Usefulness of capsule endoscopy in patients with suspected small bowel disease

医学 胶囊内镜 结肠镜检查 胃肠病学 腹痛 无症状的 内科学 胃肠道出血 腹泻 神秘的 内窥镜检查 贫血 憩室病 缺铁性贫血 外科 结直肠癌 病理 癌症 替代医学
作者
Ángel Caunedo,Manuel Rodríguez-Téllez,Josefa María García-Montes,Blas José Gómez-Rodríguez,Javier García Guerrero,Juan Manuel Herrerı́as,F Pellicer
出处
期刊:Revista Espanola De Enfermedades Digestivas [Sociedad Espanola de Patologia Digestiva (SEPD)]
卷期号:96 (1) 被引量:22
标识
DOI:10.4321/s1130-01082004000100003
摘要

To study the usefulness and safety of capsule endoscopy as a diagnostic tool in various small bowel disorders.A retrospective analysis of a series of cases.Between August 2001 and August 2002, 92 capsule endoscopy procedures were performed in 88 patients (53M/39F, age: 43.87 +/- 16.78). Indications included: chronic diarrhea (n=33); unknown abdominal pain (n=29); occult gastrointestinal bleeding or iron-deficiency anemia (n=13); abdominal discomfort in NSAID takers (n=7); staging of gastrointestinal tumors (n=4), and asymptomatic controls (n=2). Previously performed gastroscopy, colonoscopy, and small-bowel follow-through were not conclusive in all patients.Most frequently relevant findings included: jejuno-ileal aphtas and ulcerations (29 patients), vascular malformations (13 patients), and intestinal neoplasm (6 patients). The groups with a higher rate of findings related to this indication were occult gastrointestinal bleeding (76.92%) and chronic diarrhea (67.85%), with the lowest rate in the abdominal pain group (34.48%). Therapeutic strategy was directly changed in 36 of 88 patients (40.90%) because of capsule-endoscopic findings. The only observed complication was the failed excretion of one of the capsules because of an unknown ulcerated intestinal stricture.Capsule endoscopy is a safe procedure which can study the entire small bowel, meaning a valuable tool for the management of patients with suggestive signs and symptoms of intestinal disorders.

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