ABSTRACT
The article describes clinical observations of helminthiasis detection in 18 of 208 patients during video capsule endoscopy (VCE). Indications for the appointment of VCE were complex clinical situations associated with the search for inflammatory diseases of the small intestine and sources of small intestine bleeding. Because of the high cost of VCE the diagnosis of parasitic diseases should be based on laboratory techniques in clinical practice. Only in case of anemia of unknown etiology VCE demonstrates high efficiency.
Subject(s)
Capsule Endoscopy , Helminths , Animals , Gastrointestinal Hemorrhage , Humans , Intestine, SmallABSTRACT
The article provides a case of primary diagnosis of IgG4-related disease in a patient with Burkitt lymphoma.
Subject(s)
Burkitt Lymphoma/complications , Immunoglobulin G4-Related Disease/diagnosis , Autoimmune Diseases , Humans , Immunoglobulin G , PancreatitisABSTRACT
AIM: To clarify the indications for capsular endoscopy (CE) in patients with celiac disease. MATERIALS AND METHODS: The study included 10 patients with celiac disease (6 women, 4 men) aged 22 to 69 years. The median age was 42.4±17.5 years. The diagnosis of celiac disease established on the basis of histological examination of the mucous membrane (MM) of the duodenum and detection of antibodies to diaminononane peptide gliadin and to tissue transglutaminase. In three patients celiac disease was diagnosed for the first time, in others - in terms of 3 months to 2 years. CE was performed using a Given Imaging systems (Yokneam, Israel), Olympus (Japan), the obtained data were analyzed using Rapidr® Reade (version 7.0). The results of the endoscopy were compared with the data of 78 patients examined by us, in which the indicators conformed to the normal CE criteria. RESULTS: All patients with celiac disease showed characteristic endoscopic markers of atrophy from the small intestine: scallop, nodularity, decrease in height and number of folds. Paid attention to the mosaic of defeat in the form of "atrophy fields" against a background of slightly modified MM. Erosive-ulcerative lesions of the small intestine were found in 4 patients. CONCLUSION: Indications for the appointment of CE in patients with celiac disease is the lack of response to treatment, which is based on strict adherence to gluten-free diet, the assumption of erosive and ulcerative lesions MM of the small intestine and refractory form of the disease. CE makes it possible to establish the extent of atrophy from the small intestine, which allows you to use it to evaluate the effectiveness of treatment.
Subject(s)
Capsule Endoscopy , Celiac Disease , Adult , Aged , Celiac Disease/diagnosis , Diet, Gluten-Free , Duodenum , Female , Gliadin , Humans , Intestinal Mucosa , Male , Middle Aged , Young AdultABSTRACT
AIM: To estimate the value of video capsule endoscopy (VCE) in the diagnosis of small intestine (SI) diseases.. SUBJECTS AND METHODS: A total of 134 patients, including 72 (53.7%) women and 62 (46.3%) men whose mean age was 41.48±9.33 years. Group 1 included 73 patients who were examined using an algorithm for the diagnosis of SI diseases, 61 patients underwent VCE by the referrals handed in other healthcare facilities. RESULTS: In the patients of Group 1, pathological SI changes were revealed by VCE by almost 4 times more frequently than in those of Group 2. VCE provides a possibility of establishing the sources of bleeding, Crohn's disease, and other inflammatory diseases, which are inaccessible to other diagnostic methods. SI arteriovenous malformations, polyps, and diverticula, parasitic infections, and nonsteroidal anti-inflammatory drug-associated enteropathy may be causes of obscure SI bleeding and anemia. In celiac disease, VCE may estimate the extent of SI mucosal atrophy and reveal its disintegration as erosions and ulcers, which are inherent in its refractory form. CONCLUSION: VCE is a highly informative method for examining the SI, but, in view of the specific features of its performance and the high cost of hardware, VCE is recommended to be performed in accordance with the proposed diagnostic algorithm.
Subject(s)
Capsule Endoscopy , Intestinal Diseases/diagnosis , Intestine, Small , Adult , Algorithms , Crohn Disease , Female , Gastrointestinal Hemorrhage , Humans , Male , Middle AgedABSTRACT
The article describes the diffuse esophageal spasm which is not amenable to conservative treatment.
Subject(s)
Esophageal Spasm, Diffuse/diagnosis , Esophageal Spasm, Diffuse/parasitology , Esophageal Spasm, Diffuse/therapy , Adult , HumansABSTRACT
The clinical case of chronic post-hemorrhagic iron deficiency anemia in patients with large hiatal hernia is represented in this article.
