small-bowel capsule endoscopy in patients with suspected crohns disease—diagnostic value and complications影像胶囊内镜在疑似克罗恩氏患者疾病诊断价值和并发症.pdf

Hindawi Publishing Corporation Diagnostic and Therapeutic Endoscopy Volume 2010, Article ID 101284, 7 pages doi:10.1155/2010/101284 Clinical Study Small-Bowel Capsule Endoscopy in Patients with Suspected Crohn’s Disease—Diagnostic Value and Complications Pedro Figueiredo,1, 2 Nuno Almeida,1 Sandra Lopes,1 Gabriela Duque,1 Paulo Freire,1 ´ 1 1 1, 2 Clotilde Lerias, Hermano Gouveia, and Carlos Sofia 1 Department of Gastroenterology, University Hospitals of Coimbra, Avenue Bissaya Barreto, 3000-075 Coimbra, Portugal 2 Faculty of Medicine, University of Coimbra, Rua Larga, 3004-504 Coimbra, Portugal Correspondence should be addressed to Pedro Figueiredo, pedro.n.figueiredo@clix.pt Received 21 February 2010; Accepted 5 July 2010 Academic Editor: Lars Aabakken Copyright © 2010 Pedro Figueiredo et al. This is an open access article distributed under the Creative Commons Attribution License, which permits unrestricted use, distribution, and reproduction in any medium, provided the original work is properly cited. Background. The aim of this work was to assess the value of capsule enteroscopy in the diagnosis of patients with suspected Crohn’s Disease (CD). Methods. This was a retrospective study in a single tertiary care centre involving patients undergoing capsule enteroscopy for suspected CD. Patients taking nonsteroidal anti inflammatory drugs during the thirty preceding days or with a follow-up period of less than six months were excluded. Results. Seventy eight patients were included. The endoscopic findings included mucosal breaks in 50%, ulcerated stenosis in 5%, and villous atrophy in 4%. The diagnosis of CD was established in 31 patient