Capsule endoscopy in clinical routine in patients with suspected disease of the small intestine: a 2-year prospective study

Scandinavian Journal of Gastroenterology
Gunnar QvigstadHelge L Waldum

Abstract

Capsule endoscopy is a promising method for examining the small intestine. The study was performed to evaluate the use of capsule endoscopy in clinical routine in patients with suspected disease of the small intestine. Consecutive patients with clinically suspected disease of the small intestine referred for capsule endoscopy between 1 January 2003 and 31 December 2004 were included in the study. All patients had previously completed a conventional diagnostic work-up with upper and lower endoscopy as well as abdominal CT scan or small-bowel enteroclysis. A total of 167 patients were referred during the time period and 195 procedures were performed. Seventeen (8.7%) of the procedures were unsuccessful, with no visualization of the small bowel. In the remaining procedures the caecum was reached in 83%. The reason for referral was gastrointestinal bleeding (30%), iron-deficiency anaemia (25%), abdominal pain (15%), diarrhoea (13%) and Crohn's disease (12%). Pathology was found in 27% of the patients, with the highest diagnostic yield in patients referred for Crohn's disease (60%) and the lowest yield (4%) in patients referred for abdominal pain. There were no complications, with the exception of one patient referred for Crohn's di...Continue Reading

References

May 27, 2003·The Medical Journal of Australia·André K H ChongPaul V Desmond
Aug 19, 2004·European Journal of Gastroenterology & Hepatology·Zvi FiremanEitan Scapa
Jan 13, 2005·Clinical Gastroenterology and Hepatology : the Official Clinical Practice Journal of the American Gastroenterological Association·David Y GrahamWaqar A Qureshi
Feb 11, 2005·Clinical Gastroenterology and Hepatology : the Official Clinical Practice Journal of the American Gastroenterological Association·Jay L GoldsteinUNKNOWN Investigators

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Citations

Oct 20, 2012·Gastrointestinal Endoscopy·Anastasios KoulaouzidisJohn N Plevris
Sep 2, 2008·The American Journal of Gastroenterology·Angelos A PapadopoulosSpiros D Ladas
Mar 16, 2007·Digestive Diseases and Sciences·Reena SidhuMark E McAlindon
Feb 29, 2008·Diseases of the Colon and Rectum·Jérémie H LefevreRolland Parc
Jul 9, 2008·Journal of Clinical Gastroenterology·Kassem BaradaPeter H Green
May 18, 2016·European Journal of Gastroenterology & Hepatology·Ioannis V MitselosEpameinondas V Tsianos
Aug 22, 2007·Scandinavian Journal of Gastroenterology·Chryssostomos KalantzisSpiros D Ladas

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