 | Biochemistry1999，38，15： | 1 |
| 5 | 10-year exercise training in chronic heart failure:a randomized controlled trial显示文摘 | BELARDINELLI R GEORGIOU D CIANCI G | 2012 | J Am Coll Cardiol2012，60，16： | 1 |
| 6 | Targeting a binding pocket within the trimer-of-hairpins:small-molecule inhibition of vi-ral fusion显示文摘 | CIANCI C LANGLEY DR DISCHINO D D | 2004 | Proc Natl Acad Sci USA2004，101，15： | 1 |
| 7 | Feed intake and digestibility in camels and wheat straw and meadow hay 显示文摘 | CIANCI D GIO L HASHI A M | 2004 | J Camel Science2004，1，1： | 1 |
| 8 | Antimicrobial activity and chemical composition of essential oil from Sicilian aromatic plants显示文摘 | BIOND D CIANCI P GERACI C | 1993 | Flav Fragr J1993，，8： | 1 |
| 9 | High resolution spatial analysis of habitat preference of Aedes albopictu (Diptera: Culicidae) in an urban environment 显示文摘 | Cianci D Hartemink N Zeimes CB | 2015 | J Med Entomol2015，52，3： | 1 |
| 10 | Exercise training improves left ventricular diastolic filling in patients with dilated cardiomyopathy显示文摘 | Belardinelli R G eorgiou D Cianci G | | 0，，： | 1 |
| 11 | 10-year exercise training in chronic heart failure:a randomized controlled trial显示文摘 | Belardinelli R Georgiou D Cianci G | 2012 | J Am Coll Cardiol2012，60，16： | 1 |
| 12 | Estimating mosquito population size from mark release recapture data 显示文摘 | Cianci D Van den Broek J Capu*o 13 | 2013 | J Med Entomol2013，50，3： | 1 |
| 13 | Randomized,controlled trial of long-term moderate exercise training in chronic heart failure:effects on functional capacity,quality of life,and clinical outcome显示文摘 | Belardinelli R Georgiou D Cianci G | 1999 | Circulation1999，99，9： | 1 |
| 14 | Randomized,controlled trial of long-term moderate exercise training in chronic heart failure显示文摘 | Belardinelli R Georgiou D Cianci G | 1999 | Circulation1999，99，： | 1 |
| 15 | Brain maturation is delayed in infants with complex congenital heart defects 显示文摘 | Licht D J Shera DM CIancy RR | 2009 | Thorac Cardiovasc Surg2009，137，3： | 1 |
| 16 | Fabrica-tion of band-gap structures in planar nonlinear waveguides forsecond harmonic generation显示文摘 | FOGLIETTI V CIANCI E PEZZETTA D | 2003 | Microelectronic Enginee-ring2003，6768，1： | 1 |
| 17 | Antimicrobial activity and chemical composition of essential oils from silican aromatic plants 显示文摘 | Biondi D Cianci P Geraci C | 1993 | Flavor Fragrance1993，8，6： | 1 |
| 18 | Effects of exercise training on left ventricular filling at rest and during exercise in patients with ischemic cardiomyopathy and severe left ventricular systolic dysfunction显示文摘 | Belardinelli R Georgiou D Cianci G Purcaro A | | 0，，： | 1 |
| 19 | Randomized controlled trial of long term moderate exercise training in chronic heart failure: effect on functional capacity, quality of life, and clinical out-come显示文摘 | BELARDINELLI R GEORGIOU D CIANCI G | 1999 | Circulation1999，99，： | 1 |
| 20 | Randomized,controlledtrial of long-term moderate exercise training in chronic heart failure:effects on functional capacity,quality of life,and clinical outcome显示文摘 | Belardinelli R Georgiou D Cianci G | 1999 | Circulation1999，99，： | 1 |
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