Diagnostic yield and clinical impact of wireless capsule endoscopy in patients with chronic abdominal pain with or without diarrhea: A Greek multicenter study

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

“…However, weight loss, abdominal pain, anemia and positive inflammatory markers were not significant. These results were different from previous studies regarding chronic abdominal pain 9,17…”

“…Small bowel disease such as Crohn’s disease is an important cause for the evaluation of chronic diarrhea. To date, there have been few studies8,9 for the diagnostic role of VCE in patients with chronic diarrhea. Therefore, the aim of this study was to evaluate diagnostic yield and clinical impact of VCE patients in Korea.…”

Clinical Practice Guidelines for the Use of Video Capsule Endoscopy

“…Studies have shown that the diagnostic yield in patients who only have symptoms is lower than in patients who are positive for biomarkers (eg, CRP, erythrocyte sedimentation rate). [31][32][33][34][35] In an analysis of 72 patients with chronic abdominal pain without diarrhea, the diagnostic yield of CE was 66.7% in patients who were positive for inflammatory markers compared with 21.4% in those who were negative. 32 In patients with both abdominal pain and diarrhea the impact of inflammatory markers was even more striking, with the diagnostic yield being 90.1% in patients who were positive compared with 0% in those who were negative.…”

The role of small bowel capsule endoscopy and ileocolonoscopy in patients with nonspecific but suggestive symptoms of Crohn’s disease

“…Previous studies reported that SBCE had a low diagnostic yield [45][46][47][48][49] and limited value in patients undergoing investigation for chronic abdominal pain [50], although it can facilitate diagnosis in certain patients [51]. In our study, the highest diagnostic yield was achieved by SBCE in patients with both diarrhea and abdominal pain ( Table 2) (27.27%) compared with those with only abdominal pain (11.11%) or chronic diarrhea (9.52%), confirming previous observations.…”