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.

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 Su1255 PREDICTORS FOR IDENTIFYING THE ETIOLOGY OF BLEEDING IN PATIENTS UNDERGOING VIDEO CAPSULE ENDOSCOPY (VCE) FOR SUSPECTED SMALL BOWEL BLEEDING

2018 ◽  
Vol 87 (6) ◽  
pp. AB299
Author(s):  
Neil B. Marya ◽  
Sonya Dasharathy ◽  
Adarsh M. Thaker ◽  
Jennifer Phan ◽  
M. Phillip Fejleh ◽  
...  
Keyword(s):  
Small Bowel ◽  
Capsule Endoscopy ◽  
Video Capsule Endoscopy ◽  
Small Bowel Bleeding

scholarly journals An Uncommon Cause of Small Bowel Bleeding from Appendiceal Carcinoma

2017 ◽  
Vol 11 (1) ◽  
pp. 250-255
Author(s):  
Teeranut Boonpipattanapong ◽  
Siriboon Attasaranya ◽  
Kanita Kayasut ◽  
Surasak Sangkhathat ◽  
Bancha Ovartlarnporn
Keyword(s):  
Small Bowel ◽  
Capsule Endoscopy ◽  
Disease Free Survival ◽  
Video Capsule Endoscopy ◽  
Disease Stage ◽  
Free Survival ◽  
Advanced Disease Stage ◽  
Single Balloon ◽  
Bowel Lesion ◽  
Small Bowel Bleeding

Massive hematochezia caused by a small bowel lesion is a rare entity. Currently, video capsule endoscopy and balloon-assisted enteroscopy are effective in identifying the source of small intestine bleeding. Herein, we report a case of small bowel bleeding caused by a nonmucinous appendiceal adenocarcinoma with ileal invasion which was detected by video capsule endoscopy and single-balloon endoscopy. Despite the advanced disease stage with hepatic and peritoneal metastases, as of September 2016 the patient has had 8 years’ disease-free survival after surgical resection and chemotherapy.

Video capsule endoscopy is safe and effective in suspected small bowel bleeding among left ventricular assist device recipients

2018 ◽  
Vol 41 (12) ◽  
pp. 833-837 ◽  
Author(s):  
David Itskoviz ◽  
Ben Ben Avraham ◽  
Hagar Banai ◽  
Irit Avni ◽  
Tuvia Ben Gal ◽  
...  
Keyword(s):  
Small Bowel ◽  
Left Ventricular Assist Device ◽  
Capsule Endoscopy ◽  
Ventricular Assist Device ◽  
Left Ventricular ◽  
Video Capsule Endoscopy ◽  
Assist Device ◽  
Ventricular Assist ◽  
Left Ventricular Assist ◽  
Small Bowel Bleeding

Introduction: Suspected small bowel bleeding is frequently encountered in left ventricular assist device recipients and the identification of the culprit lesion may be challenging. Data regarding the safety and yield of small bowel capsule in the investigation of suspected small bowel bleeding are limited. We aimed to evaluate the safety and efficacy of small bowel video capsule endoscopy for the investigation of suspected small bowel bleeding among left ventricular assist device recipients. Methods: Patients with left ventricular assist device who underwent video capsule endoscopy for the investigation of suspected small bowel bleeding were identified. Suspected small bowel bleeding was defined as the presence of overt bleeding at least 30 days following left ventricular assist device implantation with no identifiable cause in upper and lower endoscopy. Results: A total of 10 patients with left ventricular assist device associated suspected small bowel bleeding performed 12 small bowel capsule endoscopies between January 2008 and December 2015 at our tertiary medical care facility. There were no cases of capsule retention or any other serious adverse events during the exams. A significant finding was identified in 8 out of 10 patients, including 3 cases of small bowel angioectasia, 2 cases of small bowel ulcers, 1 case of cecal polyp, and 2 cases of active bleeding with no apparent bleeding source. Small bowel enteroscopy identified and treated bleeding angioectasia in the latter two cases. Conclusion: Small bowel capsule endoscopy is safe and effective in the investigation of left ventricular assist device associated suspected small bowel bleeding.

A Prospective Blinded Comparison of Video Capsule Endoscopy Versus Computed Tomography Enterography in Potential Small Bowel Bleeding

2017 ◽  
Vol 51 (7) ◽  
pp. 611-618 ◽  
Author(s):  
Julajak Limsrivilai ◽  
Sitthipong Srisajjakul ◽  
Supot Pongprasobchai ◽  
Somchai Leelakusolvong ◽  
Tawesak Tanwandee
Keyword(s):  
Computed Tomography ◽  
Small Bowel ◽  
Capsule Endoscopy ◽  
Video Capsule Endoscopy ◽  
Computed Tomography Enterography ◽  
Small Bowel Bleeding
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