Capsule endoscopy in obscure gastrointestinal bleeding--an Indian experience.

Abstract

BACKGROUND:

Obscure gastrointestinal bleeding (OGIB) is a common indication for capsule endoscopy (CE). Reports on diagnostic yield of CE in this situation show a wide variation. We evaluated the diagnostic yield and clinical impact of CE in patients with OGIB.

METHODS:

We reviewed the medical records of patients with OGIB who underwent CE at our institution between June 2002 and October 2005.

RESULTS:

154 patients (mean age 47 [SD 17] years; 117 men), including 74 with overt OGIB and 80 with occult OGIB, underwent CE. CE yielded positive findings in 57 of 74 patients (77%) with overt OGIB and 22 of 80 (27%) of those with occult OGIB (p < 0.0001); the overall positive diagnostic yield was 52%. NSAID-induced lesions (15%), angiodysplasias (14%) and aphthous ulcers (12%) were the most frequent findings. CE helped in planning further management in 79% of patients with overt OGIB and 26% of those with occult OGIB.

CONCLUSION:

CE is a useful diagnostic technique in patients with OGIB, especially those with overt OGIB.

• Authors: Rajesh Gupta, Sandeep Lakhtakia, Manu Tandan, Rupa Banerjee, Mohan Ramchandani, S Anuradha, C Ramji, G V Rao, R Pradeep, D Nageshwar Reddy
• Journal: Indian journal of gastroenterology : official journal of the Indian Society of Gastroenterology (Indian J Gastroenterol) 2006 Jul-Aug Vol. 25 Issue 4 Pg. 188-90 ISSN: 0254-8860 [Print] India
• PMID: 16974033 (Publication Type: Journal Article)

Topics

• Adult
• Capsule Endoscopes
• Endoscopy, Gastrointestinal (methods)
• Female
• Gastrointestinal Diseases (diagnosis)
• Gastrointestinal Hemorrhage (etiology)
• Humans
• Male
• Miniaturization
• Occult Blood
• Retrospective Studies
• Sensitivity and Specificity