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...

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Main Authors: Fion S. Chan, Kent-Man Chu
Format: Article
Language:English
Published: Elsevier 2008-04-01
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.
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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