Video capsule endoscopy in the diagnosis of crohn’s disease
DOI:
https://doi.org/10.11603/2414-4533.2020.3.11457Keywords:
Crohn’s disease, video capsule endoscopy, ileocolonoscopy, enteroscopy, biopsyAbstract
The aim of the work: to improve the effectiveness of diagnosis of Crohn’s disease.
Materials and Methods. The study analyzed 288 patients with irritable bowel syndrome. Depending on the diagnostic tactics, patients were divided into 2 groups. Groups of patients were comparable in age and sex.
Group 1 included patients with irritable bowel syndrome for the period from 2010 to 2013, who were diagnosed by traditional methods without the use of video capsule endoscopy. This group consisted of 143 patients (49.6 %). Group 2 of patients were diagnosed according to the algorithm developed by us, using video capsule endoscopy, ileocolonoscopy and, if necessary, enteroscopy with biopsy from the affected areas. This group consisted of 145 patients (50.3 %).
Results and Discussion. The results of the examination of patients of the first and second groups showed that Crohn’s disease was detected in 20 (13.9 %) patients of the group 1 and due to the use of video capsule endoscopy, colonoscopy, enteroscopy, biopsy was detected in 48 (33.1%) patients of the group 2. In addition, 68 patients of the group 1 with a diagnosis of irritable bowel syndrome, who were under dynamic observation in our clinic, were examined according to the developed algorithm. The results showed that 25 (36.7 %) patients out of 68 had Crohn’s disease of the small intestine.
References
Brant, S.R. (2013). Promises, delivery, and challenges of inflammatory bowel disease risk gene discovery. Clin. Gastroenterol. Hepatol., 11, 22-26. DOI: https://doi.org/10.1016/j.cgh.2012.11.001 DOI: https://doi.org/10.1016/j.cgh.2012.11.001
Cosnes, J., Gower-Rousseau, C., Seksik, P., & Cortot, A. (2011). Epidemiology and natural history of inflammatory bowel diseases. Gastroenterology, 140 (6), 1785-1794. DOI: https://doi. org/10.1053/j.gastro.2011.01.055.
Molodecky, N.A., Soon, I.S., Rabi, D.M., Ghali, W.A., Ferris, M., Chernoff, G., et al. (2012). Increasing incidence and prevalence of the inflammatory bowel diseases with time, based on systematic review. Gastroenterology, 142, 46. DOI: https://doi.org/10.1053/j.gastro.2011.10.001. DOI: https://doi.org/10.1053/j.gastro.2011.10.001
Annese, V., Daperno, M., Rutter, M.D., Amiot, A., Bossuyt, P., East, J., et al. (2013). European evidence based consensus for endoscopy in inflammatory bowel disease. J. Crohns Colitis, 7 (12), 982-1018. DOI: https://doi.org/10.1016/j.crohns.2013.09.016. DOI: https://doi.org/10.1016/j.crohns.2013.09.016
Burgmann, T., Clara, I., & Graff, L. (2006). The Manitoba Inflammatory Bowel Disease Cohort Study: Prolonged symptoms before diagnosis – how much is irritable bowel syndrome? Clin. Gastroenterol. Hepatol., 4, 614. DOI: https://doi.org/10.1016/j.cgh.2006.03.003. DOI: https://doi.org/10.1016/j.cgh.2006.03.003
Fiorino, G., Bonifacio, C., Peyrin-Biroulet, L., Minuti, F., Repici, A., Spinelli, A., et al. (2011). Prospective comparison of computed tomography enterography and magnetic resonance enterography for assessment of disease activity and complications in ileocolonic Crohn’s disease. Inflamm. Bowel Dis. 17 (5), 1073-1080. DOI: https://doi.org/10.1002/ibd.21533. DOI: https://doi.org/10.1002/ibd.21533
Green, C. (2006). A population-based ecologic study of inflammatory bowel disease: searching for etiologic clues. Am. J. Epidemiol., 164; 615; discussion 624. DOI: https://doi.org/10.1093/aje/kwj260. DOI: https://doi.org/10.1093/aje/kwj260
Akerman, P.A., & Cantero, D. (2009). Spiral enteroscopy and push enteroscopy. Gastrointest. Endosc. Clin. N. Am., 19 (3), 357-369. DOI: https://doi.org/10.1016/j.giec.2009.04.001. DOI: https://doi.org/10.1016/j.giec.2009.04.001
Bourreille, A., Ignjatovic, A., Aabakken, L., Loftus, Jr. E.V., Eliakim, R., Pennazio, M., et al. (2009). Role of small-bowel endoscopy in the management of patients with inflammatory bowel disease: an international OMED-ECCO consensus. Endoscopy, 41 (7), 618-637. DOI: https://doi.org/10.1055/s-0029-1214790. DOI: https://doi.org/10.1055/s-0029-1214790
Vinay Kumar, Abul K. Abbas, Jon C. Aster (2015). Robbins and Cotran Pathologic Basis of Disease. Ninth Edition.
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