Diagnostic yield of wireless capsule enteroscopy in comparison with computed tomography enteroclysis

Détails

ID Serval
serval:BIB_0A2CBAA3C97F
Type
Article: article d'un périodique ou d'un magazine.
Collection
Publications
Institution
Titre
Diagnostic yield of wireless capsule enteroscopy in comparison with computed tomography enteroclysis
Périodique
Endoscopy
Auteur⸱e⸱s
Voderholzer  W. A., Ortner  M., Rogalla  P., Beinholzl  J., Lochs  H.
ISSN
0013-726X (Print)
Statut éditorial
Publié
Date de publication
12/2003
Volume
35
Numéro
12
Pages
1009-14
Notes
Comparative Study
Journal Article --- Old month value: Dec
Résumé
BACKGROUND AND STUDY AIMS: It is still difficult to visualize changes in the small intestine. Wireless capsule enteroscopy is a new method that promises to provide new insights into the small intestine. In a prospective study, the diagnostic yield of wireless enteroscopy was therefore compared with computed tomography (CT) enteroclysis. PATIENTS AND METHODS: Twenty-two patients with suspected small-bowel pathology underwent CT enteroclysis and wireless capsule enteroscopy examinations, conducted by two independent blinded investigators. The results of the two investigations (diagnoses and the number, extent, and location of lesions detected) were compared by a third investigator. RESULTS: The patients included in the study had obscure gastrointestinal bleeding (n = 8), Crohn's disease (n = 8), unexplained diarrhea (n = 5), or suspected carcinoid tumor (n = 1). Pathological lesions were detected using capsule enteroscopy in 13 patients (59 %) and using CT enteroclysis in eight (36 %; P = 0.12). In seven patients (one case each of colonic Crohn's disease, diverticulitis, Meckel's diverticulum, carcinoid tumor, mesothelioma, colonic polyps, and irritable bowel syndrome), no pathological changes were found in the small intestine using either method. The diagnosis was established by wireless capsule enteroscopy in four patients with obscure bleeding, whereas CT enteroclysis was positive in only one patient ( P = 0.1). Crohn's disease was found in two patients with unexplained diarrhea. Small-bowel lesions were identified in six patients with known Crohn's disease using capsule enteroscopy or CT enteroclysis. The only side effect of wireless capsule enteroscopy observed was abdominal pain in one patient with Crohn's disease. There were no serious side effects with CT enteroclysis. CONCLUSIONS: Wireless capsule enteroscopy detects more small-bowel lesions than CT enteroclysis in patients with obscure gastrointestinal bleeding and Crohn's disease.
Mots-clé
Adolescent Adult Aged Aged, 80 and over Crohn Disease/diagnosis Endoscopy, Gastrointestinal/*methods Female Gastrointestinal Hemorrhage/etiology Humans Intestinal Diseases/*diagnosis Male Middle Aged Tomography, X-Ray Computed/*methods
Pubmed
Web of science
Création de la notice
25/01/2008 16:08
Dernière modification de la notice
20/08/2019 12:32
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