Utility of Capsule Endoscopy for the Classification of Crohn's Disease: A Multicenter Study in Korea
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Capsule endoscopy can detect lesions associated with Crohn's disease in the small bowel that go unrecognized by conventional radiologic imaging. The aim of this study was to assess the value of capsule endoscopy in the classification of patients with Crohn's disease. This study was carried out on 52 patients with known Crohn's disease. Small bowel follow-through findings were compared with capsule endoscopic findings. All patients were classified according to the extent of the disease: small bowel-colon type, small bowel type, or colon type. Seventeen patients who were reported as being normal showed evidence of small bowel Crohn's disease according to capsule endoscopy. Differences were observed between the small bowel follow-through and the capsule endoscopy classification (κ=0.54). Treatment was changed based on the results of wireless capsule endoscopy in 15 patients.
KeywordsCapsule Classification Endoscopy Crohn's disease Small intestine
This study was supported by the Altana Research Fund (2004 Altana grant) in association with the Korean Society of Gastrointestinal Endoscopy.
- 3.Song IS, Chang DK, Kim CY (1998) Current status of Crohn's disease in Korea. Korean J Intern Med 26:158–168Google Scholar
- 4.Yang SK (2002) Current status and clinical characteristics of inflammatory bowel disease in Korea. Korean J Gastroenterol 40:1–14Google Scholar
- 18.Seidman E, Sant'Anna A, Dirks M, Miron M (2004) Capsule endoscopy identifies occult small bowel Crohn's disease. Gastroenterol 126(Suppl 2):S1275Google Scholar
- 23.Chong AK, Taylor A, Miller A, Hennessy O, Connell W, Desmond P (2005) Capsule endoscopy vs. push enteroscopy and enteroclysis in suspected small-bowel Crohn's disease. Gastrointest Endosc 61:255–261Google Scholar
- 25.Swain P, Mosse CA, Burke P (2002) Remote propulsion of wireless capsule endoscopes. Gastrointest Endosc 55:abstr 88Google Scholar