String capsule endoscopy: a novel application for the preoperative identification of a small-bowel obscure GI bleeding source (with video)

2011 ◽  
Vol 73 (2) ◽  
pp. 403-405 ◽  
Author(s):  
Bilal Khan ◽  
Francisco C. Ramirez ◽  
Masud Shaukat ◽  
Nooman Gilani ◽  
Deepa K. Shah
Keyword(s):  
Small Bowel ◽  
Capsule Endoscopy ◽  
Gi Bleeding ◽  
Bleeding Source

scholarly journals P169 Balloon enteroscopy in small bowel Crohn’s disease (CD) with suspected bleeding

2020 ◽  
Vol 14 (Supplement_1) ◽  
pp. S222-S222
Author(s):  
N M LAW
Keyword(s):  
Crohn’S Disease ◽  
Small Bowel ◽  
Crohn's Disease ◽  
Capsule Endoscopy ◽  
Therapeutic Intervention ◽  
Definitive Diagnosis ◽  
Gi Bleeding ◽  
Ileal Stricture ◽  
Single Operator ◽  
Small Bowel Bleeding

Abstract Background Deep enteroscopy with Single Balloon Enteroscopy (SBE) has been used in the evaluation of small bowel diseases and could be performed by a single operator. The role and safety of SBE in suspected small bowel CD with bleeding remained uncertain. Our primary aim was to evaluate the role of SBE in the management of suspected small bowel Crohn’s Disease (CD) with bleeding. The secondary aim was to find out whether SBE could provide definitive diagnosis and therapeutic intervention. Methods Hospitalised patients with iron deficiency anaemia (IDA) and/or overt GI bleeding were studied. All had prior negative oesophagogastro-duodenoscopy (OGD) and colonoscopy followed by single operator SBE. The indications were IDA in 28 patients, overt GI bleeding in 18 patients and IDA with abdominal pain and/or weight loss in 6 patients. Twenty and six patients had CT scan and capsule endoscopy done respectively with normal or unconfirmed small bowel lesions. Results Fifty-two patients with suspected small bowel bleeding were studied with mean age of 51 (range 20 -84) years. Small bowel Crohn’s disease were diagnosed in 7 patients with jejunal and ileal involvement in 2 and 5 patients respectively. All patients had subsequent histopathology confirmation from biopsies taken during the procedures. In addition, SBE allowed the retrieval of a stuck capsule scope in a patient with proximal ileal stricture. Repeated balloon dilatation through SBE was done successfully in one patient with distal ileal stricture without complication. Conclusion Small bowel Crohn’s disease was found in 21% of our patients with suspected small bowel bleeding. SBE is the preferred method of small bowel evaluation after negative upper and lower GI evaluation in this selected patients. Definitive diagnosis and targeted biopsies confirmed the diagnosis of CD as compared with radiological imaging and capsule endoscopy. SBE also provided safe therapeutic intervention in those patients with small bowel stricture from CD through endoscopic dilatation.

scholarly journals Analysis of Non-Small Bowel Lesions Detected by Capsule Endoscopy in Patients with Potential Small Bowel Bleeding

2016 ◽  
Vol 2016 ◽  
pp. 1-5 ◽  
Author(s):  
Fatma Ebru Akin ◽  
Oyku Tayfur Yurekli ◽  
Aylin Demirezer Bolat ◽  
Mustafa Tahtacı ◽  
Huseyin Koseoglu ◽  
...  
Keyword(s):  
Small Bowel ◽  
Capsule Endoscopy ◽  
Video Capsule Endoscopy ◽  
Gi Bleeding ◽  
Gastric Lesions ◽  
Male Ratio ◽  
Bleeding Lesion ◽  
Anastomotic Bleeding ◽  
Bowel Segments ◽  
Small Bowel Bleeding

Gastrointestinal (GI) bleeding cases in whom source cannot be identified after conventional upper and lower GI endoscopy are defined as potential small bowel bleeding. We aimed to search for lesions in the reach of conventional endoscopy in patients to whom video capsule endoscopy (VCE) had been applied for potential small bowel bleeding. 114 patients who had VCE evaluation for potential small bowel bleeding between January 2009 and August 2015 were retrospectively evaluated. Mean age of the patients was 55 ± 17 years. Female/male ratio is 39/75. In 58 patients (50.9%) bleeding lesion could be determined. Among these 58 patients 8 patients’ lesions were in the reach of conventional endoscopes. Overall these 8 patients comprised 7% of patients in whom VCE was performed for potential small bowel bleeding. Among these 8 patients 5 had colonic lesions (4 angiodysplasia, 1 ulcerated polypoid cecal lesion), 2 had gastric lesions (1 GAVE, 1 anastomotic bleeding), and 1 patient had a bleeding lesion in the duodenal bulbus. Although capsule endoscopy is usually performed for potential small bowel bleeding gastroenterologists should always keep in mind that these patients may be suffering from bleeding from non-small bowel segments and should carefully review images captured from non-small bowel areas.

Rapid alternating recorder exchange in capsule endoscopy allows early detection of bleeding source in acute GI bleeding of obscure origin

2005 ◽  
Vol 62 (6) ◽  
pp. 982-984 ◽  
Author(s):  
Robert Kodsi ◽  
Matthew Tangorra ◽  
Ira Mayer ◽  
Jian Jun Li ◽  
Scott Tenner
Keyword(s):  
Early Detection ◽  
Capsule Endoscopy ◽  
Gi Bleeding ◽  
Bleeding Source ◽  
Obscure Origin

Mo1558 Diagnostic Yield of CT Enterography in Evaluation of Obscure GI Bleeding in Comparison With Small Bowel Capsule Endoscopy in Clinical Practice

2014 ◽  
Vol 79 (5) ◽  
pp. AB483
Author(s):  
Hari P. Sayana ◽  
Heather Andrews ◽  
Aditya Gutta ◽  
Saiprasad Narsingam ◽  
Stephen Simon ◽  
...  
Keyword(s):  
Clinical Practice ◽  
Small Bowel ◽  
Capsule Endoscopy ◽  
Diagnostic Yield ◽  
Gi Bleeding ◽  
Ct Enterography

scholarly journals Non-steroidal anti-inflammatory drug-induced enteropathy as a major risk factor for small bowel bleeding

2020 ◽  
Author(s):  
Doo-Ho Lim ◽  
Kyoungwon Jung ◽  
Seung Bum Lee ◽  
In Kyu Park ◽  
Hee Jeong Cha ◽  
...  
Keyword(s):  
Small Bowel ◽  
Capsule Endoscopy ◽  
Diagnostic Yield ◽  
University Hospital ◽  
Deficiency Anemia ◽  
Gi Bleeding ◽  
Inflammatory Drug ◽  
Korean Patients ◽  
Common Etiology ◽  
Anti Inflammatory

Abstract Background: Small bowel (SB) bleeding accounts for 5% of all gastrointestinal (GI) bleeding cases and 80% of obscure GI bleeding cases. Although angioectasia is the common etiology of SB bleeding, nonsteroidal anti-inflammatory drug (NSAID)-induced SB lesions are also reported as a major cause in studies from Eastern countries. Herein, we assessed the frequency of occurrence of NSAID-induced SB lesions in Korean patients with obscure GI bleeding.Methods: We retrospectively analyzed medical records of all consecutive patients aged ≥18 years that underwent capsule endoscopy from March 2018 to February 2019 at Ulsan University Hospital and Kosin University Gospel Hospital.Results: Of the 83 subjects (all were Korean; mean age ± standard deviation: 59 ± 18 years; age range: 18–84 years; men: n=52; women: n=31), 55 (66.2%) had stools with clear blood and 28 (33.8%) had normal stools with iron deficiency anemia . The detection rate of SB bleeding and lesions using capsule endoscopy was 72.3% (60 of 83 patients). A significantly higher frequency (40 of 51) of ulcerative/erosive lesions than other causes was observed in patients with inactive bleeding but visible SB lesions. As a result, NSAID-induced enteropathy accounted for 41.7% (25 of 60) of all SB bleeding cases.Conclusions: Contrary to what is reported for patients in Western countries, this study in Korean patients showed an improved diagnostic yield of capsule endoscopy for obscure GI bleeding and that NSAID-induced enteropathy was the most common etiology of SB bleeding. Aggressive small intestine examination is required for patients with unexplained GI bleeding.

Non-steroidal anti-inflammatory drug-induced enteropathy as a major risk factor for small bowel bleeding: A retrospective study

2020 ◽  
Author(s):  
Doo-Ho Lim ◽  
Kyoungwon Jung ◽  
Seung Bum Lee ◽  
In Kyu Park ◽  
Hee Jeong Cha ◽  
...  
Keyword(s):  
Small Bowel ◽  
Capsule Endoscopy ◽  
Diagnostic Yield ◽  
University Hospital ◽  
Deficiency Anemia ◽  
Gi Bleeding ◽  
Inflammatory Drug ◽  
Korean Patients ◽  
Common Etiology ◽  
Anti Inflammatory

Abstract Background: Small bowel (SB) bleeding accounts for 5% of all gastrointestinal (GI) bleeding cases and 80% of obscure GI bleeding cases. Although angioectasia is the common etiology of SB bleeding, nonsteroidal anti-inflammatory drug (NSAID)-induced SB lesions are also reported as a major cause in studies from Eastern countries. Herein, we assessed the frequency of occurrence of NSAID-induced SB lesions in Korean patients with obscure GI bleeding. Methods: We retrospectively analyzed medical records of all consecutive patients aged ≥18 years who underwent capsule endoscopy from March 2018 to February 2019 at Ulsan University Hospital and Kosin University Gospel Hospital. Results: Of the 83 subjects (all Korean; mean age ± standard deviation: 59 ± 18 years; age range: 18–84 years; men: n=52; women: n=31), 55 (66.2%) had stool with clear blood and 28 (33.8%) had normal stool with iron deficiency anemia. The detection rate of SB bleeding and lesions using capsule endoscopy was 72.3% (60 of 83 patients). A significantly higher frequency (40 of 51) of ulcerative/erosive lesions than other causes was observed in patients with inactive bleeding but visible SB lesions. As a result, NSAID-induced enteropathy accounted for 30.1% of 83 patients with obscure GI bleeding (25 of the all 60 SB bleeding cases).Conclusions: Contrary to what is reported for patients in Western countries, this study in Korean patients showed an improved diagnostic yield of capsule endoscopy for obscure GI bleeding and that NSAID-induced enteropathy was the most common etiology of SB bleeding. Aggressive small intestine examination is required for patients with unexplained GI bleeding.

scholarly journals Wireless Capsule Endoscopy for Obscure Gastrointestinal Bleeding: Single Center, One Year Experience

2004 ◽  
Vol 18 (9) ◽  
pp. 559-565 ◽  
Author(s):  
Shou-jiang Tang ◽  
Dimitrios Christodoulo ◽  
Simon Zanati ◽  
Elena Dubcenco ◽  
Rima Petroniene ◽  
...  
Keyword(s):  
Capsule Endoscopy ◽  
Diagnostic Yield ◽  
Wireless Capsule Endoscopy ◽  
Gi Bleeding ◽  
Single Center ◽  
Push Enteroscopy ◽  
Bleeding Source ◽  
One Year ◽  
Wireless Capsule ◽  
Possible Cause

BACKGROUND:Wireless capsule endoscopy (CE) is increasingly being used in the investigation of obscure gastrointestinal (GI) bleeding, but some studies have found that many of the bleeding lesions recognized by this technique are within the reach of conventional endoscopy.METHODS:The results of CE performed in the authors' centre in a 12 month period for obscure GI bleeding were retrospectively reviewed.RESULTS:Of the 46 patients with obscure GI bleeding, CE found a definite or probable cause in 19 (41%) and a possible cause in another 10 (22%), with an overall diagnostic yield of 63%. One of these lesions was found to be within reach of conventional gastroscopy, two were within reach of push enteroscopy, four were within reach of colonoscopy and one was within reach of retrograde enteroscopy through a stoma. The percentage of patients with a bleeding source within reach of routine endoscopy but missed during pre-CE endoscopy was significantly higher for those patients having endoscopy only in the community (30% [eight of 27]) versus in the authors' centre (0% [zero of 19]).CONCLUSIONS:CE was valuable for diagnosing bleeding lesions not only within the small bowel, but also in the stomach and colon. However, 'second-look' endoscopy may be considered before ordering CE for obscure GI bleeding when local expertise is available.

scholarly journals Capsule Endoscopy: What We Know and What Is New in the Horizon

2019 ◽  
Vol 10 (02) ◽  
pp. 083-089
Author(s):  
Virender Chauhan ◽  
Amit Tanwar ◽  
Sandeep Nijhawan
Keyword(s):  
Small Bowel ◽  
Capsule Endoscopy ◽  
Clinical Evidence ◽  
Gi Bleeding ◽  
Recent Advances ◽  
Game Changer

AbstractCapsule endoscopy (CE) is an advancing noninvasive technology primarily meant for small-bowel visualization, which has expanded its scope and has become a game changer in evaluation and management of various gastrointestinal (GI) diseases with special emphasis on obscure GI bleeding. The aim of this review is to know the basic aspects of CE and recent advances with clinical evidence.

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