Capsule Endoscopy for Gastrointestinal Bleeding of Obscure Origin
This is a review on the current status of capsule endoscopy in the assessment of patients with gastrointestinal bleeding of obscure origin after initial negative upper endoscopy and colonoscopy. Relevant information was gathered from a Medline search of the English literature, previous review and or...
Main Authors: | , |
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Format: | Article |
Language: | English |
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Elsevier
2008-04-01
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Series: | Asian Journal of Surgery |
Subjects: | |
Online Access: | http://www.sciencedirect.com/science/article/pii/S1015958408600664 |
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author | Fion S. Chan Kent-Man Chu |
author_facet | Fion S. Chan Kent-Man Chu |
author_sort | Fion S. Chan |
collection | DOAJ |
description | This is a review on the current status of capsule endoscopy in the assessment of patients with gastrointestinal bleeding of obscure origin after initial negative upper endoscopy and colonoscopy. Relevant information was gathered from a Medline search of the English literature, previous review and original articles, references cited in papers, and by checking the latest issues of appropriate journals. Based on the available evidence, capsule endoscopy, if done early in the course of investigation, can identify a bleeding lesion and thus direct subsequent test or treatment in about 60% of patients. Consequently, resources can potentially be saved as unnecessary investigations, blood transfusions and hospital admissions can be minimized and early implementation of definite treatments will be possible. The best candidates for capsule endoscopy are those with ongoing overt obscure bleeding or occult obscure bleeding. Large prospective studies are necessary to assess the impact of capsule endoscopy on clinical outcome. |
first_indexed | 2024-04-13T08:21:09Z |
format | Article |
id | doaj.art-579f8a77636643a4beef2387047f2e0e |
institution | Directory Open Access Journal |
issn | 1015-9584 |
language | English |
last_indexed | 2024-04-13T08:21:09Z |
publishDate | 2008-04-01 |
publisher | Elsevier |
record_format | Article |
series | Asian Journal of Surgery |
spelling | doaj.art-579f8a77636643a4beef2387047f2e0e2022-12-22T02:54:38ZengElsevierAsian Journal of Surgery1015-95842008-04-01312969910.1016/S1015-9584(08)60066-4Capsule Endoscopy for Gastrointestinal Bleeding of Obscure OriginFion S. ChanKent-Man ChuThis is a review on the current status of capsule endoscopy in the assessment of patients with gastrointestinal bleeding of obscure origin after initial negative upper endoscopy and colonoscopy. Relevant information was gathered from a Medline search of the English literature, previous review and original articles, references cited in papers, and by checking the latest issues of appropriate journals. Based on the available evidence, capsule endoscopy, if done early in the course of investigation, can identify a bleeding lesion and thus direct subsequent test or treatment in about 60% of patients. Consequently, resources can potentially be saved as unnecessary investigations, blood transfusions and hospital admissions can be minimized and early implementation of definite treatments will be possible. The best candidates for capsule endoscopy are those with ongoing overt obscure bleeding or occult obscure bleeding. Large prospective studies are necessary to assess the impact of capsule endoscopy on clinical outcome.http://www.sciencedirect.com/science/article/pii/S1015958408600664capsule endoscopygastrointestinal bleedingobscure origin |
spellingShingle | Fion S. Chan Kent-Man Chu Capsule Endoscopy for Gastrointestinal Bleeding of Obscure Origin Asian Journal of Surgery capsule endoscopy gastrointestinal bleeding obscure origin |
title | Capsule Endoscopy for Gastrointestinal Bleeding of Obscure Origin |
title_full | Capsule Endoscopy for Gastrointestinal Bleeding of Obscure Origin |
title_fullStr | Capsule Endoscopy for Gastrointestinal Bleeding of Obscure Origin |
title_full_unstemmed | Capsule Endoscopy for Gastrointestinal Bleeding of Obscure Origin |
title_short | Capsule Endoscopy for Gastrointestinal Bleeding of Obscure Origin |
title_sort | capsule endoscopy for gastrointestinal bleeding of obscure origin |
topic | capsule endoscopy gastrointestinal bleeding obscure origin |
url | http://www.sciencedirect.com/science/article/pii/S1015958408600664 |
work_keys_str_mv | AT fionschan capsuleendoscopyforgastrointestinalbleedingofobscureorigin AT kentmanchu capsuleendoscopyforgastrointestinalbleedingofobscureorigin |