capsule endoscopy: clinical case vignettes
DESCRIPTION
Capsule Endoscopy: Clinical Case Vignettes. David J. Hass, MD Assistant Clinical Professor of Medicine Yale University School of Medicine Gastroenterology Center of Connecticut, P.C. Case. 30 year-old male Recurrent abdominal pain and loose stools WBC 12. Hct 31. CRP 14. - PowerPoint PPT PresentationTRANSCRIPT
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David J. Hass, MDAssistant Clinical Professor of MedicineYale University School of MedicineGastroenterology Center of Connecticut, P.C.
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Case
30 year-old male
Recurrent abdominal pain and loose stools
WBC 12. Hct 31. CRP 14.
Stool studies negative
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Case
Appears well, but fatigued.
Lungs clear to auscultation, normal cardiac exam
Hyperactive bowel sounds, right lower quadrant tenderness and minimal guarding
Exam otherwise unremarkable
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Case
CT scan revealing for thickened proximal ileal loop
Colonoscopy negative with deep ileal intubation
Small bowel series negative
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Case
Capsule endoscopy performed.
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Case
Capsule endoscopy revealed:Apthous ulcerationsCongested mucosaHemorrhagic mucosa
Findings consistent with small bowel Crohns Disease
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Case
Patient initiated on budesonide 9 mg daily
Considerable improvement with complete resolution of abdominal pain.
CBC normalized
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Case
Capsule endoscopy is superior to conventional techniques for early detection of Crohns disease.
By early detection of small bowel lesions, CE can lead to earlier diagnosis and treatment, resulting in improved quality of life.
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References
Gastrointestinal Endoscopy 2006;63(4):539-545.
Triester et al. Am J Gastroenterol 2006;101:954-964.
Faigel, DO and Cave, DR. Capsule Endoscopy. 2008 Elsevier Inc:91-104.