WIRELESS CAPSULE ENDOSCOPY IN CLINICAL PRACTISE

I have been using the M2A Capsule Endoscopy for the last two and half years to diagnose patients with small bowel disease. With the help of CE, more patients suffering from a variety of symptoms-bleeding, chronic abdominal pain, chronic diarrhea, loss of weight, anemia-are being successfully diagnosed. CE aids diagnosis of a broad range of diseases of the small intestine including Chrohn’s disease, celiac disease and other malabsorption disorders, medication-related small bowel injury, as well as various pediatric small bowel disorders.

 

In the past, small bowel Chrohn’s Disease was difficult to diagnose through conventional tests such as small-bowel follow through and upper and lower endoscopy due to physical limitation in seeing the entire bowel. Today. There are many peer-review studies that evidence Capsule Endoscopy as the gold standard for confirming or ruling out small bowel Chrohn’s disease.

From July 2002 to August 2006 177 patients were investigated in our
Capsule Endoscopy Unit 94 male and 83 female, aged from 12 to 82. We
performed Capsule Endoscopy using M2A plus Capsule of GIVEN imaging.

Twenty six patients (26) were investigated with obscure bleeding. In 18 we had positive findings (88%) Angiodysplasia (8), Crohn’s (7), SMT (2), Erosions (1).

Suspicious findings in 5, (11%)  Crohn’s (2), Telangiectasia  (1), Bleeding  five ileocecal area (1), Fresh blood at ileum (1) Negative findings in (3).

Fifty two (52) patients were investigated for recurrent chronic diarrhea.
Capsule Endoscopy was diagnostic for Celiac disease in two of them with
histology confirmation. Thirty-five (35) had typical findings of Crohn’s disease.
Capsule Endoscopy was performed in 39 patients with recent diagnosed
Crohn’s colitis for staging of the disease. Mininal changes of Crohn’s were
diagnosed in 20 (small ulcerations at terminal ileum), typical ulceration
with skipping lesions in 3 in whom enteroclysis was negative.There was no
involvement of small intestine in 13 of them.
Capsule Endoscopy was perfomed in two patients with familial polyposis as
follow up after colectomy which revealed no lesion.

Wireless Capsule Endoscopy was well acceptable as a new reliable
not invasive method for investigation of small intestine in clinical
practise.