Clinical Utility of Wireless Capsule Endoscopy: Experience With 200 Cases

@article{Tatar2006ClinicalUO,
  title={Clinical Utility of Wireless Capsule Endoscopy: Experience With 200 Cases},
  author={Eric L. Tatar and Eric Shen and Adam L. Palance and John Hoshyn Sun and Capecomorin S. Pitchumoni},
  journal={Journal of Clinical Gastroenterology},
  year={2006},
  volume={40},
  pages={140-144}
}
Goals: To evaluate the indications and diagnoses made with 200 small bowel capsule endoscopies in an academic medical center. Background: Wireless capsule endoscopy (PillCam SB) has recently become available as a new tool in the evaluation of patients with small bowel diseases. Its impact on patient care and usefulness in clinical practice has steadily been gaining ground, yet there are few studies that evaluate large numbers of patients. Methods: A retrospective review of wireless capsule… Expand
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References

SHOWING 1-10 OF 22 REFERENCES
Initial experience with wireless capsule enteroscopy in the diagnosis and management of inflammatory bowel disease.
  • W. Mow, S. Lo, +5 authors E. Vasiliauskas
  • Medicine
  • Clinical gastroenterology and hepatology : the official clinical practice journal of the American Gastroenterological Association
  • 2004
TLDR
Results of this preliminary study suggest that WCE is a novel and potentially clinically useful method of directly visualizing and diagnosing small-bowel lesions in patients with IBD that can be missed by traditional endoscopic and radiological procedures. Expand
Capsule endoscopy in the evaluation of patients with suspected small intestinal bleeding: Results of a pilot study.
TLDR
This pilot study demonstrates that capsule endoscopy provides excellent visualization of the small intestine, is well tolerated by patients, and is safe. Expand
Multicenter retrospective evaluation of capsule endoscopy in clinical routine.
TLDR
Wireless capsule endoscopy can be recommended as part of the routine work-up in patients with obscure bleeding or iron-deficiency anemia and in Patients with Crohn's disease, the method may be helpful in establishing or ruling out the diagnosis. Expand
Capsule endoscopy in real life: a four-centre experience of 160 consecutive patients in Israel
TLDR
Capsule endoscopy was of diagnostic value in patients with obscure bleeding, suspected Crohn's disease and malabsorption, but the diagnostic yield in Patients with chronic pain or irritable bowel syndrome-type symptoms was low. Expand
Capsule endoscopy: a single-centre experience with the first 226 capsules.
TLDR
The yield of CE in carefully selected patients with obscure bleeding approximates 51%. Expand
Capsule endoscopy in diagnosis of small bowel Crohn's disease.
TLDR
Wireless capsule endoscopy is effective in diagnosing patients with suspected Crohn's disease of the small bowel undetected by conventional diagnostic methods and can be used to detect early lesions in theSmall bowel of patients with CD. Expand
Diagnostic value of endoscopic capsule in patients with obscure digestive bleeding: blinded comparison with video push-enteroscopy.
TLDR
The use of the wireless endoscopy capsule detects significantly more clinically relevant intestinal lesions than video push-enteroscopy in patients with obscure digestive bleeding, raising the diagnostic yield to 67.2 %. Expand
Wireless capsule endoscopy: a comparison with push enteroscopy in patients with gastroscopy and colonoscopy negative gastrointestinal bleeding
TLDR
In this study capsule endoscopy was superior to push enteroscopy in the diagnosis of recurrent bleeding in patients who had a negative gastroscopy and colonoscopy, and was safe and well tolerated. Expand
The first prospective controlled trial comparing wireless capsule endoscopy with push enteroscopy in chronic gastrointestinal bleeding.
TLDR
In the present trial in patients with CGB, wireless CE had the highest diagnostic yield and was significantly superior to PE, suggesting CE can help reduce the number of diagnostic procedures and could become the initial diagnostic choice in patientswith CGB and negative upper and lower gastrointestinal endoscopy. Expand
Capsule endoscopy for the evaluation of patients with chronic abdominal pain.
TLDR
Capsule endoscopy did not seem to have any significant clinical value in the evaluation of patients with obscure chronic abdominal pain and was considered to be clinically insignificant. Expand
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