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2010, Number 2

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Acta Pediatr Mex 2010; 31 (2)

Capsule endoscopy in children with obscure gastrointestinal bleeding

Hipólito-Cifuentes R, Espinoza- Rosas P, Jiménez-Urueta PS, Waller-González LA, Castañeda- Ortiz RA

Language: Spanish
References: 15
Page: 55-59
PDF size: 467.03 Kb.


ABSTRACT

Introductión. Capsule endoscopy (CE) is a wireless method for the examination of the intestine. The endoscopic capsule is propelled by peristalsis through the gastrointestinal tract. The video images it provides are transmitted by radiotelemetry to an aerial array attached to the body, which allows image capture. At present, it is considered the method of choice for the diagnosis of obscure gastrointestinal bleeding with 33 to 100% of diagnostic yield. CE can detect intestinal lesions in patients with Crohn’s disease, caeliac disease, malignant tumors, anti-inflammatory drugs users, familial polyposis, hemangiomas, and vascular malformations. We present our experience with capsule endoscopy.
Material and method. In CMN 20 de Noviembre Hospital ISSSTE México we realize non randomized, prospective study, from January 2008 to March 2009 of patients with obscure gastrointestinal bleeding and a normal endoscopy. The study included primary diagnosis, end diagnosis, medical and/or surgical treatment, course.
Results. We studied 8 patients, between 9 and 15 years old, 6 males 2 females; 2 patients had lymphoid hyperplasia, 1 patient had a hemangioma at 25 cm distant from Trietz; 2 patients had Crohn’s disease; 1 patient had polypos in the middle portion of the ileum, and in one case the study was normal.
Discussion. In patients with obscure gastrointestinal bleeding capsule endoscopy is important to identify the cause and location of the bleeding, it is special in patients in whom colonoscopy and endoscopy are normal. This method permits to decide whether surgical or medical treatment is indicated.


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