Case StudyInitial experience of videocapsule endoscopy for diagnosing small-bowel tumors in patients with GI polyposis syndromes
Section snippets
Patients and methods
The present study was an open, prospective, nonrandomized clinical trial, which evaluated the use of videocapsule endoscopy in patients with GI polyposis syndromes.
Included in the study were men and women patients, 18 to 70 years of age, with a GI polyposis syndrome, who have been followed in our clinic. Excluded from the study were patients with severe swallowing disorders, implanted cardiac pacemaker or other electronic devices, pregnant women, and patients with a clinical suspicion of
Demographics, indications, and SBFT findings
Twenty-two patients (13 men and 9 women, age range 19-55 years, mean age 41 years), including 19 patients with FAP, one patient with PJS, one patient with hyperplastic polyposis, and one patient with Cowden disease were enrolled from September 2003 to September 2004. All the FAP patients had undergone colectomy (9 had total proctocolectomy with ileoanal pouch, 4 had colectomy with ileorectal anastomosis, two had total proctocolectomy with continent ileostomy (Kock pouch), and 4 had total
Discussion
Patients with GI polyposis syndromes have a high prevalence of small-bowel polyps as detected by VCE (59%). In FAP patients, the prevalence of small-bowel polyps was 52.6%.
Before the VCE era, duodenoscopy, push enteroscopy, and small-bowel barium studies were used to detect small-bowel polyps. The sensitivity of small-bowel barium studies for the detection of small-bowel polyps has been thought to be low, though this has never formally investigated. Indeed, in our study, SBFT identified only 3
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