Analysis of Non-Small Bowel Lesions Detected by Capsule Endoscopy in Patients with Potential Small Bowel Bleeding.
Gastrointestinal (GI) bleeding cases in whom source cannot be identified after conventional upper and lower GI endoscopy are defined as potential small bowel bleeding. We aimed to search for lesions in the reach of conventional endoscopy in patients to whom video capsule endoscopy (VCE) had been applied for potential small bowel bleeding. 114 patients who had VCE evaluation for potential small bowel bleeding between January 2009 and August 2015 were retrospectively evaluated. Mean age of the patients was 55 ± 17 years. Female/male ratio is 39/75. In 58 patients (50.9%) bleeding lesion could be determined. Among these 58 patients 8 patients' lesions were in the reach of conventional endoscopes. Overall these 8 patients comprised 7% of patients in whom VCE was performed for potential small bowel bleeding. Among these 8 patients 5 had colonic lesions (4 angiodysplasia, 1 ulcerated polypoid cecal lesion), 2 had gastric lesions (1 GAVE, 1 anastomotic bleeding), and 1 patient had a bleeding lesion in the duodenal bulbus. Although capsule endoscopy is usually performed for potential small bowel bleeding gastroenterologists should always keep in mind that these patients may be suffering from bleeding from non-small bowel segments and should carefully review images captured from non-small bowel areas.
Ankara Ataturk Research and Teaching Hospital Gastroenterology Department, 06800 Ankara, Turkey.
Fatma Ebru
FE
Akin
Yıldırım Beyazıt University Faculty of Medicine, Ankara Ataturk Research and Teaching Hospital Gastroenterology Department, 06800 Ankara, Turkey.
Oyku Tayfur
OT
Yurekli
Ankara Ataturk Research and Teaching Hospital Gastroenterology Department, 06800 Ankara, Turkey.
Aylin
A
Demirezer Bolat
Yıldırım Beyazıt University Faculty of Medicine, Ankara Ataturk Research and Teaching Hospital Gastroenterology Department, 06800 Ankara, Turkey.
Mustafa
M
Tahtacı
Ankara Ataturk Research and Teaching Hospital Gastroenterology Department, 06800 Ankara, Turkey.
Huseyin
H
Koseoglu
Ankara Ataturk Research and Teaching Hospital Gastroenterology Department, 06800 Ankara, Turkey.
Eyup
E
Selvi
Ankara Ataturk Research and Teaching Hospital Gastroenterology Department, 06800 Ankara, Turkey.
Naciye Semnur
NS
Buyukasik
Yıldırım Beyazıt University Faculty of Medicine, Ankara Ataturk Research and Teaching Hospital Gastroenterology Department, 06800 Ankara, Turkey.
Osman
O
Ersoy