Capsule endoscopy in clinical practice: four years of experience from a single center

Freitas, Gustavo Pignaton de; Teixeira, Newton; Feldman, Gregorio

doi:10.1590/s0004-28032011000300013

Cited by 5 publications

(3 citation statements)

References 5 publications

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“…On the contrary, some suspected Crohn’s diseases were found to be normal after VCE examination. This result was similar to a previous report as 12.5% of patients who underwent VCE (n=109) had Crohn’s disease, among all who had diarrhea (n=8) 14. VCE could diagnose small bowel Crohn’s disease in nearly one third of patients with symptoms of Crohn’s inconclusive diagnosis by conventional methods 15.…”

Section: Discussionsupporting

confidence: 89%

Diagnostic Yield and Clinical Impact of Video Capsule Endoscopy in Patients with Chronic Diarrhea: A Korean Multicenter CAPENTRY Study

et al. 2017

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Background/AimsIn some cases, chronic diarrhea is unexplained, and small bowel disorders may be one of the causes. The aim of this study was to assess the diagnostic yield and clinical impact of video capsule endoscopy (VCE) in patients with chronic diarrhea.MethodsWe retrospectively analyzed records from October 2002 to August 2013 in the VCE nationwide database registry (n=2,964). Ninety-one patients from 15 medical centers (60 males and 31 females; mean age, 47±19 years) were evaluated for VCE as a result of chronic diarrhea.ResultsThe duration of chronic diarrhea was 8.3±14.7 months. The positive diagnostic yield of VCE was 42.9% (39/91). However, 15.4% (14/91) exhibited an inconsistent result, and 41.8% (38/91) were negative. Abnormal findings consistent with chronic diarrhea included erosions/aphthous ulcers (19.8%), ulcers (17.6%), mucosal erythema (3.3%), edema (1.1%), and luminal narrowing (1.1%). The most common diagnoses were functional diarrhea associated with irritable bowel syndrome in 37 patients (40.7%) and Crohn’s disease in 18 patients (19.8%). After VCE examination, the diagnosis was changed in 34.1% of the patients (31/91). Hematochezia (odds ratio [OR], 8.802; 95% confidence interval [CI], 2.126 to 36.441) and hypoalbuminemia (OR, 4.811; 95% CI, 1.241 to 18.655) are predictive factors of a positive diagnostic yield.ConclusionsVCE had a favorable diagnostic yield and clinical impact on the management of patients with chronic diarrhea.

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Section: Discussionsupporting

confidence: 89%

Diagnostic Yield and Clinical Impact of Video Capsule Endoscopy in Patients with Chronic Diarrhea: A Korean Multicenter CAPENTRY Study

et al. 2017

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“…In the last years, with technological advances, several methods have been developed for imaging the small bowel. Nowadays, capsule endoscopy (3) and double-balloon enteroscopy (4) may be mentioned, but are expensive methods and are not widely available in Brazil. Computed tomography (CT) or magnetic resonance (MRI) enterography and enteroclysis combine the advantages of conventional radiological methods with those of sectional methods, i.e., luminal distention associated with multiplanar visualization of the whole abdominal and pelvic cavity without images overlapping.…”

Section: Editorialmentioning

confidence: 99%

Contrastes orais neutros para enterografia por tomografia computadorizada

Parente¹

2012

Radiol Bras

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“…When upper endoscopy and colonoscopy fail to find a bleeding focus, further investigations are recommended [3]. Capsule endoscopy is the most valuable modality for OGIB diagnosis [4][5][6]. In a previous report, it has been clarified that the high diagnostic yield of capsule endoscopy supports its role as the firstline investigation in patients with OGIB [7].…”

Section: Introductionmentioning

confidence: 99%

Clinical features of obscure gastrointestinal bleeding undergoing capsule endoscopy: A retrospective cohort study

et al. 2022

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Background Capsule endoscopy has been widely used to investigate obscure gastrointestinal bleeding (OGIB) in the small intestine since its approval in 2001. However, the clinical features of OGIB remain unclear. Aim We retrospectively examined the clinical features and risk factors of OGIB in patients who underwent capsule endoscopy in our hospital. Methods We included 420 of the 431 patients who underwent capsule endoscopy from June 2014 to May 2021, in whom the small intestine could be observed. We retrospectively compared the clinical features and treatment of OGIB cases, with or without active small bowel bleeding (n = 173), with other cases (n = 247). Patient sex, age, diabetes mellitus, and heart failure histories were matched for the analysis. Results The male/female ratio was 247/173 and the average age was 51.54 years. In multivariate analysis, the use of direct oral anticoagulants was significant (P = 0.016), and vascular lesions (P = 0.018) were observed in OGIB cases. When OGIB cases with and without active small bowel bleeding were compared, serum albumin level was lower in cases with active bleeding (P = 0.031). When treatment of OGIB cases were compared, those without vascular lesions could be treated conservatively (P = 0.0047). In the 1:1 propensity score matching analysis, serum creatinine level was elevated in cases of active bleeding (P = 0.029), and cases without vascular lesions were treated conservatively (P = 0.010). Conclusions Use of direct oral anticoagulants is frequently associated with OGIB. OGIB patients without vascular lesions may be treated conservatively.

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Capsule endoscopy in clinical practice: four years of experience from a single center

Cited by 5 publications

References 5 publications

Diagnostic Yield and Clinical Impact of Video Capsule Endoscopy in Patients with Chronic Diarrhea: A Korean Multicenter CAPENTRY Study

Diagnostic Yield and Clinical Impact of Video Capsule Endoscopy in Patients with Chronic Diarrhea: A Korean Multicenter CAPENTRY Study

Contrastes orais neutros para enterografia por tomografia computadorizada

Clinical features of obscure gastrointestinal bleeding undergoing capsule endoscopy: A retrospective cohort study

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