Your browser doesn't support javascript.
loading
Practice patterns and clinical significance of use of capsule endoscopy in suspected and established Crohn's disease
Intestinal Research ; : 467-474, 2017.
Artigo em Inglês | WPRIM | ID: wpr-197217
ABSTRACT
BACKGROUND/

AIMS:

Although the role of capsule endoscopy (CE) in Crohn's disease (CD) has expanded, CE is not used routinely for diagnosing and evaluating CD in Korea. We aimed to investigate current patterns of practice and evaluate the clinical significance of the use of CE in CD in Korean patients.

METHODS:

Among 651 CE procedures performed for various indications, we retrospectively analyzed the medical records of patients who underwent CE in 57 cases of suspected CD (sCD) and 14 cases of established CD (eCD).

RESULTS:

In the sCD group, CE was most commonly used for the initial diagnosis of CD (54.4%). Capsule retention was found in only 1 patient in the eCD group (1/71, 1.4%). In the sCD group, 28.1% of patients were diagnosed with CD on the basis of CE findings; other diseases diagnosed included tuberculous enteritis (7.0%), non-steroidal anti-inflammatory drug-induced enteropathy (5.3%), and other enteritis (17.5%). Only 11.5% of patients with eCD (14/122) underwent CE. The indication for CE in the 14 patients with eCD was to assess disease extent and activity. The overall diagnostic yield of CE was 59.7%. Therapeutic strategies were changed in 70.2% of patients in the sCD group and 50% of those in the eCD group based on CE findings.

CONCLUSIONS:

In clinical practice, CE was most commonly indicated for the initial diagnosis of CD and was not generally performed in patients with eCD. CE appears to be an effective diagnostic modality for evaluating sCD and is useful for determining therapeutic strategies for patients with sCD and those with eCD.
Assuntos

Texto completo: DisponíveL Índice: WPRIM (Pacífico Ocidental) Assunto principal: Doença de Crohn / Prontuários Médicos / Estudos Retrospectivos / Diagnóstico / Enterite / Endoscopia por Cápsula / Coreia (Geográfico) Tipo de estudo: Estudo diagnóstico / Estudo observacional Limite: Humanos País/Região como assunto: Ásia Idioma: Inglês Revista: Intestinal Research Ano de publicação: 2017 Tipo de documento: Artigo

Similares

MEDLINE

...
LILACS

LIS

Texto completo: DisponíveL Índice: WPRIM (Pacífico Ocidental) Assunto principal: Doença de Crohn / Prontuários Médicos / Estudos Retrospectivos / Diagnóstico / Enterite / Endoscopia por Cápsula / Coreia (Geográfico) Tipo de estudo: Estudo diagnóstico / Estudo observacional Limite: Humanos País/Região como assunto: Ásia Idioma: Inglês Revista: Intestinal Research Ano de publicação: 2017 Tipo de documento: Artigo