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Dig Liver Dis. 2004 Aug;36(8):519-22.

Wireless capsule video endoscopy compared to barium follow-through and computerised tomography in patients with suspected Crohn's disease--final report.

Author information

1
Department of Gastroenterology, Rambarn Medical Centre, Technion School of Medicine, Bat Galim, P.O.B. 9602, 31096 Haifa, Israel. r_eliakim@rambam.health.gov.il

Abstract

BACKGROUND:

Wireless capsule endoscopy is a superior diagnostic tool to barium small bowel follow-through and enteroscopy in diagnosing patients with occult blood loss.

AIM:

To compare capsule endoscopy with barium follow-through and entero-computerised tomography in patients with suspected Crohn's disease.

SUBJECTS AND METHODS:

Thirty-five patients with suspected Crohn's disease underwent the three examinations. The radiologist and gastroenterologist were blinded to each other's results. In cases of discrepancy, colonoscopy and ileoscopy were performed.

RESULTS:

Thirty-five patients (22 males), mean age 28.4 years, were included. Eighty-eight percent had abdominal pain, 83% had diarrhoea and 69% had weight loss. The diagnostic yield of capsule endoscopy was 77% versus 23% and 20% of barium and computerised tomography examinations, respectively (P < 0.05). The capsule detected all of the lesions diagnosed by barium follow-through and entero-computerised tomography.

CONCLUSIONS:

Capsule endoscopy is a superior and more sensitive diagnostic tool than barium follow-through and entero-computerised tomography in patients with suspected Crohn's disease.

PMID:
15334771
DOI:
10.1016/j.dld.2004.03.011
[Indexed for MEDLINE]

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