ABSTRACT
INTRODUCTION: the capsule endoscopy (CE), from his approval, has become a first line diagnostic procedure for the study of the small bowel disease. The aim of this study is to report our experience since the implantation of this technique in our hospital. MATERIAL AND METHODS: retrospective review of the CE undertaken in Department of Endoscopy. There was gathered in every case the age, sex, motive of consultation, previous diagnostic procedures, capsule endoscopy findings and complication of the technique. One took to end a descriptive and analytical analysis. RESULTS: there was achieved a total of 416 explorations in 388 patients. The obscure gastrointestinal bleeding was the most frequent indication (83.30%) followed by suspected Crohn s disease (7.5%). Angiodisplasia was the endoscopic lesion more frequently detected (42.2%), especially, in patients with digestive bleeding of obscure origin (OR 3.13 p < 0.001), followed by the flebectasia (10.6%) and the ulcer suspicious of Crohn s disease (9.9%). The global diagnostic yield as for the detection of injuries was 77.34% with a case of "not defecation of the capsule" and therefore need of laparotomy. CONCLUSIONS: the capsule endoscopy is a technique consolidated and as his potential is known, his indications are extended. The obscure gastrointestinal bleeding is the most frequent indication and the angiodisplasia the most identified injury. Once known his diagnostic yield, larger studies are needed that assess the influence of capsule endoscopy on clinical outcoumes.
Subject(s)
Capsule Endoscopy , Capsule Endoscopy/adverse effects , Female , Humans , Male , Middle Aged , Retrospective StudiesABSTRACT
Introducción: la cápsula endoscópica desde su aprobación seha convertido en un procedimiento diagnóstico de primera líneapara el estudio del intestino delgado. El objetivo del estudio es exponerla experiencia desde la implantación de esta técnica ennuestro hospital.Material y métodos: se hizo una revisión retrospectiva de losestudios realizados en el Servicio de Endoscopia. Se recogió encada caso la edad, sexo, motivo de consulta, procedimientos diagnósticosprevios, diagnósticos endoscópicos e incidencias inherentesa la técnica y se llevó a cabo un análisis descriptivo y analítico.Resultados: se realizaron un total de 416 exploraciones en388 pacientes. La hemorragia digestiva de origen oscuro fue la indicaciónmás frecuente (83,30%) seguida de la sospecha de enfermedadde Crohn (7,5%). La angiodisplasia fue la lesión endoscópicamás detectada (42,2%) cuando se analizó la hemorragiadigestiva oscura (OR 3.13 p < 0,001) seguida de la flebectasia(10,6%) y las úlceras sugerentes de enfermedad de Crohn (9,9%).La rentabilidad global en cuanto a la detección de lesiones fue del77,34% con un caso de no defecación de la cápsula y por lotanto de necesidad de laparotomía.Conclusiones: la cápsula endoscópica es una técnica consolidaday a medida que se conoce su potencial, se van ampliando susindicaciones. La hemorragia digestiva de origen oscuro es la indicaciónmás frecuente y la angiodisplasia la lesión más identificada.Una vez conocida su eficacia diagnóstica se hace necesario determinarmediante estudios a gran escala y con metodología precisala rentabilidad clínica de la misma
Introduction: the capsule endoscopy (CE), from his approval,has become a first line diagnostic procedure for the study of thesmall bowel disease. The aim of this study is to report our experiencesince the implantation of this technique in our hospital.Material and methods: retrospective review of the CE undertakenin Department of Endoscopy. There was gathered inevery case the age, sex, motive of consultation, previous diagnosticprocedures, capsule endoscopy findings and complication ofthe technique. One took to end a descriptive and analytical analysis.Results: there was achieved a total of 416 explorations in388 patients. The obscure gastrointestinal bleeding was the mostfrequent indication (83.30%) followed by suspected Crohn's disease(7.5%). Angiodisplasia was the endoscopic lesion more frequentlydetected (42.2%), especially, in patients with digestivebleeding of obscure origin (OR 3.13 p < 0.001), followed by theflebectasia (10.6%) and the ulcer suspicious of Crohn´s disease(9.9%). The global diagnostic yield as for the detection of injurieswas 77.34% with a case of not defecation of the capsule andtherefore need of laparotomy.Conclusions: the capsule endoscopy is a technique consolidatedand as his potential is known, his indications are extended.The obscure gastrointestinal bleeding is the most frequent indicationand the angiodisplasia the most identified injury. Once knownhis diagnostic yield, larger studies are needed that assess the influenceof capsule endoscopy on clinical outcoumes
Subject(s)
Male , Female , Humans , Crohn Disease/diagnosis , Endoscopy/methods , Retrospective Studies , Endoscopes, Gastrointestinal , Occult Blood , Anemia, Iron-Deficiency/etiology , Angiodysplasia/diagnosisABSTRACT
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