Practice patterns and clinical significance of use of capsule endoscopy in suspected and established Crohn's disease
Background/Aims: Although the role of capsule endoscopy (CE) in Crohn's disease (CD) has expanded, CE is not used routinely for diagnosing and evaluating CD in Korea. We aimed to investigate current patterns of practice and evaluate the clinical significance of the use of CE in CD in Korean pat...
| Main Authors: | , , , , , , , , , , , |
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| Format: | Article |
| Language: | English |
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Korean Association for the Study of Intestinal Diseases
2017-10-01
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| Series: | Intestinal Research |
| Subjects: | |
| Online Access: | https://doi.org/10.5217/ir.2017.15.4.467 |
| _version_ | 1818454195229949952 |
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| author | Yonghyun Kim Seong Ran Jeon Sang Myung Choi Hyun Gun Kim Tae Hee Lee Jun-Hyung Cho Yunho Jung Wan Jung Kim Bong Min Ko Jin-Oh Kim Joon Sung Lee Moon Sung Lee |
| author_facet | Yonghyun Kim Seong Ran Jeon Sang Myung Choi Hyun Gun Kim Tae Hee Lee Jun-Hyung Cho Yunho Jung Wan Jung Kim Bong Min Ko Jin-Oh Kim Joon Sung Lee Moon Sung Lee |
| author_sort | Yonghyun Kim |
| collection | DOAJ |
| description | Background/Aims: Although the role of capsule endoscopy (CE) in Crohn's disease (CD) has expanded, CE is not used routinely for diagnosing and evaluating CD in Korea. We aimed to investigate current patterns of practice and evaluate the clinical significance of the use of CE in CD in Korean patients.Methods: Among 651 CE procedures performed for various indications, we retrospectively analyzed the medical records of patients who underwent CE in 57 cases of suspected CD (sCD) and 14 cases of established CD (eCD).Results: In the sCD group, CE was most commonly used for the initial diagnosis of CD (54.4%). Capsule retention was found in only 1 patient in the eCD group (1/71, 1.4%). In the sCD group, 28.1% of patients were diagnosed with CD on the basis of CE findings; other diseases diagnosed included tuberculous enteritis (7.0%), non-steroidal anti-inflammatory drug-induced enteropathy (5.3%), and other enteritis (17.5%). Only 11.5% of patients with eCD (14/122) underwent CE. The indication for CE in the 14 patients with eCD was to assess disease extent and activity. The overall diagnostic yield of CE was 59.7%. Therapeutic strategies were changed in 70.2% of patients in the sCD group and 50% of those in the eCD group based on CE findings.Conclusions: In clinical practice, CE was most commonly indicated for the initial diagnosis of CD and was not generally performed in patients with eCD. CE appears to be an effective diagnostic modality for evaluating sCD and is useful for determining therapeutic strategies for patients with sCD and those with eCD. |
| first_indexed | 2024-12-14T21:51:01Z |
| format | Article |
| id | doaj.art-0efd4653140d41e0b54aaad6c90ed76f |
| institution | Directory Open Access Journal |
| issn | 1598-9100 |
| language | English |
| last_indexed | 2024-12-14T21:51:01Z |
| publishDate | 2017-10-01 |
| publisher | Korean Association for the Study of Intestinal Diseases |
| record_format | Article |
| series | Intestinal Research |
| spelling | doaj.art-0efd4653140d41e0b54aaad6c90ed76f2022-12-21T22:46:15ZengKorean Association for the Study of Intestinal DiseasesIntestinal Research1598-91002017-10-0115446747410.5217/ir.2017.15.4.467ir.2017.15.4.467Practice patterns and clinical significance of use of capsule endoscopy in suspected and established Crohn's diseaseYonghyun Kim0Seong Ran Jeon1Sang Myung Choi2Hyun Gun Kim3Tae Hee Lee4Jun-Hyung Cho5Yunho Jung6Wan Jung Kim7Bong Min Ko8Jin-Oh Kim9Joon Sung Lee10Moon Sung Lee11Institute for Digestive Research, Digestive Disease Center, Soonchunhyang University College of Medicine, Seoul, Korea.Institute for Digestive Research, Digestive Disease Center, Soonchunhyang University College of Medicine, Seoul, Korea.Institute for Digestive Research, Digestive Disease Center, Soonchunhyang University College of Medicine, Seoul, Korea.Institute for Digestive Research, Digestive Disease Center, Soonchunhyang University College of Medicine, Seoul, Korea.Institute for Digestive Research, Digestive Disease Center, Soonchunhyang University College of Medicine, Seoul, Korea.Institute for Digestive Research, Digestive Disease Center, Soonchunhyang University College of Medicine, Seoul, Korea.Institute for Digestive Research, Digestive Disease Center, Soonchunhyang University College of Medicine, Seoul, Korea.Institute for Digestive Research, Digestive Disease Center, Soonchunhyang University College of Medicine, Seoul, Korea.Institute for Digestive Research, Digestive Disease Center, Soonchunhyang University College of Medicine, Seoul, Korea.Institute for Digestive Research, Digestive Disease Center, Soonchunhyang University College of Medicine, Seoul, Korea.Institute for Digestive Research, Digestive Disease Center, Soonchunhyang University College of Medicine, Seoul, Korea.Institute for Digestive Research, Digestive Disease Center, Soonchunhyang University College of Medicine, Seoul, Korea.Background/Aims: Although the role of capsule endoscopy (CE) in Crohn's disease (CD) has expanded, CE is not used routinely for diagnosing and evaluating CD in Korea. We aimed to investigate current patterns of practice and evaluate the clinical significance of the use of CE in CD in Korean patients.Methods: Among 651 CE procedures performed for various indications, we retrospectively analyzed the medical records of patients who underwent CE in 57 cases of suspected CD (sCD) and 14 cases of established CD (eCD).Results: In the sCD group, CE was most commonly used for the initial diagnosis of CD (54.4%). Capsule retention was found in only 1 patient in the eCD group (1/71, 1.4%). In the sCD group, 28.1% of patients were diagnosed with CD on the basis of CE findings; other diseases diagnosed included tuberculous enteritis (7.0%), non-steroidal anti-inflammatory drug-induced enteropathy (5.3%), and other enteritis (17.5%). Only 11.5% of patients with eCD (14/122) underwent CE. The indication for CE in the 14 patients with eCD was to assess disease extent and activity. The overall diagnostic yield of CE was 59.7%. Therapeutic strategies were changed in 70.2% of patients in the sCD group and 50% of those in the eCD group based on CE findings.Conclusions: In clinical practice, CE was most commonly indicated for the initial diagnosis of CD and was not generally performed in patients with eCD. CE appears to be an effective diagnostic modality for evaluating sCD and is useful for determining therapeutic strategies for patients with sCD and those with eCD.https://doi.org/10.5217/ir.2017.15.4.467Crohn diseaseCapsule endoscopyIndicationTherapeutic plan |
| spellingShingle | Yonghyun Kim Seong Ran Jeon Sang Myung Choi Hyun Gun Kim Tae Hee Lee Jun-Hyung Cho Yunho Jung Wan Jung Kim Bong Min Ko Jin-Oh Kim Joon Sung Lee Moon Sung Lee Practice patterns and clinical significance of use of capsule endoscopy in suspected and established Crohn's disease Intestinal Research Crohn disease Capsule endoscopy Indication Therapeutic plan |
| title | Practice patterns and clinical significance of use of capsule endoscopy in suspected and established Crohn's disease |
| title_full | Practice patterns and clinical significance of use of capsule endoscopy in suspected and established Crohn's disease |
| title_fullStr | Practice patterns and clinical significance of use of capsule endoscopy in suspected and established Crohn's disease |
| title_full_unstemmed | Practice patterns and clinical significance of use of capsule endoscopy in suspected and established Crohn's disease |
| title_short | Practice patterns and clinical significance of use of capsule endoscopy in suspected and established Crohn's disease |
| title_sort | practice patterns and clinical significance of use of capsule endoscopy in suspected and established crohn s disease |
| topic | Crohn disease Capsule endoscopy Indication Therapeutic plan |
| url | https://doi.org/10.5217/ir.2017.15.4.467 |
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