Mucosal Changes in the Small Intestines in Portal Hypertension: First Study Using the Pillcam SB3 Capsule Endoscopy System
Clinical Endoscopy
;
: 563-569, 2018.
Article
in English
| WPRIM
| ID: wpr-717971
ABSTRACT
BACKGROUND/AIMS:
To evaluate patients with portal hypertension (PH) of varied etiologies for portal hypertensive enteropathy (PHE) using the PillCam SB3 capsule endoscopy (CE) system.METHODS:
Consecutive patients with PH presenting with unexplained anemia and/or occult gastrointestinal bleeding were evaluated using the PillCam SB3 CE system. Abnormal findings were categorized as vascular or non-vascular. The patients with ongoing bleeding caused by PHE were treated. The correlation of the CE scores of PHE with the clinical, laboratory, and endoscopic features was determined.RESULTS:
Of the 43 patients included in the study, 41 (95.3%) showed PHE findings. These included varices (67.4%), red spots (60.5%), erythema (44.2%), villous edema (46.5%), telangiectasia (16.3%), and polyps (16.3%). The CE scores varied from 0 to 8 (mean±standard deviation, 4.09±1.8). Five patients (11.6%) showed evidence of ongoing or recent bleeding due to PHE. Three of these five patients underwent endotherapy, and one patient underwent radiological coil placement.CONCLUSIONS:
The PillCam SB3 CE system revealed a high prevalence of PHE in the patients with PH. Using this system, evidence of bleeding due to PHE was found in a small but definite proportion of the patients.
Full text:
Available
Index:
WPRIM (Western Pacific)
Main subject:
Polyps
/
Telangiectasis
/
Varicose Veins
/
Fibrosis
/
Prevalence
/
Edema
/
Erythema
/
Capsule Endoscopy
/
Hemorrhage
/
Hydrogen-Ion Concentration
Type of study:
Prevalence study
Limits:
Humans
Language:
English
Journal:
Clinical Endoscopy
Year:
2018
Type:
Article
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