Early intervention with double balloon enteroscopy for higher yield for inpatient overt obscure gastrointestinal bleeding: A propensity matched analysis

Background and Aim Overt obscure gastrointestinal bleeding (OOGIB) is defined as continued with unknown source despite esophagogastroduodenoscopy (EGD) colonoscopy evaluation. Small bowel evaluation through video capsule endoscopy (VCE) or double balloon enteroscopy (DBE) often warranted. We studied the timing of DBE in hospitalized OOGIB patients regarding diagnostic yield, therapeutic GI rebleeding. Methods performed a retrospective review DBEs at tertiary medical center between November 2012 December 2020. The inclusion criterion was first admission for undergoing DBE. Those without previous EGD were excluded. Patients stratified into two groups: within 72 h (emergent) beyond (nonemergent). Propensity score matching used to adjust difference groups. Logistic regression analysis assess factors associated yield. Kaplan–Meir survival curve showed bleed-free following initial bleed compared using log rank test. Results A total 154 met criterion, which 62 had emergent 92 nonemergent propensity-score-matched sample consisted 112 patients, 56 each Univariate multivariable logistic significant association VCE yield (P < 0.05). Emergent increased those group = 0.009). Conclusion Our data demonstrate that during inpatient can impact overall rebleeding post