Small bowel capsule endoscopy in clinical practice

• DOI: 10.1097/meg.0b013e3283352ced
• Publication Date: 2010-03-18T09:34:32Z
• Authors: Emanuele Rondonotti; Marco Soncini; Carlo Girelli; Giovanni Ballardini; Guglielmo Bianchi; Sergio Brunati; Laura Centenara; Pietro Cesari; Claudio Cortelezzi; Simona Curioni; Claudio Gozzini; Renzo Gullotta; Marco Lazzaroni; Marta Maino; Giovanna Mandelli; Nicola Mantovani; Elisabetta Morandi; Carlo Pansoni; Walter Piubello; Rocco Putignano; Renzo Schalling; Maria Tatarella; Federica Villa; Pasquale Vitagliano; Antonio Russo; Dario Conte; Enzo Masci; Roberto de Franchis
• Keywords: Obscure Gastrointestinal Bleeding; Clinical Practice; Capsule

Data about small bowel capsule endoscopy (SBCE) come from studies involving and highly selected populations. The study aim was to describe extent of use, indications, results, complications, practical issues SBCE in clinical practice a Northern Italian Region (Lombardia).Twenty-three out 29 invited centers fulfilled specific questionnaire.Between 2001 2008, 2921 procedures were performed both the number performing (from 5 29) 7.2 69.2 per month) increased steadily. main indications for were: obscure gastrointestinal bleeding (OGIB) (43.4%), unexplained anemia (23.9%), suspected Crohn's disease (7.8%) abdominal pain (5.3%). Overall, positive 50% cases, negative 36% undefined 14%. highest diagnostic yields observed patients with OGIB (62.5%), polypoid syndromes (74.1%), known (54.8%) or (47.3%) inflammatory disease, while low examined chronic diarrhea (27.4%) (14.9%), 61 (2.1%) experienced retention. Thirty-two them eventually excreted naturally endoscopic surgical retrieval necessary (1%) (in two because obstruction).Over period 7 years use Lombardia steadily confirming, practice, high yield an acceptable safety profile.