Capsule Endoscopy May Reclassify Pediatric Inflammatory Bowel Disease: A Historical Analysis

Cohen, Stanley A.; Gralnek, Ian M.; Ephrath, Hagit; Saripkin, L; Meyers, William C.; Sherrod, Olga; Napier, Angela; Gobin, Tamara

doi:10.1097/mpg.0b013e318160df85

Cited by 69 publications

(61 citation statements)

References 20 publications

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“…4 of 5 patients with UC and 1 of 2 patients with IC had their disease reclassified to CD based upon CE mucosal lesions. All of them had therapeutic changes made [7].…”

Section: The Application Of Ce To Eva-luate Small-bowel CDmentioning

confidence: 99%

“…Thus, though the difference between two prevalences of adults and childhood CD exist, the whole small-bowel examination is certainly needed for the definite diagnosis of the terminal ileal-only CD (L1). Moreover, because whether newly diagnosed small-bowel disease be existent in colonic CD (colon only or ileocolonic; L2 or L3 according to the Montreal classification) may change its treatment [6] and the newly diagnosed small-bowel disease may lead to reclassification inflammatory bowel disease (IBD) from ulcerative colitis (UC) or indeterminate colitis (IC) to definitive CD [7], it is very important for diagnosis of CD to evaluate the whole small-bowel. It is difficult to access to the small intestine by endoscope owing to its anatomical location and length.…”

Section: Introductionmentioning

confidence: 99%

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The Role of Capsule Endoscopy in the Diagnosis of Crohn's Disease

Rhee

2012

Pediatr Gastroenterol Hepatol Nutr

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The examination of small bowel in Crohn's disease (CD) is very important. Capsule endoscopy (CE) has been recognized as a good tool for evaluation of small bowel. The capsule placement is achieved endoscopically for Children not to swallow capsule. CE is superior to any other modalities for examination of small-bowel. The large portion of pediatric patients with known CD were found with CE to have more extensive and newly diagnostic small-bowel disease. All of them had therapeutic changes. The most side effect of CE is capsule retention. The capsule retention rate in pediatric CD is about 7.3%. The patency capsule helps to predict the possibility of capsule retention. For the improving of the diagnostic accuracy, the experience of more than 20 readings of CE is needed. (Pediatr Gastroenterol Hepatol Nutr 2012; 15: 8∼12)

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“…4 of 5 patients with UC and 1 of 2 patients with IC had their disease reclassified to CD based upon CE mucosal lesions. All of them had therapeutic changes made [7].…”

Section: The Application Of Ce To Eva-luate Small-bowel CDmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

The Role of Capsule Endoscopy in the Diagnosis of Crohn's Disease

Rhee

2012

Pediatr Gastroenterol Hepatol Nutr

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“…Interestingly, in 6/25 VCE-negative patients CD was diagnosed on a subsequent ileocolonoscopy with biopsies [42] . In a series of pediatric patients, 5/7 patients initially diagnosed as UC or IBDU were reclassified as having CD as a result of VCE findings [43] (Table 4).…”

Section: Vce In Unclassified Ibd and Ucmentioning

confidence: 99%

“…Cohen et al [43] IBDU 2 NA 1 (50), CD s/p IPAA Mow et al [40] Isolated colitis 6 > 3 ulcerations-diagnostic of CD, 1-2 ulcerations-suggestive of CD 3 (50)-definite CD, 2 (20), possible CD Mehdizadeh et al [41] Persistent symptoms after IPAA 21 > 3 ulcerations-diagnostic of CD, 1-2 ulcerations-suggestive of CD 7 (33%) SB findings Calabrese et al [47] Chronic pouchitis after IPAA 15 NA Gastric or SB lesions, 15 (100)…”

Section: (17) CDmentioning

confidence: 99%

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Role of capsule endoscopy in inflammatory bowel disease

Leighton

Legnani

Seidman

2007

Inflammatory Bowel Diseases

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Videocapsule endoscopy (VCE) has revolutionized our ability to visualize the small bowel mucosa. This modality is a valuable tool for the diagnosis of obscure small bowel Crohn's disease (CD), and can also be used for monitoring of disease activity in patients with established small-bowel CD, detection of complications such as obscure bleeding and neoplasms, evaluation of response to anti-inflammatory treatment and postoperative recurrence following small bowel resection. VCE could also be an important tool in the management of patients with unclassified inflammatory bowel disease, potentially resulting in reclassification of these patients as having CD. Reports on postoperative monitoring and evaluation of patients with ileal pouch-anal anastomosis who have developed pouchitis have recenty been published. Monitoring of colonic inflammatory activity in patients with ulcerative colitis using the recently developed colonic capsule has also been reported. Capsule endoscopy is associated with an excellent safety profile. Although retention risk is increased in patients with small bowel CD, this risk can be significanty decreased by a routine utilization of a dissolvable patency capsule preceding the ingestion of the diagnostic capsule. This paper contains an overview of the current and future WJG 20 th Anniversary Special Issues (3): Inflammatory bowel disease TOPIC HIGHLIGHTclinical applications of capsule endoscopy in inflammatory bowel disease.

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Video capsule endoscopy in inflammatory bowel disease

Swaminath

Legnani

Kornbluth

2010

Inflammatory Bowel Diseases

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Over the last 8 years, capsule endoscopy (CE) has revolutionized the visualization of the small bowel. In 2004 this journal published "Capsule endoscopy in IBD: past, present and future" Kornbluth et al [2004] Inflamm Bowel Dis 10:278-285). In this article we review advances since that time and discuss whether CE has achieved its potential and what remaining goals it can and should hope to achieve. In the 2004 article we listed a series of clinical questions to be answered with regard to the use of capsule endoscopy We review those questions that have been addressed in the intervening 5 years, and also update those topics for which information was available at the time of the initial article.

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Capsule Endoscopy May Reclassify Pediatric Inflammatory Bowel Disease: A Historical Analysis

Cited by 69 publications

References 20 publications

The Role of Capsule Endoscopy in the Diagnosis of Crohn's Disease

The Role of Capsule Endoscopy in the Diagnosis of Crohn's Disease

Role of capsule endoscopy in inflammatory bowel disease

Video capsule endoscopy in inflammatory bowel disease

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