TITLE

Capsule Endoscopy Changes Patient Management in Routine Clinical Practice

AUTHOR(S)
David Sanders; Kapil Kapur; David Hurlstone; Mark McAlindon
PUB. DATE
May 2007
SOURCE
Digestive Diseases & Sciences;May2007, Vol. 52 Issue 5, p1382
SOURCE TYPE
Academic Journal
DOC. TYPE
Article
ABSTRACT
Abstract  Our objective was to evaluate the diagnostic yield and effect of capsule endoscopy on patient management in routine clinical practice. Three hundred examinations were performed (176 females; mean age, 51 years), with a median follow-up of 17 months. Indications included overt bleeding (n = 55), anemia (n = 104), suspected Crohn’s disease (n = 68), celiac disease (n = 35), suspected functional symptoms (n = 23), polyposis (n = 5), and miscellaneous (n = 10). The overall diagnostic yield was 39%, but it was notably higher in overt bleeders, 66%, compared to 46% in the anemia group (P<0.025), 32% in the suspected Crohn’s group (P<0.001), and 17% in the functional group (P<0.001). As a result of capsule endoscopy, management was altered in 26% of patients. This study shows that capsule endoscopy has both a high diagnostic yield and an impact on subsequent patient management. These data further support the role of capsule endoscopy in routine clinical practice.
ACCESSION #
24848634

 

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