title: [Obscure gastrointestinal bleeding as initial presentation of Crohn's disease diagnosed by small intestinal capsule endoscopy].
abstract: The present case illustrates a patient with obscure gastrointestinal bleeding which MiroCam capsule endoscopy showed erosions and ulcers from distal jejunum to ileum. Considering that ileal ulcers where closer to ileocecal valve, ileoscopy was repeated. Diagnosis with new biopsies was Crohn disease. Capsule endoscopy is an innovative technology, which let us have high resolution color pictures through gastrointestinal tract for more effective and diagnostic view of small bowel in a minimal invasive way. New guidelines in obscure GI bleeding agreed that initial diagnostic imaging of the small bowel should be performed using capsule endoscopy. Ballon assisted enteroscopy, angiography and laparoscopy should be used as a follow-up procedure for targeted endoscopic treatment or for obtaining histopathological diagnosis.
authors.affiliation: Unidad de Cápsula Endoscópica. Clínica Anglo Americana. hcedron@gmail.com
authors.forename: Hugo
authors.initials: H
authors.lastname: Cedrón Cheng
authors.forename: Carlos
authors.initials: C
authors.lastname: García Encinas
authors.forename: Raúl
authors.initials: R
authors.lastname: de Los Ríos Senmache
authors.forename: Jorge
authors.initials: J
authors.lastname: Huerta Mercado
authors.forename: Jaime
authors.initials: J
authors.lastname: Cok García
mesh_terms: D053705:Capsule Endoscopes; D003424:Crohn Disease / Q000150:complications* / Q000175:diagnosis*; D005260:Female; D006471:Gastrointestinal Hemorrhage / Q000209:etiology*; D006801:Humans; D008875:Middle Aged