The value of wireless capsule endoscopy in patients with complicated celiac disease
| Autor: | Moshe Rubin, Beverly Diamond, Peter H.R. Green, Andrea Culliford, Jeanine Daly |
|---|---|
| Rok vydání: | 2005 |
| Předmět: |
Adult
Male medicine.medical_specialty Abdominal pain Adenocarcinoma Malignancy Gastroenterology Severity of Illness Index Coeliac disease Endoscopy Gastrointestinal law.invention Capsule endoscopy law Internal medicine Intussusception (medical disorder) medicine Humans Telemetry Radiology Nuclear Medicine and imaging Prospective Studies Prospective cohort study Aged Aged 80 and over Anemia Iron-Deficiency Jejunal Neoplasms business.industry Reproducibility of Results Middle Aged medicine.disease digestive system diseases Abdominal Pain Celiac Disease Female medicine.symptom business Complication Follow-Up Studies |
| Zdroj: | Gastrointestinal endoscopy. 62(1) |
| ISSN: | 0016-5107 |
| Popis: | Background Celiac disease may be complicated by symptoms that raise the suspicion of small-intestinal malignancy. The objective is to evaluate wireless capsule endoscopy (WCE) in complicated celiac disease. Methods This is a prospective study at a university referral center. There were 47 patients. The indications for WCE were abdominal pain (57%), cancer surveillance (23%), blood in the stool, or persistent iron deficiency (19%). Results Findings were consistent with celiac disease in 87%: atrophy (68%), fissuring (62%), and mosaic pattern (19%), extending to the ileum in 34%. Unexpected findings were ulceration in 45% (n=21), cancer (1), polyps (1), stricture (1), submucosal mass (1), ulcerated nodular mucosa (2), and intussusception (1) were seen in 60%. Conclusions WCE has a high yield in complicated celiac disease, by identifying mucosal abnormalities and by excluding adenocarcinoma. |
| Databáze: | OpenAIRE |
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