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Small bowel capsule endoscopy: Indications, results, and clinical benefit in a
University environment
#MMPMID29620627
Flemming J
; Cameron S
Medicine (Baltimore)
2018[Apr]; 97
(14
): e0148
PMID29620627
show ga
Capsule endoscopy (CE) opened a new method for visualization of the small
intestine. We here further explore its clinical implications.We retrospectively
analyzed the clinical benefit of CE in view of medical history, diagnostics, and
therapy. Our patient collective consisted of 203 patients. CE was investigated in
the context of bleeding, anemia, abdominal pain, diarrhea, Crohn's disease, and
suspected tumors.The study collective consisted of 118 male and 85 female
patients with a mean age of 58 years (range 8-90 years). Complete bowel transit
took place in 82% of the patients. The diagnostic yield in the detection of
obscure gastrointestinal bleeding was 80% and for anemia 78%. Mucosal lesions
were the most common finding (43%). Unclear abdominal pain had the lowest
diagnostic yield (41%). Ensuing therapeutic interventions were mostly medical
(66%), and to a minor extent surgical (4.4%) as well as endoscopic (4%).In
conclusion, small intestinal CE is a secure method to clarify small intestinal
diseases, especially obscure gastrointestinal bleeding, even in pre-operated
patients without stenosis symptoms. Our study emphasizes in a collective of
patients with extensive prior diagnostics that due to CE therapeutic measures
resulted in 73%.
|Academic Medical Centers
[MESH]
|Adolescent
[MESH]
|Adult
[MESH]
|Aged
[MESH]
|Aged, 80 and over
[MESH]
|Capsule Endoscopy/methods/*statistics & numerical data
[MESH]
free
free
free
