Experience of the use of the endoscopic video capsule in the diagnosis of digestive tract disorders

Authors

Keywords:

Gastrointestinal Tract, diagnostic imaging, Digestive System, Diagnostic Techniques of the Digestive System, Diagnostic Techniques and Procedures, Diagnostic Equipment

Abstract

Introduction: The endoscopic videocapsule has become a first-line technique for the study of diseases of the small intestine.

Objective: To describe the experience of the use of video capsule endoscopy in the diagnosis of digestive tract disorders.

Method: A descriptive, cross-sectional study was carried out in the period from April 2015 to March 2016 at the Ecuadorian Institute of Social Security (IESS) Manta, Manab?, Ecuador. The sample was represented by 39 patients who met the inclusion criteria.

Results: The examination was performed in 39 patients, where the male sex predominated and the age group older than 60 years, digestive bleeding of obscure origin, chronic anemia and abdominal pain represented the most frequent indications. 36 findings were detected in 34 patients and five of them were normal. Angiodysplasias, inflammatory lesions and tumors were the most diagnosed with 8 (23.5%), 7 (20.6%) and 5 (14.7%) lesions respectively. Most of the affections were located in the small intestine (21; 58.3%). Capsule retention (2.5%) was the only complication reported in this study.

Conclusions: Videocapsule endoscopy has proven to be a very useful technique for the diagnosis of small bowel lesions.

Downloads

Download data is not yet available.

Author Biographies

Yuleysi Zamora Viera, Hospital Provincial General Docente Dr. Antonio Luaces Iraola de Ciego de Ávila.

Responsable Docente del Servicio de Gastroenterología

Lídice Esther Abad Murillo, HOSPITAL DEL INSTITUTO ECUATORIANO DEL SEGURO SOCIAL (IESS)

JEFE DEL DEPARATMENTO DE GASTROENTEROLOGÍA.

Yelec Estrada Guerra, Hospital Provincial General Docente ' Dr. Antonio Luaces Iraola". Ciego de Ávila.

Metodóloga de Ciencia y Técnica. Hospital Provincial General Docente Dr. Antonio Luaces Iraola de Ciego de Ávila.

José Antonio Camacho Assef, Hospital Provincial General Docente Dr. Antonio Luaces Iraola de Ciego de Ávila.

Jefe del Servicio de Gastroenterologia.

Milagros Cárdenas Quintana, Hospital Provincial General Docente Dr. Antonio Luaces Iraola de Ciego de Ávila.

M?dico Especialista de Gastroenterología

References

Alonso Mosquera-Klinger G, Camargo Trillos J, Gómez Ramírez LA, Bustamante Duque M, Carvajal Gutiérrez JJ. Experiencia con videocápsulaendoscópica en el estudio y diagnóstico de enfermedades del intestino delgado en un hospital de alta complejidad en Medellín, Colombia. Rev Colombiana Gastroenterol [Internet]. 2018 [citado 21 May 2020];33(4):386-392. Disponible en: https://www.redalyc.org/service/redalyc/downloadPdf/3377/337758126006/8

Hosoe N, Takabayashi K, Ogata H, Kanai T. Capsule endoscopy for small-intestinal disorders: Current status. Dig Endosc. 2019;31(5):498-507. DOI: https://doi.org/10.1111/den.13346.

Lynch Mejía MF. La cápsula endoscópica como estudio diagnóstico en gastroenterología. Revista Médica Sinergia[Internet]. 2019 [citado 21 May 2020];4(04):18-25. Disponible en: https://www.medigraphic.com/pdfs/sinergia/rms-2019/rms194c.pdf

ASGE Standards of Practice Committee; Gurudu SR, Bruining DH, Acosta RD, Eloubeidi MA, Faulx AL, et al. The role of endoscopy in the management of suspected small-bowel bleeding. Gastrointest Endosc. 2017;85(1):22-31. DOI: https://doi.org/10.1016/j.gie.2016.06.013.

Iddan G, Meron G, Glukhovsky A, Swain P. Wireless capsule endoscopy. Nature.2000;405(6785):417. DOI: https://doi.org/10.1038/35013140.

Park J, Cho YK, Kim JH. Current and Future Use of Esophageal Capsule Endoscopy. Clin Endoscopy. 2018;51(4):317-322.DOI: https://doi.org/10.5946/ce.2018.101

Hong SN, Kang S, Jang HJ, Wallace MB. Recent Advance in Colon Capsule Endoscopy: What’s New? Clinical Endoscopy. 2018;51(4):334-343. DOI: https://doi.org/10.5946/ce.2018.121.

Marshall CA, Cave DR. Preparation for video capsule endoscopy: A clear choice? Gastrointestinal Endoscopy. 2017;85(1):194-195. DOI: https://doi.org/10.1016/j.gie.2016.08.037

Gerson LB, Fidler JL, Cave DR, Leighton JA. ACG clinical guideline: diagnosis and management of small bowel bleeding. Am J Gastroenterol. 2015;110(9):1265-1287. DOI: https://doi.org/10.1038/ajg.2015.246.

Valverde López F,Jiménez Rosales R, Rodríguez Sicilia MJ.Utilidad de la cápsula endoscópica en estudio de Intestino delgado. Rev Andaluza Patol Dig(RAPD)[Internet]. Oct 2017 [citado 21 May 2020]; 40 (5):[aprox. 6p.].Disponible en: https://dialnet.unirioja.es/servlet/articulo?codigo=6297681&orden=0&info=link

Enns RA, Hookey L, Armstrong D, Bernstein CN, Heitman SJ, Teshima C, et al. Gastroenterol. 2017;152:497. DOI: https://doi.org/10.1053/j.gastro.2016.12.032.

Gomollón F, Dignass A, Annese V, Tilg H, Van Assche G, Lindsay JO, et al. 3rd European Evidence-based Consensus on the Diagnosis and Management of Crohn’s Disease 2016: Part 1: Diagnosis and Medical Management. J Crohns Colitis. 2017;11(1):3-25. DOI: https://doi.org/10.1093/ecco-jcc/jjw168.

Bandorski D, Kurniawan N, Baltes P, Hoeltgen R, Hecker M, Stunder D, et al. Contraindications for video capsule endoscopy. World journal of gastroenterology[Internet]. 2016;22(45):9898.DOI: https://doi.org/10.3748/wjg.v22.i45.9898.

González Suárez B, Dedeu Cuscó JM, Galter Copacy S, Mata BilbaodA. Cápsula endoscópica: documento de posicionamiento de la Sociedad Catalana de Digestología. Gastroenterol Hepatol. 2011;34(8):573-583. DOI: https://doi.org/10.1016/j.gastrohep.2011.05.002.

Muñoz Paz M, Vega Á, Lecaros D, Saitua F. Descripción del uso de cápsula endoscópica en un hospital público pediátrico. Rev Chil Pediatr. 2018;89(3):339-345. DOI: https://doi.org/10.4067/S0370-41062018005000102.

Juliao-Baños F, Galiano MT, Camargo J, Mosquera-Klinger G, Carvajal J, Jaramillo C, y otros. Utilidad clinica de la vídeo capsula endoscopica en el estudio de patologías de intestino delgado en Colombia: resultados de unregistro nacional. Gastroenterol Hepatol. 2021;44(5):346-354. DOI: https://doi.org/10.1016/j.gastrohep.2020.09.011

Tontini GE, Wiedbrauck F, Cavallaro F, Koulaouzidis A, Marino R, Pastorelli L, et al. Small-bowel capsule endoscopy with panoramic view: results of the first multicenter, observational study (with videos). Gastrointestinal Endoscopy. 2017; 85(2):401-408. DOI: https://doi.org/10.1016/j.gie.2016.07.063.

Valenzuela JE, Zaragoza GC, Jorquera EI, Pujante PT, de las Parras FA, Álvarez FC. Análisis histórico de la experiencia en cápsula endoscópica de intestino delgado en un hospital terciario español. Gastroenterol Hepatol. 2017;40(2):70-79.DOI: https://doi.org/10.1016/j.gie.2016.07.063.

Keil-Ríos D, Angulo-Molina D, Peláez-Luna M, Farca-BelsaguyA, Estradas-Trujillo J. Cápsula endoscópica para el estudio de patologías de intestino delgado: experiencia en una institución privada en México. Rev Gastroenterol Mex. 2020;85(3):240-245. DOI: https://doi.org/10.1016/j.rgmx.2019.07.002.

Kim SH, Lim YJ, Park J, Shim KN, Yang DH, Chun J, et al. Changes in performance of small bowel capsule endoscopy based on nationwide data from a Korean Capsule Endoscopy Registry. Korean J Internal Med. 2020;35(4):889. DOI: https://doi.org/10.3904/kjim.2019.312.

Cangemi DJ, Patel MK, Gómez V, Cangemi JR, Stark ME, Lukens FJ. Small bowel tumors discovered during double balloon enteroscopy: analysis of a large prospectively collected single-center database. J Clin Gastroenterol. 2013;47:769–72.DOI: https://doi.org/10.1097/MCG.0b013e318281a44e.Archivos Cubanos de Gastroenterología. 2021;2(3):e85Esta obra está bajo una licencia https://creativecommons.org/licenses/by-nc/4.0/deed.es_ES

Pérez-Cuadrado-Robles E, Zamora-Nava LE, Jiménez-García VA, Pérez-Cuadrado-Martínez E. Indications for and diagnostic yield of capsule endoscopy in the elderly. Rev Gastroenterol Méx. 2018; 83(3):238-244.DOI: https://doi.org/10.1016/j.rgmx.2017.08.004

Cuba-Sascó CN, Blanco-Velasco G, Ramírez-Cisneros DA, Chávez-Piña HJ, Hernández-Mondragón OV, Blancas-Valencia JM, et al. Correlación diagnóstica entre cápsula endoscópica y enteroscopia de doble balón en un hospital de tercer nivel. Endoscopia[Internet]. 2017 [citado 21 May 2020];29(1):7-10.Disponible en: http://www.revista.amegendoscopia.org.mx/index.php/endos/article/download/47/54

Xue M, Chen X, Shi L, Si J, Wang L, Chen S. Small-bowel capsule endoscopy in patients with unexplained chronic abdominal pain: A systematic review. Gastrointest Endosc. 2015;81:186-93. DOI: https://doi.org/10.1016/j.gie.2014.04.062.

Rondonotti E, Spada C, Adler S, May A, Despott EJ, Koulaouzidis A, et al. Small-bowel capsule endoscopy and device-assisted enteroscopy for diagnosis and treatment of small-bowel disorders: European Society of Gastrointestinal Endoscopy (ESGE) Technical Review. Endoscopy. 2018;50(4):423-46. DOI: https://doi.org/10.1055/a-0576-0566

Published

2021-01-18

How to Cite

1.
Zamora Viera Y, Abad Murillo LE, Estrada Guerra Y, Camacho Assef JA, Cárdenas Quintana M. Experience of the use of the endoscopic video capsule in the diagnosis of digestive tract disorders. Arch.cuba.gastroenterol. [Internet]. 2021 Jan. 18 [cited 2025 Apr. 12];2(2). Available from: https://revgastro.sld.cu/index.php/gast/article/view/85

Issue

Section

ARTÍCULOS ORIGINALES