Su1339 CLINICAL UTILITY OF SMALL BOWEL CAPSULE ENDOSCOPY IN SUSPECTED CROHN’S DISEASE: A REFERENCE CENTER EXPERIENCE

ABSTRACT Common causes for obscure overt gastrointestinal bleeding originating from the small bowel include small bowel angioectasias, Crohn's disease, ulcers and tumors. In tropical countries, intestinal ulcerations secondary to tuberculosis and parasitic infestations have also been described as causes of gastrointestinal bleeding. We present a very unusual case of massive obscure overt gastrointestinal bleeding due to massive hookworm infestation of the small bowel that was diagnosed by capsule endoscopy and successfully treated with oral albendazole. How to cite this article Rao C, Sharma A, Rana SS, Bhauwala A, Singh S, Singh K, Bhasin DK. Massive Obscure Overt Gastrointestinal Bleed: An Unusual Cause diagnosed by Capsule Endoscopy. J Postgrad Med Edu Res 2012;46(1):37-39.

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P145 Small bowel capsule endoscopy for assessing the early postoperative recurrence of Crohn's disease: Correlation with the endoscopic score at 6 and 12 months in a prospective study

Journal of Crohn s and Colitis ◽

10.1016/s1873-9946(14)60267-1 ◽

2014 ◽

Vol 8 ◽

pp. S122

Author(s):

G. Condino ◽

E. Calabrese ◽

S. Onali ◽

E. Lolli ◽

M. Ascolani ◽

...

Keyword(s):

Crohn’S Disease ◽

Small Bowel ◽

Crohn's Disease ◽

Prospective Study ◽

Capsule Endoscopy ◽

Postoperative Recurrence ◽

Endoscopic Score ◽

A Prospective Study

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Capsule endoscopy in small bowel Crohn’s disease and Tuberculosis

Tropical Doctor ◽

10.1177/0049475516686542 ◽

2017 ◽

Vol 47 (2) ◽

pp. 113-118 ◽

Cited By ~ 4

Author(s):

Surinder Singh Rana ◽

Vishal Sharma ◽

Ravi Sharma ◽

Ritambhra Nada ◽

Rajesh Gupta ◽

...

Keyword(s):

Crohn’S Disease ◽

Gastrointestinal Tract ◽

Small Bowel ◽

Crohn's Disease ◽

Capsule Endoscopy ◽

Ileocecal Valve ◽

Final Diagnosis ◽

Diagnostic Challenge ◽

Large N ◽

Aphthous Ulcers

Differentiation of small bowel tuberculosis (SBTB) from Crohn’s disease (CD) is a diagnostic challenge. We studied 52 patients with suspected SBTB or CD with terminal ileal involvement, who were prospectively enrolled. After confirming patency of the gastrointestinal tract, 26 patients underwent capsule endoscopy (CE). A final diagnosis of CD was found in 18 patients and SBTB in eight patients. All SBTB patients had involvment of the ileocecal valve (ICV) with large (n = 6) and aphthous (n = 2) ulcers in the ileal segment. In CD, ICV involvement was seen in five (33%) patients. Large and aphthous ulcers were observed in seven (47%) and 15 (100%) patients, respectively. On comparison with CD, patients with SBTB had increased frequency of ICV involvement ( P = 0.002) and lesser frequency of aphthous ulcers ( P = 0.007). CE can help in differentiating CD from SBTB by the position of its involvement and the type of ulcers present.

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A Retrospective Evaluation of the Utility of Capsule Endoscopy and Double-Balloon Endoscopy in Crohn’s Disease

Gastroenterology Research and Practice ◽

10.1155/2016/1085027 ◽

2016 ◽

Vol 2016 ◽

pp. 1-7 ◽

Cited By ~ 4

Author(s):

Masanao Nakamura ◽

Yoshiki Hirooka ◽

Osamu Watanabe ◽

Takeshi Yamamura ◽

Kohei Funasaka ◽

...

Keyword(s):

Multivariate Analysis ◽

Differential Diagnosis ◽

Crohn’S Disease ◽

Small Bowel ◽

Crohn's Disease ◽

Capsule Endoscopy ◽

Balloon Dilation ◽

Retrospective Evaluation ◽

Double Balloon Endoscopy ◽

Double Balloon

Background. Although the usefulness of capsule endoscopy (CE) and double-balloon endoscopy (DBE) for the evaluation of Crohn’s disease (CD) is established, their capabilities in the differential diagnosis of small bowel stenosis have not been sufficiently addressed. The present study therefore aimed to retrospectively determine the types of patients for whom CE and DBE would confer the most benefit.Patients and Methods. We retrospectively reviewed data from 185 patients with established CD. A change of treatment based on CE or DBE results or successful DBE balloon dilation was defined as clinically useful indication. We then analyzed the factors significantly related to useful and poor indications.Results. CE results were assessed as useful indications in 28 (45%) of 62 patients. Multivariate analysis demonstrated that positive CRP and low IOIBD score are factors significantly related to a useful indication. DBE results were recognized as useful indications in 118 (77%) of 153 patients. Multivariate analysis indicated small bowel stenosis and abdominal pain as factors significantly associated with useful indications. All patients with a poor indication on CE had small bowel stenosis.Conclusions. CE was most useful for patients in clinical remission with positive CRP and without stenosis, whereas DBE was useful for patients with symptoms of stenosis.

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