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Utility of Capsule Endoscopy for the Classification of Crohn's Disease: A Multicenter Study in Korea

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Abstract

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.

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References

  1. Lewis B, Goldfarb N (2003) The advent of capsule endoscopy-a not-so-futuristic approach to obscure gastrointestinal bleeding. Aliment Pharmacol Ther 17:1085–1096

    Article  PubMed  CAS  Google Scholar 

  2. Ginsberg GG, Barkun AN, Bosco JJ, Isenberg GA, Nguyen CC, Petersen BT, Silverman WB, Slivka A, Taitelbaum G (2002) Related articles: Wireless capsule endoscopy. Gastrointest. Endosc 56:621–624

    Article  PubMed  Google Scholar 

  3. Song IS, Chang DK, Kim CY (1998) Current status of Crohn's disease in Korea. Korean J Intern Med 26:158–168

    Google Scholar 

  4. Yang SK (2002) Current status and clinical characteristics of inflammatory bowel disease in Korea. Korean J Gastroenterol 40:1–14

    CAS  Google Scholar 

  5. Scotiniotis I, Rubesin SE, Ginsberg GG (1999) Imaging modalities in inflammatory bowel disease. Gastroenterol Clin North Am 28:391–421

    Article  PubMed  CAS  Google Scholar 

  6. Mekhjian HS, Switz DM, Melnyk CS, Rankin GB, Brooks RK (1979) Clinical feature and natural history of Crohn's disease. Gastroenterology 77:898–906

    PubMed  CAS  Google Scholar 

  7. Chernish SM, Maglinte DD, O'Connor K (1992) Evaluation of the small intestine by enteroclysis for Crohn's disease. Am J Gastroenterol 87:696–701

    PubMed  CAS  Google Scholar 

  8. Maglinte DD, Burney BT, Miller RE (1982) Lesions missed on small-bowel follow-through: Analysis and recommendations. Radiology 144:737–739

    PubMed  CAS  Google Scholar 

  9. Ge ZZ, Hu YB, Xiao SD (2004) Capsule endoscopy in diagnosis of small bowel Crohn's disease. World J Gastroenterol 10:1349–1352

    PubMed  Google Scholar 

  10. Sriram PV, Rao GV, Reddy DN (2004) Wireless capsule endoscopy: Experience in a tropical country. J Gastroenterol Hepatol 19:63–67

    Article  PubMed  CAS  Google Scholar 

  11. MacKenzie JF (1999) Push enteroscopy. Gastrointest Endosc Clin N Am 9:29–36

    PubMed  CAS  Google Scholar 

  12. Swain CP (1999) The role of enteroscopy in clinical practice. Gastrointest Endosc Clin N Am 9:135–144

    PubMed  CAS  Google Scholar 

  13. Lewis BS (1999) The history of enteroscopy. Gastrointest Endosc Clin N Am 9:1–11

    PubMed  CAS  Google Scholar 

  14. Gay GJ, Delmotte JS (1999) Enteroscopy in small intestinal inflammatory diseases. Gastrointest Endosc Clin N Am 9:115–123

    PubMed  CAS  Google Scholar 

  15. Seensalu R (1999) The sonde exam. Gastrointest Endosc Clin N Am 9:37–59

    PubMed  CAS  Google Scholar 

  16. Delmotte JS, Gay GJ, Houcke PH, Mesnard Y (1999) Intraoperative endoscopy. Gastrointest Endosc Clin N Am 9:61–69

    PubMed  CAS  Google Scholar 

  17. Fireman Z (2003) Diagnosing small bowel Crohn's disease with wireless capsule endoscopy. Gut 52:390–392

    Article  PubMed  CAS  Google 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):S1275

    Google Scholar 

  19. Herrerias JM, Caunedo A, Rodriguez-Tellez M, Pellicer F, Herrerias JM Jr (2003) Capsule endoscopy in patients with suspected Crohn's disease and negative endoscopy. Endoscopy 35:564–568

    Article  PubMed  CAS  Google Scholar 

  20. Farmer RG, Hawk WA, Turnbull RB (1975) Clinical patterns in Crohn's disease: A statistical study 615 cases. Gastroenterology 68:627–635

    PubMed  CAS  Google Scholar 

  21. Mow WS, Lo SK, Targan SR, Dubinsky MC, Treyzon L, Abreu-Martin MT, Papadakis KA, Vasiliauskas EA (2004) Initial experience with wireless capsule enteroscopy in the diagnosis and management of inflammatory bowel disease. Clin Gastroenterol Hepatol 2:31–40

    Article  PubMed  Google Scholar 

  22. Voderholzer WA, Beinhoelzl J, Rogalla P, Murrer S, Schachschal G, Lochs H, Ortner MA (2005) Small bowel involvement in Crohn's disease: A prospective comparison of wireless capsule endoscopy and computed tomography enteroclysis. Gut 54:369–373

    Article  PubMed  CAS  Google 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 61:255–261

    Google Scholar 

  24. Gay G, Delvaux M, Laurent V, Reibel N, Regent D, Grosdidier G, Roche JF (2005) Temporary intestinal occlusion induced by a “patency capsule” in a patient with Crohn's disease. Endoscopy 37:174–177

    Article  PubMed  CAS  Google Scholar 

  25. Swain P, Mosse CA, Burke P (2002) Remote propulsion of wireless capsule endoscopes. Gastrointest Endosc 55:abstr 88

    Google Scholar 

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Acknowledgements

This study was supported by the Altana Research Fund (2004 Altana grant) in association with the Korean Society of Gastrointestinal Endoscopy.

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Authors and Affiliations

  1. Department of Internal Medicine, College of Medicine, Hallym University, Anyang, Korea

    Cheol Hee Park

  2. Department of Internal Medicine, Institute for Digestive Research, Soon Chun Hyang University, College of Medicine, Seoul, Korea

    Jin Oh Kim

  3. Department of Internal Medicine, College of Medicine, The Catholic University of Korea, Seoul, Korea

    Myung-Gyu Choi, Soo-Heon Park & In Seok Lee

  4. Department of Internal Medicine, Yang Hospital, Seoul, Korea

    Kyung Jo Kim

  5. Department of Medicine, Samsung Medical Center, Sungkyunkwan University School of Medicine, Seoul, Korea

    Young-Ho Kim

  6. Department of Internal Medicine, Institute of Digestive Disease and Nutrition, Korea University College of Medicine, Seoul, Korea

    Yong Sik Kim & Hoon Jai Chun

  7. Department of Internal Medicine, Division of Gastroenterology and Institute of Gastroenterology, Yonsei University College of Medicine, Seoul, Korea

    Tae Il Kim

  8. Department of Internal Medicine, Chung Ang University College of Medicine, Seoul, Korea

    Jae Hyuk Do

  9. Department of Internal Medicine and Liver Research Institute, Seoul National University College of Medicine, Seoul, Korea

    Ji Kon Ryu

  10. Departments of Internal Medicine, Seoul Paik Hospital, Inje University College of Medicine, Seoul, Korea

    Jeong Seop Moon

  11. Department of Internal Medicine, Ewha Medical Research Institute, Ewha Womans University College of Medicine, Seoul, Korea

    Ki-Nam Shim

  12. Department of Gastroenterology, Ajou University College of Medicine, Suwon, Korea

    Kee Myung Lee

  13. Soon Chun Hyang University Hospital, Hannam 1-dong, Yongsan-gu, Seoul, Korea

    Jin Oh Kim

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  1. Cheol Hee Park
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  2. Jin Oh Kim
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  3. Myung-Gyu Choi
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  4. Kyung Jo Kim
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  5. Young-Ho Kim
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  6. Yong Sik Kim
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  7. Tae Il Kim
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  8. Jae Hyuk Do
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  9. Ji Kon Ryu
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  10. Jeong Seop Moon
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  11. Soo-Heon Park
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  12. Ki-Nam Shim
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  13. Kee Myung Lee
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  14. In Seok Lee
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  15. Hoon Jai Chun
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Corresponding author

Correspondence to Jin Oh Kim.

Additional information

Korea Gut Image Study Group.

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Park, C.H., Kim, J.O., Choi, MG. et al. Utility of Capsule Endoscopy for the Classification of Crohn's Disease: A Multicenter Study in Korea. Dig Dis Sci 52, 1405–1409 (2007). https://doi.org/10.1007/s10620-006-9122-4

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  • DOI: https://doi.org/10.1007/s10620-006-9122-4

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