Please use this identifier to cite or link to this item:
https://www.um.edu.mt/library/oar/handle/123456789/120418
Title: | Where does capsule endoscopy fit in the diagnostic algorithm of small bowel intussusception? |
Authors: | Chetcuti Zammit, Stefania Yadav, Aman McNamara, Deirdre Bojorquez, Alejandro Carretero-Ribón, Cristina Keuchel, Martin Baltes, Peter Margalit-Yehuda, Reuma Kopylov, Uri Sidhu, Reena Marmo, Clelia Riccioni, Maria Elena Dray, Xavier Leenhardt, Romain Rondonotti, Emanuele Giulia, Scardino Micallef, Kristian Ellul, Pierre |
Authors: | ICARE |
Keywords: | Capsule endoscopy Gastrointestinal system -- Examination Intestines -- Intussusception Colon (Anatomy) -- Tomography |
Issue Date: | 2023 |
Publisher: | Elsevier Inc. |
Citation: | Zammit, S. C., Yadav, A., McNamara, D., Bojorquez, A., Carretero-Ribón, C., Keuchel, M., ... & Ellul, P. (2023). Where does capsule endoscopy fit in the diagnostic algorithm of small bowel intussusception? Digestive and Liver Disease, 55(12), 1719-1724. |
Abstract: | Introduction: The investigation of small bowel (SB) intussusception is variable, reflecting the lack of existing standards. The aim of this study was to understand the role of small bowel capsule endoscopy (SBCE) to investigate this pathology. Methodology: This was a retrospective multi-centre study. Patients with intussusception on SBCE and those where SBCE was carried out due to findings of intussusception on radiological investigations were included. Relevant information was collected. Results: Ninety-five patients (median age 39+/-SD19.1 years, IQR 30) were included. Radiological investigations were carried out in 71 patients (74.7%) prior to SBCE with intussusception being present in 60 patients on radiological investigations (84.5%). Thirty patients (42.2%) had intussusception on radiological investigations followed by a normal SBCE. Ten patients (14.1%) had findings of intussusception on radiological investigations, a normal SBCE and repeat radiological investigations that were also normal. Abnormal findings were noted on SBCE that could explain intussusception on imaging in (16 patients) 22.5% of patients. Five patients (5.3%) underwent radiological investigations and SBCE to investigate coeliac disease and intussusception. None had associated malignancy. Four patients (4.2%) underwent SBCE to investigate familial polyposis syndromes and went on to SB enteroscopy and surgery accordingly. Most patients (n = 14; 14.8%) with intussusception on initial SBCE (without prior radiological imaging) had suspected SB bleeding (n = 10, 10.5%). Four patients (4.2%) had additional findings of a mass on CT scan and went on to have surgery. Conclusion: SBCE should be used to complement radiology when investigating intussusception. It is a safe non-invasive test that will minimise unnecessary surgery. Additional radiological investigations following a negative SBCE in cases of intussusception noted on initial radiological investigations are unlikely to yield positive findings. Radiological investigations following intussusception noted on SBCE in case of patients presenting with obscure gastrointestinal bleeding, may yield additional findings. |
URI: | https://www.um.edu.mt/library/oar/handle/123456789/120418 |
Appears in Collections: | Scholarly Works - FacM&SMed |
Files in This Item:
File | Description | Size | Format | |
---|---|---|---|---|
Where_does_capsule_endoscopy_fit_in_the_diagnostic_algorithm_of_small_bowel_intussusception_2023.pdf Restricted Access | 970.48 kB | Adobe PDF | View/Open Request a copy |
Items in OAR@UM are protected by copyright, with all rights reserved, unless otherwise indicated.