Capsule Endoscopy: A Single Centre Experience with the First 226 Capsules

Enns, Robert; Go, K.G.; Chang, Ha Kyun; Pluta, Kaja

doi:10.1155/2004/319195

Cited by 39 publications

(28 citation statements)

References 20 publications

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“…Enns et al (2) report the results of a study with 226 patients who underwent CE over a obscure bleeding in 74% of studies, and the second one was abdominal pain in 8%. In this casuistry, 85 patients (representing 51% of studies) presented abnormalities.…”

Section: Discussionmentioning

confidence: 99%

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

Freitas¹,

Teixeira²,

Feldman³

2011

Arq. Gastroenterol.

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-Capsule endoscopy is a diagnostic method of increasing use nowadays, with various applications such as, evaluation of obscure gastrointestinal bleeding, chronic diarrhea and anemia. The experience of 4 years is reported in a retrospective review of 109 medical records to determine the main indications and the most common diagnostic findings and the percentage of positive studies. The main indications were obscure bleeding in 65%, chronic anemia in 8%. Vascular lesions in 33%, being that, hematocistic spot was found in 53% of studies. The location of active bleeding was possible in five patients (4.5%). Capsule endoscopy shows a high diagnostic yield in obscure bleeding.

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Section: Discussionmentioning

confidence: 99%

“…CE was introduced in 2000, and until now more than 700 studies have been published. According to reports by the manufacturer (Given Imaging Ltd.), more than 650,000 examinations have been performed around the world (2) . CE is a method of increasing use in the diagnostic work-up of obscure gastrointestinal (GI) bleeding.…”

Section: Introductionmentioning

confidence: 99%

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

Freitas¹,

Teixeira²,

Feldman³

2011

Arq. Gastroenterol.

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“…Additionally, wireless capsule endoscopy has provided an improvement in the diagnosis of small-bowel diseases, although without therapeutic possibility. Enns et al 4 demonstrated that angiodysplasia occurs in approximately 61.2% of the cases of bleeding of unclear origin.…”

Section: Gastrointestinal Endoscopymentioning

confidence: 99%

Bleeding Angiodysplasia of the Major Duodenal Papilla - How Should It Be Handled?

Artifon

Sakai

Luz

et al. 2006

Clinics

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Angiodysplasia is characterized by degenerative vascular dilation of the capillary net in the absence of dysplastic tissue. On endoscopy, flat or slightly elevated, reddish, roundish or starry lesions are observed, measuring normally between 2 and 10 mm. Angiodysplasia is a frequent cause of unexplained upper gastrointestinal bleeding with significant morbidity. 1 It often occurs in the gastric antrum but may also occur in the duodenum and rarely in the esophagus. In the small bowel, it is the cause of unclear gastrointestinal bleeding in 30% to 40 % of the cases. 1,2 The incidence of this lesion increases with age. Diagnosis may be established by upper digestive endoscopy, scintigraphy with marked erythrocytes, selective angiography, and also by wireless endoscopy. We report a rare case of angiodysplasia of the major duodenal papilla in a patient with chronic iron deficiency anemia of unexplained etiology.A 76-year-old woman, Caucasian, with a history of weakness, asthenia, and myalgia, was investigated for chronic iron deficiency anemia. On physical examination she presented discolored mucosae, without other abnormalities. On a previously performed colonoscopy and upper digestive endoscopy, no lesions that might have caused anemia were seen. Scintigraphy with labelled red blood cells and arteriography did not show a hemorrhagic source of bleeding. Capsule endoscopy was performed, but no abnormality was found. Laboratory test results were as follows: Hb, 8.2 g/dL; Ht, 27.8%; MCV, 75 fL; platelet count, 150,000; PT 100% with INR equal to 1. Another upper digestive endoscopy was performed and showed a lesion with blood seepage in the second portion of the duodenum. Using a duodenoscope with lateral vision, a flat, roundish, reddish lesion of approximately 10 mm was observed on the major duodenal papilla, showing active oozing of blood, suggestive of a vascular lesion (Figure 1). Because the lesion occupied the apical third of the major duodenal papilla, endoscopic resection was elected (Figure 1).By means of papillectomy employing a 20-mm monofilament polypectomy snare, a cutting current of 45 W was used, followed by biliary papillotomy and placement of a 5Fr X 7 cm pancreatic plastic stent under fluoroscopic control, which was removed 3 weeks later. There were no complications from this procedure, and the patient was discharged within 2 days. Duodenoscopy, performed 60 days later, showed retraction of the resection bed with spontaneous drainage of clear bile.Histology revealed an angiodysplastic vascular lesion with predominance of duodenal papilla arteriolar vessels.

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“…unklare gastrointestinale Blutung zu nennen [4,5]. In etwa der Hälfte der Fälle mit der Fragestellung einer Dünndarmblutung kann die Blutungsquelle lokalisiert werden [4,5].…”

unclassified

“…unklare gastrointestinale Blutung zu nennen [4,5]. In etwa der Hälfte der Fälle mit der Fragestellung einer Dünndarmblutung kann die Blutungsquelle lokalisiert werden [4,5]. Bei der detaillierten Betrachtung der Kodierung müssen die Fälle mit Nachweis einer Blutungsquelle von denjenigen ohne Nachweis unterschieden werden, da sich unterschiedliche DRGs ergeben.…”

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Die Kapselendoskopie

Brechmann

Schmiegel

2009

Med Klin

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Capsule Endoscopy: A Single Centre Experience with the First 226 Capsules

Abstract: The yield of CE in carefully selected patients with obscure bleeding approximates 51%. There appear to be few complications, and patient satisfaction appears high. Cost analysis and further studies of clinical outcomes are required to elucidate appropriate indications for this device.

Cited by 39 publications

References 20 publications

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

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

Bleeding Angiodysplasia of the Major Duodenal Papilla - How Should It Be Handled?

Die Kapselendoskopie

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