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KMID : 0359020090390060346
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Korean Journal of Gastrointestinal Endoscopy
2009 Volume.39 No. 6 p.346 ~ p.351
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Usefulness of Capsule Endoscopy in Children with Suspected Small Bowel Disease
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Park Hae-Jin
Lee So-Yeon
Ko Jae-Sung
Seo Jeong-Kee
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Abstract
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Background/Aims : The aim of our study is to investigate the diagnostic value and safety of capsule endoscopy (CE) in the pediatric patients with small bowel (SB) disease.
Methods: We retrospectively reviewed the records of 29 children (mean age: 11.8 year) who underwent CE at Seoul National University Children’s Hospital between November 2004 and April 2009.
Results: Six (20%) of the total 29 patients could not swallow the capsule (mean age: 10.5 years), so the capsule was endoscopically placed into the stomach of these 6 patients. The CE examination for the entire SB was finished in 89.6% of the patients. The indications for CE studies were obscure gastrointestinal bleeding (OGIB) or anemia in 14 patients, intestinal polyposis in 8, abdominal pain in 4 and Crohn’s disease in 3. The diagnostic yield of CE was 35.7% for OGIB or anemia, 37.5% for intestinal polyposis, 25% for abdominal pain and 33.3% for Crohn’s disease. One patient had capsule retention during our CE investigations.
Conclusions: CE is a safe and valuable tool for the detection of SB Crohn’s disease, the focus of OGIB and the presence of SB polyps in pediatric patients.
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KEYWORD
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Capsule endoscopy, Child, Small bowel disease, Obscure gastrointestinal bleeding, Crohn’s disease
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