Sa1640 Video Capsule Endoscopy and Double Balloon Enteroscopy in the Evaluation of Obscure Gastrointestinal Bleeding

antegrade approach). The average age of these patients was 83.5 years (Range 80-94 years). Indications and findings are described in the Table. The most common DBE indication was occult gastrointestinal bleeding (66%). The most common finding was non-bleeding mucosal vascular ectasias (42.6%). A therapeutic intervention (other than diagnostic biopsies) was performed in 134 (60%) procedures. Of the 137 patient’s a total of 114 (83.2%) of these had a capsule endoscopy prior to DBE. Correlation between findings of capsule endoscopy and DBE occurred in 78.9% (see Table). The overall diagnostic (pertinent positive findings) yield of DBE was 89.2%. The diagnostic yield of DBE for gastrointestinal bleeding (occult and overt) was 90.2%. There were no immediate (less than 48 hours) post-procedural complications. Conclusion: Capsule endoscopy has a very high correlation with DBE, and furthermore, DBE can be performed safely in the octogenarian patient population. Given these findings, in an elderly patient with positive findings on CE, DBE should be considered as the next appropriate diagnostic and therapeutic test.