Abstract
Background and Study AimsChronic abdominal pain is one of the most common chief complaints, but the underlying pathophysiology often remains unknown after routine clinical evaluation. Capsule endoscopy (CE) is a new technique for the visualization of the entire small bowel. The aim of this study was to evaluate the diagnostic efficacy of CE in patients with chronic abdominal pain of obscure origin.Patients and MethodsTwo hundred forty three patients with chronic abdominal pain with no significant lesions were enrolled in this study. CE was performed in all patients.ResultsA diagnosis was made in 23.0% of patients screened with CE. Of the 243 patients, 19 (7.8%) were diagnosed with Crohn's disease, 15 (6.2%) with enteritis, 11 (4.5%) with idiopathic intestinal lymphangiectasia, 5 (2.1%) with uncinariasis, and a number of other diagnoses including small bowel tumor, ascariasis, and anaphylactoid purpura. Five patients had abnormal transit time, and capsule retention occurred in two patients.ConclusionsIn contrast to other previous studies, we found that CE is an effective diagnostic tool for patients with abdominal pain.
Highlights
Chronic abdominal pain (CAP) that persists either continuously or intermittently for more than three months is one of the most common chief complaints in clinical medicine
In contrast to other previous studies, we found that Capsule endoscopy (CE) is an effective diagnostic tool for patients with abdominal pain
Several studies have demonstrated that CE is superior to barium follow-through, push enteroscopy, and computed tomography (CT) for the diagnosis of small bowel disease [3,4,5], and for the evaluation of patients with obscure gastrointestinal bleeding [6,7,8,9,10] and Crohn’s disease [11,12,13,14]
Summary
Chronic abdominal pain (CAP) that persists either continuously or intermittently for more than three months is one of the most common chief complaints in clinical medicine. In many patients with CAP, the underlying cause of the disease remains unknown even after routine laboratory testing. Capsule endoscopy (CE) is a new technology for painless endoscopic imaging of the entire small bowel [1,2]. The primary objective of our study was to determine the diagnostic efficacy of CE in patients with CAP of obscure origin. Chronic abdominal pain is one of the most common chief complaints, but the underlying pathophysiology often remains unknown after routine clinical evaluation. The aim of this study was to evaluate the diagnostic efficacy of CE in patients with chronic abdominal pain of obscure origin
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