Wireless capsule video endoscopy compared to barium follow-through and computerised tomography in patients with suspected Crohn's disease--final report.
BACKGROUND
Wireless capsule endoscopy is a superior diagnostic tool to barium small bowel follow-through and enteroscopy in diagnosing patients with occult blood loss.


OBJECTIVE
To compare capsule endoscopy with barium follow-through and entero-computerised tomography in patients with suspected Crohn's disease.


METHODS
Thirty-five patients with suspected Crohn's disease underwent the three examinations. The radiologist and gastroenterologist were blinded to each other's results. In cases of discrepancy, colonoscopy and ileoscopy were performed.


RESULTS
Thirty-five patients (22 males), mean age 28.4 years, were included. Eighty-eight percent had abdominal pain, 83% had diarrhoea and 69% had weight loss. The diagnostic yield of capsule endoscopy was 77% versus 23% and 20% of barium and computerised tomography examinations, respectively (P < 0.05). The capsule detected all of the lesions diagnosed by barium follow-through and entero-computerised tomography.


CONCLUSIONS
Capsule endoscopy is a superior and more sensitive diagnostic tool than barium follow-through and entero-computerised tomography in patients with suspected Crohn's disease.
Eliakim
R
R
Department of Gastroenterology, Rambarn Medical Centre, Technion School of Medicine, Bat Galim, P.O.B. 9602, 31096 Haifa, Israel. r_eliakim@rambam.health.gov.il
Suissa
A
A
Yassin
K
K
Katz
D
D
Fischer
D
D
D000328:Adult; D001466:Barium Sulfate; D002214:Capsules; D003424:Crohn Disease / Q000175:diagnosis*; D016099:Endoscopy, Gastrointestinal / Q000379:methods*; D006801:Humans; D008297:Male; D009780:Occult Blood; D014057:Tomography, X-Ray Computed; D014741:Video Recording / Q000379:methods*
D002214:Capsules; D001466:Barium Sulfate