Capsule endoscopic features of Crohn's disease

D. Nageshwar Reddy, Arthur J. Kaffes, Sreeram Parupudi, G. Venkat Rao

Research output: Contribution to journalArticle

11 Citations (Scopus)

Abstract

Background: Crohn's disease (CD) is becoming increasingly recognized in Indian patients. As this disease often affects the small bowel, capsule endoscopy can help diagnose this disease and add valuable information regarding the extent of the disease. Our aim is to report our experience with the wireless capsule endoscope in patients with either known or suspected CD. Methods: Patients referred for capsule endoscopy with known or suspected CD were studied. All patients underwent precapsule endoscopy colonoscopy and small bowel series examination. After an overnight fast and bowel preparation, the capsule was ingested and the data were recorded for 8 h on the external recording device. A gastroenterologist experienced in reading capsule endoscopy interpreted images. Results: Eleven patients (mean age 42 years [range 14-70], 7 males) underwent capsule examination. Seven patients had symptoms suggestive of CD with no precapsule evidence of the disease, one had suspected small bowel pseudo-obstruction and three had known CD. All patients had lesions in the small intestine consistent with CD. Two patients had strictures that led to a retained capsule, despite precapsule small bowel series. Conclusions: Capsule endoscopy is emerging as a small bowel imaging modality that can greatly assist in making the diagnosis of CD. Small bowel radiology is unreliable in excluding strictures that may cause capsule retention.

Original languageEnglish (US)
Pages (from-to)138-142
Number of pages5
JournalDigestive Endoscopy
Volume16
Issue number2
DOIs
StatePublished - Apr 2004
Externally publishedYes

Fingerprint

Crohn Disease
Capsules
Capsule Endoscopy
Capsule Endoscopes
Pathologic Constriction
Colonoscopy
Radiology
Endoscopy
Small Intestine
Reading
Equipment and Supplies

Keywords

  • Capsule endoscopy
  • Crohn's disease
  • Inflammatory bowel disease

ASJC Scopus subject areas

  • Gastroenterology

Cite this

Capsule endoscopic features of Crohn's disease. / Reddy, D. Nageshwar; Kaffes, Arthur J.; Parupudi, Sreeram; Rao, G. Venkat.

In: Digestive Endoscopy, Vol. 16, No. 2, 04.2004, p. 138-142.

Research output: Contribution to journalArticle

Reddy, D. Nageshwar ; Kaffes, Arthur J. ; Parupudi, Sreeram ; Rao, G. Venkat. / Capsule endoscopic features of Crohn's disease. In: Digestive Endoscopy. 2004 ; Vol. 16, No. 2. pp. 138-142.
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