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Capsule Endoscopy Changes Patient Management in Routine Clinical Practice

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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.

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Authors and Affiliations

  1. Gastroenterology & Liver Unit, Royal Hallamshire Hospital, Glossop Road, Sheffield, S10 2JF, United Kingdom

    Reena Sidhu, David S. Sanders, Kapil Kapur, David P. Hurlstone & Mark E. McAlindon

  2. 15 Barncliffe Road, Fulwood, Sheffield, S10 4DF, United Kingdom

    Reena Sidhu

Authors
  1. Reena Sidhu
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  2. David S. Sanders
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  3. Kapil Kapur
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  4. David P. Hurlstone
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  5. Mark E. McAlindon
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Corresponding author

Correspondence to Reena Sidhu.

Additional information

R.S. wrote the initial draft; all five authors were involved in the subsequent revisions and final draft. M.E.M. is the guarantor for this paper.

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Sidhu, R., Sanders, D.S., Kapur, K. et al. Capsule Endoscopy Changes Patient Management in Routine Clinical Practice. Dig Dis Sci 52, 1382–1386 (2007). https://doi.org/10.1007/s10620-006-9610-6

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  • DOI: https://doi.org/10.1007/s10620-006-9610-6

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