scholarly journals Capsule Endoscopy for Suspected Small Bowel Bleeding in Patients with Portal Hypertension

2011 ◽  
Vol 9 (2) ◽  
pp. 129-138
Author(s):  
Gang Il Cheon ◽  
Jin Oh Kim ◽  
Sung Wook Hong ◽  
Seong Ran Jeon ◽  
Tae Hee Lee ◽  
...  
Keyword(s):  
Portal Hypertension ◽  
Small Bowel ◽  
Capsule Endoscopy ◽  
Small Bowel Bleeding

Rendimiento diagnóstico de la videocápsula endoscópica en el sangrado del intestino delgado manifiesto

2020 ◽  
Vol 50 (4) ◽  
Author(s):  
María Alejandra Arriola ◽  
Diana Valencia ◽  
Carolina Olano
Keyword(s):  
Small Bowel ◽  
Capsule Endoscopy ◽  
Diagnostic Yield ◽  
Laboratory Data ◽  
Increased Risk ◽  
Frequent Finding ◽  
Male Sex ◽  
Lower Endoscopy ◽  
Small Bowel Bleeding ◽  
Nonspecific Inflammation

Introduction. The small bowel capsule endoscopy is the first line procedure in patients with suspected small bowel bleeding. Data regarding overt suspected small bowel bleeding and its predictive factors remain still limited. Aim. To assess the diagnostic yield of the capsule endoscopy and the factors predicting positive findings in patients with overt suspected small bowel bleeding. Methods. Patients with overt suspected small bowel bleeding (melena or enterorrhagia) and negative upper and lower endoscopy were included. A positive diagnostic yield was considered when the capsule endoscopy diagnosed one or more P2 or P3 type lesions (Modified Saurin Classification) Demographic and laboratory data were recorded. Results. 79 patients were included (mean age 62.92 (15-89); F:M 46:33). The diagnostic yield of the capsule endoscopy was 62%. The most frequent finding was angioectasia (44.8%), followed by nonspecific inflammation/ulceration (20.4%). The multivariate analysis found that age older than 50 years and male sex were independent variables that were associated with an increased risk of positive findings and angioectasia. Conclusions. In this group of patients with overt suspected small bowel bleeding, the capsule endoscopy was useful (with a diagnostic yield of 62%). The most frequent lesions were the vascular ones. Age over 50 and male sex were independent predictors of finding lesions and angioectasia.

scholarly journals 630 Inpatient Capsule Endoscopy Does Not Lead to Increased Hospital Interventions in Stable Small Bowel Bleeding

2019 ◽  
Vol 114 (1) ◽  
pp. S367-S367
Author(s):  
Henry Jen ◽  
Leona Al Sayah ◽  
Daniel Sosa ◽  
Erin Taub ◽  
Farah Monzur
Keyword(s):  
Small Bowel ◽  
Capsule Endoscopy ◽  
Small Bowel Bleeding

Su1192 Predictors of Active Small Bowel Bleeding Warrant Early Capsule Endoscopy

2017 ◽  
Vol 85 (5) ◽  
pp. AB309
Author(s):  
Sara Monteiro ◽  
Pedro Boal Carvalho ◽  
Tiago Cúrdia Gonçalves ◽  
Maria João Moreira ◽  
Bruno Rosa ◽  
...  
Keyword(s):  
Small Bowel ◽  
Capsule Endoscopy ◽  
Small Bowel Bleeding

scholarly journals Aortoenteric fistula: a rare but critical cause of small bowel bleeding discovered on capsule endoscopy

2019 ◽  
Vol 12 (5) ◽  
pp. e230083
Author(s):  
Matt Davie ◽  
Diana E Yung ◽  
John N Plevris ◽  
Anastasios Koulaouzidis
Keyword(s):  
Small Bowel ◽  
Capsule Endoscopy ◽  
Abdominal Aortic Aneurysm Repair ◽  
Sudden Onset ◽  
Aortoenteric Fistula ◽  
Good Effect ◽  
Stent Grafting ◽  
Abdominal Aortic ◽  
History Of ◽  
Small Bowel Bleeding

A 78-year-old man attended for outpatient capsule endoscopy, to investigate a recent history of unexplained small bowel bleeding. His previous medical history included an abdominal aortic aneurysm repair 6 years ago. Soon after capsule ingestion, he experienced sudden onset abdominal pain and collapsed on hospital grounds. He was rapidly transferred to the emergency department as he was haemodynamically unstable, and a significant per rectum (PR) bleed was found on examination. The patient was quickly stabilised following fluid resuscitation. CT angiography was performed which did not show active bleeding. However, use of the real-time capsule viewer indicated a profuse active jejunal bleed originating from the aortic graft, suggestive of an aortoenteric fistula. The patient underwent emergency endovascular cuff placement, and subsequent endovascular abdominal aortic stent grafting, to good effect.

scholarly journals Capsule Endoscopy in the Investigation of Patients with Portal Hypertension and Anemia

2008 ◽  
Vol 22 (5) ◽  
pp. 469-474 ◽  
Author(s):  
Spyros Goulas ◽  
Konstantina Triantafyllidou ◽  
Stephanos Karagiannis ◽  
Panayiota Nicolaou ◽  
Petros Galanis ◽  
...  
Keyword(s):  
Portal Hypertension ◽  
Small Bowel ◽  
Capsule Endoscopy ◽  
Matched Control ◽  
Normal Liver ◽  
Portal Hypertensive Gastropathy ◽  
Endoscopic Techniques ◽  
Colonic Varices ◽  
Endoscopic Characteristics ◽  
Portal Hypertensive Enteropathy

INTRODUCTION: Data on small bowel abnormalities in patients with portal hypertension (PHT) are limited. Bleeding from the gastrointestinal tract and anemia are common complications in these patients. Capsule endoscopy (CE) was used to evaluate small bowel (SB) pathology in patients with PHT and anemia, and possible associations with various parameters were examined.METHODS: Thirty-five patients with PHT referred for CE investigation of the SB for anemia were prospectively enrolled in the study, as well as 70 age- and sex-matched control patients with anemia, normal liver function and no evidence of PHT who underwent CE.RESULTS: Findings compatible with portal hypertensive enteropathy (PHE) were detected in 65.7% of the patients and in 15.7% of the controls (χ2=26.641, P=0.000). Abnormalities in PHT patients included varices in 25.7%, diffuse changes of mucosa with inflammatory-like appearance in 42.9%, and angiodysplasias and/or spider angiomas in 22.9% of cases. The presence of PHE was significantly associated only with the presence of severe portal hypertensive gastropathy, while the presence of SB varices alone was significantly associated with the presence of severe portal hypertensive gastropathy, larger esophageal varices and the presence of colonic varices.CONCLUSIONS: Varices, diffuse changes of mucosa with inflammatory-like appearance, and angiodysplasias and/or spider angiomas are detected more often in patients with PHT than in controls, and probably constitute the endoscopic characteristics of PHE. CE of the SB added a significant number of likely important findings to those detected by conventional endoscopic techniques for the clinical management of patients with PHT and anemia.

Capsule endoscopy: Is the software TOP 100 a reliable tool in suspected small bowel bleeding?

2019 ◽  
Vol 51 (12) ◽  
pp. 1661-1664 ◽  
Author(s):  
Cátia Arieira ◽  
Sara Monteiro ◽  
Francisca Dias de Castro ◽  
Pedro Boal Carvalho ◽  
Bruno Rosa ◽  
...  
Keyword(s):  
Small Bowel ◽  
Capsule Endoscopy ◽  
Reliable Tool ◽  
Small Bowel Bleeding

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 Optimising the use of small bowel endoscopy: a practical guide

2019 ◽  
Vol 10 (2) ◽  
pp. 171-176 ◽  
Author(s):  
Stefania Chetcuti Zammit ◽  
David S Sanders ◽  
Mark E McAlindon ◽  
Reena Sidhu
Keyword(s):  
Small Bowel ◽  
Capsule Endoscopy ◽  
Diagnostic Yield ◽  
Concise Review ◽  
Small Bowel Tumours ◽  
Line Test ◽  
Meta Analyses ◽  
Small Bowel Endoscopy ◽  
Bowel Imaging ◽  
Small Bowel Bleeding

The wireless nature of capsule endoscopy offers patients the least invasive option for small bowel investigation. It is now the first-line test for suspected small bowel bleeding. Furthermore meta-analyses suggest that capsule endoscopy outperforms small bowel imaging for small bowel tumours and is equivalent to CT enterography and magnetic resonance enterography for small bowel Crohn’s disease. A positive capsule endoscopy lends a higher diagnostic yield with device-assisted enteroscopy. Device-assisted enteroscopy allows for the application of therapeutics to bleeding points, obtain histology of lesions seen, tattoo lesions for surgical resection or undertake polypectomy. It is however mainly reserved for therapeutics due to its invasive nature. Device-assisted enteroscopy has largely replaced intraoperative enteroscopy. The use of both modalities is discussed in detail for each indication. Current available guidelines are compared to provide a concise review.

scholarly journals 179 MULTICENTER PROSPECTIVE CASE-CROSSOVER STUDY ON THE ASSOCIATION BETWEEN OVERT SMALL-BOWEL BLEEDING AND DRUGS USING CAPSULE ENDOSCOPY DATABASE IN JAPAN

2018 ◽  
Vol 87 (6) ◽  
pp. AB64-AB65
Author(s):  
Naoki Ohmiya ◽  
Shunji Fujimori ◽  
Masanao Nakamura ◽  
Atsuo Yamada ◽  
Shiro Oka ◽  
...  
Keyword(s):  
Small Bowel ◽  
Crossover Study ◽  
Capsule Endoscopy ◽  
Case Crossover ◽  
Small Bowel Bleeding
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