Utility of capsule endoscopy in gastroenterology practice: A single-center experience

Öz

Background and Aims: Capsule endoscopy is an easy and a non-invasive diagnostic tool used in evaluation of gastrointestinal tract. Despite being a valuable diagnostic method, widespread use has not been established in Türkiye. With this study, we aimed to report our single-center experience with capsule endoscopy in order to both reveal our data and utility of capsule endoscopy in gastroenterology practice. Materials and Methods: This retrospective study was conducted at Antalya Training and Research Hospital. Patients evaluated by capsule endoscopy between 2018 and 2024 were included in the study. Results: Thirty one patients were included in the study. Most common indications were overt bleeding with suspicion of small bowel bleeding and iron deficiency anemia. Angiodysplasias were the most common finding in both overt bleeding with suspicion of small bowel bleeding and iron deficiency anemia groups (n = 3, 33% for both indications). Ulcers in small intestine were the most common finding in patients with abdominal pain (n = 5, 62%). All of the four patients with Crohn’s disease evaluated for disease activity had ulcers in small intestine. Out of 31 patients enrolled in the study, capsule endoscopy did not reveal an underlying condition related to clinical indication in 8 patients (26%). Conclusion: Capsule endoscopy is a valuable tool in evaluating gastrointestinal disorders ranging from obscure bleeding to inflammatory bowel diseases. Accessibility of capsule endoscopy devices and training of gastroenterologists will help the healthcare team with diagnostic challenges in gastroenterology practice.

Anahtar Kelimeler

• Capsule endoscopy
• gastrointestinal bleeding
• iron deficiency anemia

Kapsül endoskopinin gastroenteroloji pratiğinde kullanımı: Tek merkez deneyimi

Öz

Giriş ve Amaç: Kapsül endoskopi gastrointestinal traktın değerlendirilmesinde kullanılan, kolay uygulanabilen ve girişimsel olmayan bir tanısal yöntemdir. Değerli bir tanı yöntemi olmasına karşın Türkiye’de yaygın kullanımı mevcut değildir. Bu çalışma ile kapsül endoskopide tek merkez deneyimimizi aktarmayı ve kapsül endoskopinin gastroenteroloji pratiğinde kullanımını araştırmayı amaçladık. Gereç ve Yöntem: Bu retrospektif çalışma Antalya Eğitim ve Araştırma Hastanesinde yürütüldü. 2018 ile 2024 yılları arasında kapsül endoskopi ile değerlendirilen hastalar çalışmaya alındı. Bulgular: Çalışmaya 31 hasta dahil edildi. En sık endikasyon aşikar kanamalı ince bağırsak kanaması şüphesi ve demir eksikliği anemisi idi. Aşikar kanamalı ince bağırsak kanaması şüphesi ve demir eksikliği anemisi nedeniyle kapsül endoskopi yapılan hastalarda her iki grup için de en sık bulgu anjiyodisplaziler idi (her iki endikasyon için de n = 3, %33). Karın ağrısı nedeniyle kapsül endoskopi yapılan hastalardaki en sık bulgu ince bağırsakta ülserler idi (n = 5, %62). Crohn hastalığı tanısı bulunan ve hastalık aktivitesi değerlendirilen dört hastada da ince bağırsak ülserleri saptandı. Çalışmaya dahil edilen 31 hastanın 8’inde (%26), kapsül endoskopi endikasyonu ile ilişkili bir bulguya rastlanmadı. Sonuç: Kapsül endoskopi aydınlatılmamış gastrointestinal sistem kanamalarından inflamatuvar bağırsak hastalığı değerlendirmesine kadar geniş bir çerçevede gastrointestinal sistem hastalıklarının değerlendirmesinde faydalıdır. Kapsül endoskopiye erişimin artırılması ve bu alanda gastroenterologların eğitimi, gastroenteroloji pratiğinde tanı koymada zorluk yaşanan durumlarda fayda sağlayacaktır.

Anahtar Kelimeler

• Kapsül endoskopi
• gastrointestinal kanama
• demir eksikliği anemisi

Kaynakça

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