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jsmc-10030


VIDEO CAPSULE ENDOSCOPY: INDICATIONS, DIAGNOSTIC YIELD AND SAFETY IN SULAIMANI GOVERNORATE


Taha Ahmed Al-Karbuli *, Hiwa A Hussein **, Ali A Ramadhan ** and Sabir M Ameen ***


*   Department of Medicine, School of Medicine, University of Sulaimani, Kurdistan Center for Gastroenterology and Hepatology, Sulaimani, Iraq.
** Kurdistan Center for Gastroenterology and Hepatology, Sulaimani, Iraq.
*** Department of Medicine, School of Medicine, University of Sulaimani, Sulaimani, Iraq.


Submitted: 30/7/2012; Accepted: 26/12/2012


ABSTRACT


Background

The small intestine is the most difficult part of the intestine to examine. Video capsule endoscopy has revolutionized the study of the small intestine. Since its availability, no local data are available to optimize the use of this valuable diagnostic procedure.

Objectives

To review the indications, diagnostic yield and safety of video capsule endoscopy in a tertiary referral center.

Patients and Methods

This retrospective descriptive study was done in Kurdistan Center for Gastroenterology and Hepatology in Sulaimani City from June 2009 to February 2012. A total of 43 patients underwent video capsule endoscopy during this period (18 females, 25 males) with their age ranging from 9 years to 87 years (mean=37 years).

Results

Indications of video capsule endoscopy were obscure gastrointestinal hemorrhage (N.=20, diagnostic yield=70%), suspicion of Crohn's disease (N.=11, diagnostic yield=64%), chronic abdominal pain (N.=8, diagnostic yield=50%), small intestinal polyposis syndrome (N.=2, diagnostic yield = 100%) and chronic unexplained diarrhea (N.=2, diagnostic yield=0%). The most common finding was gastrointestinal erosions and/or ulcers (N. = 21, 48.9%). No capsule retention has been recorded.

Conclusion

Video capsule endoscopy is safe and has an acceptable diagnostic yield in obscure gastrointestinal hemorrhage, Crohn's disease and small intestinal polyposis syndrome. However, more studies are warranted to establish the impact of these diagnostic yields on patient outcome rates.

KEYWORDS

Video capsule endoscopy, Small intestine, Sulaimani.