Goals: This study was performed to evaluate the use of wireless capsule endos copy in a community gastroenterology practice. Background: Experience with wirel ess capsule endoscopy at referral centers has been reporte...Goals: This study was performed to evaluate the use of wireless capsule endos copy in a community gastroenterology practice. Background: Experience with wirel ess capsule endoscopy at referral centers has been reported, but little has been reported about community gastroenterologists’ experience. Study: A retrospect ive review of charts and wireless capsule endoscopies performed at a community h ospital was performed. Results: A total of 99 wireless capsule endoscopies were reviewed and complete data were available in 72 cases. Indications included susp ected obscure GI bleeding in 97% of cases; 55% of patients were taking anti - platelet or anti- coagulant medications; 71% of examinations were complete . Pathologic findings included angioectasias (36% ), gastritis/erosions (21% ) , bleeding (18% ), small bowel ulcers (16% ), duodenitis (7% ), and small bow el erosions (6% ). Strictures, Crohn’ s disease, and tumors were each seen in 3% . There were no abnormal findings in 37% . One complication, nonnatural exc retion of the capsule, caused a transient bowel obstruction but passed without e ndoscopic intervention or surgery. Conclusions: In a community- based gastroent erology setting, wireless capsule endoscopy is a safe tool that shows abnormalit ies in a significant proportion of exams.展开更多
文摘Goals: This study was performed to evaluate the use of wireless capsule endos copy in a community gastroenterology practice. Background: Experience with wirel ess capsule endoscopy at referral centers has been reported, but little has been reported about community gastroenterologists’ experience. Study: A retrospect ive review of charts and wireless capsule endoscopies performed at a community h ospital was performed. Results: A total of 99 wireless capsule endoscopies were reviewed and complete data were available in 72 cases. Indications included susp ected obscure GI bleeding in 97% of cases; 55% of patients were taking anti - platelet or anti- coagulant medications; 71% of examinations were complete . Pathologic findings included angioectasias (36% ), gastritis/erosions (21% ) , bleeding (18% ), small bowel ulcers (16% ), duodenitis (7% ), and small bow el erosions (6% ). Strictures, Crohn’ s disease, and tumors were each seen in 3% . There were no abnormal findings in 37% . One complication, nonnatural exc retion of the capsule, caused a transient bowel obstruction but passed without e ndoscopic intervention or surgery. Conclusions: In a community- based gastroent erology setting, wireless capsule endoscopy is a safe tool that shows abnormalit ies in a significant proportion of exams.
