The role of capsule endoscopy in etiological diagnosis and management of obscure gastrointestinal bleeding

Intestinal research
Vikas PandeyPrabha Sawant

Abstract

To investigate the various etiologies, yields, and effects of capsule endoscopy (CE) on management and complications, along with follow up of patients with obscure gastrointestinal (GI) bleeding. The study group of patients included those having obscure, overt, or occult GI bleeding. The findings were categorized as (A) obvious/definitive, (B) equivocal, or (C) negative. Any significant alteration in patient management post CE in the form of drug or surgical intervention was noted. Total patients included in the study were 68 (48 males and 20 females). The ratio of male:female was 2.4:1. The age ranged between 16 years to 77 years. Mean age for males was 62±14 years, for females 58±16 years. The total yield of CE with definitive lesions was in 44/68 (65.0%) of patients. In descending order (A) angiodysplasia 16/68 (23.53%), (B) Crohn's disease 10/68 (14.70%), (C) non-steroidal anti-inflammatory drug enteropathy 8/68 (11.76%), (D) small bowel ulcers 4/68 (5.88%), (E) jejunal and ileal polyps 2/68 (2.94%), (F) intestinal lymphangiectasis 2/68 (2.94%), and (G) ileal hemangiomas 2/68 (2.94%) were followed. Equivocal findings 12/68 (17.65%) and negative study 12/68 (17.65%) was found. Complications in the form of capsule retention i...Continue Reading

References

Dec 22, 2007·Journal of Clinical Gastroenterology·Reena SidhuDavid S Sanders
Aug 31, 2010·Gastrointestinal Endoscopy·Laurel FisherJason A Dominitz
Dec 16, 2010·Journal of Gastroenterology and Hepatology·Christopher W TeshimaPeter B F Mensink
Dec 17, 2010·Medical Principles and Practice : International Journal of the Kuwait University, Health Science Centre·Panagiotis KatsinelosJannis Kountouras
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Oct 20, 2012·Gastrointestinal Endoscopy·Anastasios KoulaouzidisJohn N Plevris
Mar 22, 2013·World Journal of Gastrointestinal Endoscopy·Supot PongprasobchaiUdom Kachintorn

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Citations

Mar 15, 2020·Digestive Endoscopy : Official Journal of the Japan Gastroenterological Endoscopy Society·Genta UchidaMitsuhiro Fujishiro
May 17, 2017·Scandinavian Journal of Gastroenterology·S Chetcuti ZammitR Sidhu

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