Wireless capsule endoscopy (WCE) is a new technology for small bowel imaging.
In this study, researchers from Indianapolis, Indiana, assessed the sensitivity of high quality enteroclysis in patients with small bowel ulcers detected by WCE.
The team examined the medical records of 40 patients referred to their institution for WCE between 2001 and 2002.
All patients had negative upper and lower endoscopies and small bowel barium studies before WCE.
|3 patients had multiple small bowel ulcers detected by wireless capsule endoscopy.|
|American Journal of Gastroenterology|
However, the team found that 3 patients had multiple small bowel ulcers detected by WCE.
Of these, 1 patient with ileal ulcers and abdominal pain had an enteroclysis at another hospital prior to WCE. Review of this showed that the study was of excellent quality and was normal.
The team found that 2 patients with chronic iron deficiency anemia had multiple small bowel ulcers. They were referred after WCE for a repeat small bowel barium study by biphasic enteroclysis performed by experienced GI radiologists. The radiologists were told in advance of the WCE findings.
The researchers considered both these studies to be technically perfect, however, both were negative.
All 3 patients improved after therapy for Crohn’s disease.
Dr Suthat Liangpunsakul's team concluded, "Our data indicates that WCE may be more sensitive for small bowel ulcers than the best enteroclysis available".