Endoscopie par capsule — expérience initiale en République tchèque: étude rétrospective multicentrique
Capsule endoscopy — initial experience in the Czech Republic: A retrospective multi-centre study
Capsule endoscopy (CE), using a Given Imaging system, is available in the Czech Republic since late 2002.
The aim of this retrospective study was to evaluate the existing experience with CE in five gastroenterology centers in the Czech Republic. Seventy-eight CE were reviewed (Nov 2002 – Apr 2004), 38 men, 40 women (mean age 54). CE was indicated as the last step in diagnostic algorithm.
The entire small bowel was investigated in 54/78 cases (69 %). The most frequent findings were angiodysplasias (16 patients), Crohn’s disease (8) and small bowel tumours (7). CE was followed by surgery (15 pts), intraoperative enteroscopy (9 pts) and medical treatment was introduced or changed in 26 pts. Capsule retention was found in 5 cases (6 %; small bowel impaction in 3 cases), technical failure was noticed 5 times (6 %).
CE is complementary, not competing with other diagnostic tools in the investigation of the small bowel. CE is helpful namely in obscure GI bleeding. However, the existing experience is limited so far.
I. TACHECI, S. REJCHRT, P. DRASTICH, J. LATA, J. STEHLIK, A. NOVOTNY, J. SPICAK, P. DITE, M. ZAVORAL, M. LUKAS, J. BURES
capsule, diagnostic yield, endoscopy, gastrointestinal tract, multi-centre study, obscure gastrointestinal bleeding, small bowel