Capsule endoscopy is safe and effective after small-bowel resection

Gastrointestinal Endoscopy
Giovanni D De PalmaGiovanni Persico

Abstract

Because capsule endoscopy is a relatively new technique, the indications, the contraindications, and the complications of the procedure have not been fully delineated. The present study was undertaken to determine the utility and the safety of capsule endoscopy in patients who have undergone small-bowel resection. Ten patients (mean age 48.5 [8.4] years) were included in the study. Eight had undergone surgical resection for Crohn's disease and two for malignancy. Indications for capsule endoscopy included suspected relapse of Crohn's disease or of malignancy, with a negative conventional evaluation that included barium contrast radiography, upper endoscopy, colonoscopy, US, CT, and push enteroscopy. Capsule endoscopy was performed in the standard fashion. No side effects were observed in any patient. Natural excretion of the capsule was reported at a mean of 72 hours. In 7 patients (70%), capsule endoscopy revealed recurrence of disease in the small bowel: one recurrent malignancy, 6 recurrent Crohn's disease. The information gained was helpful with respect to further treatment for all of these patients. Capsule endoscopy is safe and effective in the evaluation of patients who have undergone surgical resection of the small bowe...Continue Reading

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Citations

May 10, 2005·Clinical Gastroenterology and Hepatology : the Official Clinical Practice Journal of the American Gastroenterological Association·Gil Y Melmed, Simon K Lo
May 4, 2010·Japanese Journal of Radiology·Hideko OnodaIsao Sakaida
Jun 1, 2008·Journal of Crohn's & Colitis·Irit Chermesh, Rami Eliakim
Apr 29, 2006·Gastrointestinal Endoscopy Clinics of North America·Winfried A Voderholzer
Apr 29, 2006·Gastrointestinal Endoscopy Clinics of North America·Peter Legnani, Maria T Abreu
Jul 25, 2006·Gastrointestinal Endoscopy·Matthew M BaichiParvez S Mantry
May 6, 2008·Clinical Radiology·K SandrasegaranM V Chiorean
Apr 29, 2006·Gastrointestinal Endoscopy Clinics of North America·Ian Storch, Jamie S Barkin
Dec 18, 2008·The American Journal of Gastroenterology·Elaine ToyThomas Prindiville
Dec 29, 2007·Journal of Pediatric Gastroenterology and Nutrition·Wael El-Matary
Jul 17, 2009·Scandinavian Journal of Gastroenterology·Stefanos KaragiannisChristos Mavrogiannis
May 12, 2019·Digestive Diseases and Sciences·Hyun Seok LeeUNKNOWN Research Group for Capsule Endoscopy/Small Bowel Endoscopy

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