Is small‐bowel capsule endoscopy effective for diagnosis of esophagogastric lesions related to portal hypertension?

• DOI: 10.1111/jgh.12372
• Publication Date: 2013-08-23T11:18:50Z
• Authors: Taiki Aoyama; Shiro Oka; Hiroshi Aikata; Makoto Nakano; Ikue Watari; Noriaki Naeshiro; Shigeto Yoshida; Shinji Tanaka; Kazuaki Chayama
• Keywords: Esophagogastroduodenoscopy; Portal hypertensive gastropathy

Effectiveness of capsule endoscopy (CE) for screening the small bowel in patients with portal hypertension (PHT) has been reported. However, few reports discuss CE detection specific esophagogastric lesions related to PHT. Thus, we assessed whether is useful detecting such lesions.One hundred nineteen consecutive PHT comprised study group. All had undergone esophagogastroduodenoscopy (EGD) prior CE. The diagnostic yield esophageal varices (EVs), gastric (GVs), and hypertensive gastropathy (PHG) was evaluated. In addition, relation form, location varices, grade, extent PHG evaluated.EVs were found by EGD 71 patients. overall EVs 72% (51/71). significantly greater F2/F3 than F1 (87% vs 61%, P = 0.03). Lm/Ls Li (85% 55%, 0.01). locus superior/locus medialis inferior GVs 29 Only one case detected 35 69% (24/35). There no difference between cases severe mild (82% 63%, 0.44). Diagnostic body that fundus (100% 48%, 0.0009).CE reliable diagnosis and/or body.