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Scand J Gastroenterol. 2005 Mar;40(3):360-4.

Occult inflammatory small-bowel disease: not so occult anymore.

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Department of Gastroenterology, Bikur Cholim Hospital, Jerusalem, Israel.


Four cases are described in which reliance on small-bowel follow-through would have led to an incorrect diagnosis. In all cases, capsule endoscopy resulted in a diagnosis of inflammatory bowel disease, leading to successful treatment with mesalamine (PENTASA; Ferring Pharmaceuticals, Copenhagen, Denmark) and corresponding reductions in aphthous lesions on repeated capsule endoscopy. Based on our experience and a review of the literature, it is concluded that relying on a negative small-bowel follow-through examination to rule out small-bowel disease would be unfair to patients with suspected small-bowel disease.

[Indexed for MEDLINE]

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