COMMENTARY

Crohn's disease

Wireless capsule endoscopy and Crohn’s disease

P Swain

Correspondence to:
Correspondence to:
Dr P Swain
Department of Surgical Oncology and Technology, Imperial College London, St Mary’s Hospital, London W2 1NY, UK; paulswain1@compuserve.com

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Wireless capsule endoscopy appears to be superior to all current forms of radiological investigation of the small intestine in detecting the mucosal abnormalities of Crohn’s disease

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Keywords: wireless capsule endoscopy; Crohn’s disease; computed tomography enteroclysis

The first 150 words of the full text of this article appear below.

When the wireless capsule endoscope (WCE) was introduced,¹ fears that the capsule might become impacted caused early clinical protocols to exclude any patients with a hint of previous subacute obstruction or symptoms suggestive of Crohn’s disease.^2–6 In fact a few patients with Crohn’s disease were inadvertently included in these early studies^3–6 as the symptoms of this disease are often subtle and other investigations are sometimes inconclusive. WCE in a short time has acquired a well established role in the investigation of patients with recurrent gastrointestinal bleeding of obscure origin when gastroscopy and colonoscopy fail to reveal the source.^2–6 Occult Crohn’s disease was found to be a cause of bleeding or anaemia in several of these series. Capsule endoscopy has been used in more than 100 000 patients worldwide.

Several comparative studies have shown that WCE could outperform push enteroscopy in finding clinical causes of bleeding. Although the image . . . [Full text of this article]

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Small bowel involvement in Crohn’s disease: a prospective comparison of wireless capsule endoscopy and computed tomography enteroclysis

W A Voderholzer, J Beinhoelzl, P Rogalla, S Murrer, G Schachschal, H Lochs, and M-A Ortner
Gut 2005 54: 369-373. [Abstract] [Full Text] [PDF]

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