Abstract
5/2009
vol. 4
Original paper
Clinical utility of capsule endoscopy in small intestinal diseases, experience of single referral center with 125 cases
Przegląd Gastroenterologiczny 2009; 4 (5): 245–250
Online publish date: 2009/11/09
Aim: To evaluate the clinical utility of capsule endoscopy in diagnosing small bowel disease.
Material and methods: A retrospective review of 125 capsule endoscopy (CE) examinations from September 2003 to March 2009 was performed.
Results: The average patient age was 47.7 ±18.2 (min: 13, max: 97), 49 were female (39.2%). Indications for CE were obscure gastrointestinal bleeding (OGIB) (56.0% of cases), diarrhea (14.0%), abdominal pain (7.2%), other indications such as known Crohn’s disease, and surveillance for polyposis syndromes. The CE completely evaluated the entire small bowel in 92 patients (73.6%). Capsule endoscopy study was normal without any finding in 22.4% of patients. The overall diagnostic yield of capsule endoscopy was 74.4% (93/125). The diagnostic yield of obscure gastrointestinal bleeding by capsule endoscopy was 77.1%. No complication related to the capsule was observed.
Conclusions: Capsule endoscopy is safe and well tolerated diagnostic tool in the evaluation of small bowel diseases.
Material and methods: A retrospective review of 125 capsule endoscopy (CE) examinations from September 2003 to March 2009 was performed.
Results: The average patient age was 47.7 ±18.2 (min: 13, max: 97), 49 were female (39.2%). Indications for CE were obscure gastrointestinal bleeding (OGIB) (56.0% of cases), diarrhea (14.0%), abdominal pain (7.2%), other indications such as known Crohn’s disease, and surveillance for polyposis syndromes. The CE completely evaluated the entire small bowel in 92 patients (73.6%). Capsule endoscopy study was normal without any finding in 22.4% of patients. The overall diagnostic yield of capsule endoscopy was 74.4% (93/125). The diagnostic yield of obscure gastrointestinal bleeding by capsule endoscopy was 77.1%. No complication related to the capsule was observed.
Conclusions: Capsule endoscopy is safe and well tolerated diagnostic tool in the evaluation of small bowel diseases.
Keywords
capsule endoscopy, obscure gastrointestinal bleeding, OGIB, Crohn’s disease, celiac disease, intestinal mass, small intestinal polyps
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