Review: Capsule endoscopy has high yield for small bowel findings in obscure gastrointestinal bleeding: COMMENTARY

Peterson, Walter
May 2006
ACP Journal Club;May/Jun2006, Vol. 144 Issue 3, p76
Academic Journal
The article presents the author's views regarding a meta-analysis of the yield of capsule endoscopy compared to other diagnostic modalities in patients with obscure gastrointestinal bleeding (OGIB). Capsule endoscopy has a farther reach and thus detects lesions farther in the small intestine than push enteroscopy and small bowel radiography can do. It is found a definitive therapeutic procedure is necessary for OGIB only if a tumor is present or iron therapy is unable to maintain the blood count at a normal level. However, the author suggests for limiting the use of capsule endoscopy as it is time-consuming and expensive.


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