The role of capsule endoscopy in the detection of small bowel disease

被引:0
作者
Vere, C. C. [1 ]
Rogoveanu, I. [1 ]
Streba, C. T. [1 ]
Popescu, A. [1 ]
Ciocalteu, A. [1 ]
Ciurea, T. [1 ]
机构
[1] Univ Med & Pharm Craiova, Dept Internal Med & Gastroenterol, Res Ctr Gastroenterol & Hepatol, Craiova 200349, Dolj, Romania
关键词
videocapsule endoscopy; obscure gastrointestinal bleeding; Crohn's disease; celiac disease; small bowel tumors; WIRELESS-CAPSULE; VIDEO CAPSULE; PUSH ENTEROSCOPY; DIAGNOSTIC MODALITIES; CELIAC-DISEASE; CROHNS-DISEASE; EXPERIENCE; YIELD; RECOMMENDATIONS; METAANALYSIS;
D O I
暂无
中图分类号
R61 [外科手术学];
学科分类号
摘要
Videocapsule endoscopy (VCE) can identify lesions in the small bowel which would otherwise be hard to detect. We have selected 53 patients with digestive symptoms in which upper and lower endoscopy had provided no findings. Patients were classified into three groups, based on their main indication for VCE exploration: group one - obscure gastrointestinal bleeding (OGIB); group two - unspecific abdominal symptoms; group 3 - monitoring of a prior known pathology. We found that VCE has high predictive values, sensibility and specificity in the diagnosis of OGIB. VCE was also useful in the detection and extent evaluation of lesions in Crohn's and celiac disease. VCE is also able to detect tumors of the small bowel with sufficient accuracy, and can be used to monitor patients with hereditary pre-malignant diseases such as FAP. There were few light adverse effects and no major complications. We conclude that VCE is a safe and effective procedure for the detection of small bowel lesions.
引用
收藏
页码:352 / 360
页数:9
相关论文
共 63 条
[1]   A prospective comparison of capsule endoscopy and push enteroscopy in patients with GI bleeding of obscure origin [J].
Adler, DG ;
Knipschield, M ;
Gostout, C .
GASTROINTESTINAL ENDOSCOPY, 2004, 59 (04) :492-498
[2]   Impact of capsule endoscopy on outcome in mid-intestinal bleeding:: a multicentre cohort study in 285 patients [J].
Albert, Joerg G. ;
Schuelbe, Romy ;
Hahn, Leonore ;
Heinig, Detlef ;
Schoppmeyer, Konrad ;
Porst, Heiner ;
Lorenz, Reinhard ;
Plauth, Mathias ;
Dollinger, Matthias M. ;
Moessner, Joachim ;
Caca, Karel ;
Fleig, Wolfgang E. .
EUROPEAN JOURNAL OF GASTROENTEROLOGY & HEPATOLOGY, 2008, 20 (10) :971-977
[3]   Capsule endoscopy and balloon-assisted endoscopy: competing or complementary technologies in the evaluation of small bowel disease? [J].
Alexander, Jeffrey A. ;
Leighton, Jonathan A. .
CURRENT OPINION IN GASTROENTEROLOGY, 2009, 25 (05) :433-437
[4]  
American Gastroenterological Assoc, 2000, GASTROENTEROLOGY, V118, P197, DOI 10.1016/S0016-5085(00)82840-1
[5]  
Bhinder F, 2002, GASTROENTEROLOGY, V122, pA345
[6]   Small Bowel Cancer in the United States Changes in Epidemiology, Treatment, and Survival Over the Lost 20 Years [J].
Bilimoria, Karl Y. ;
Bentrem, David J. ;
Wayne, Jeffrey D. ;
Ko, Clifford Y. ;
Bennett, Chales L. ;
Talamonti, Mark S. .
ANNALS OF SURGERY, 2009, 249 (01) :63-71
[7]   The role of video capsule endoscopy for evaluating obscure gastrointestinal bleeding: usefulness of early use [J].
Bresci, G ;
Parisi, G ;
Bertoni, M ;
Tumino, E ;
Capria, A .
JOURNAL OF GASTROENTEROLOGY, 2005, 40 (03) :256-259
[8]   A single-center experience of 260 consecutive patients undergoing capsule endoscopy for obscure gastrointestinal bleeding [J].
Carey, Elizabeth J. ;
Leighton, Jonathan A. ;
Heigh, Russell I. ;
Shiff, Arthur D. ;
Sharma, Virender K. ;
Post, Janice K. ;
Fleischer, David E. .
AMERICAN JOURNAL OF GASTROENTEROLOGY, 2007, 102 (01) :89-95
[9]   Capsule endoscopy retention: Is it a complication? [J].
Cheifetz, Adam S. ;
Lewis, Blair S. .
JOURNAL OF CLINICAL GASTROENTEROLOGY, 2006, 40 (08) :688-691
[10]  
CIRESI DL, 1995, AM SURGEON, V61, P698