Reference : Capsule Endoscopy in paediatrics: multicentric Belgian study
Scientific journals : Article
Human health sciences : Gastroenterology & hepatology
Capsule Endoscopy in paediatrics: multicentric Belgian study
Urbain, D. [> > > >]
Tresinie, M. [> > > >]
De Looze, D. [> > > >]
Demedts, I. [> > > >]
Hauser, B. [> > > >]
Mana, F. [> > > >]
Macken, E. [> > > >]
Hoffmann, I. [> > > >]
Scaillon, M. [> > > >]
Van Callie-Bertrand, M. [> > > >]
Van Gossum, A. [> > > >]
Louis, Edouard mailto [Université de Liège - ULiège > Département des sciences cliniques > Hépato-gastroentérologie >]
Vandenplas, Y. [> > > >]
Acta Gastro-Enterologica Belgica
Acta Medica Belgica
Yes (verified by ORBi)
[en] Bacground and study aims : Capsule Endoscopy (CE) is a non-invasive procedure for evaluating small bowel disease. Data concerning children are scarce. The aim of the present report was to review all paediatric cases investigated by CE in Belgium. Patients and methods : The seven Belgian academic hospitals using the CE device (Given) were asked to collect information on CE performed in patients <= 18 years. Main indications for performing VCE, former radiological and endoscopic procedures were collected, as well as final diagnosis and clinical impact of VCE findings. Results : From November 2002 until December 2005, VCE was performed in 17 children (mean age : 11.9 years, range : 5-18). Indications were occult gastro-intestinal bleeding (OGIB) and/or iron deficiency anaemia (IDA) (10 cases) and chronic and/or recurrent abdominal pain (7 cases). Mean duration of symptoms was 8.6 months. The mean number of endoscopic and radiological procedures before performing CE was 4.2 per patient. Detected lesions were ulcerations (6 cases), jejunal varices (1), ileo-ileal invagination (2), active bleeding (1), and normal findings (7). In the indication of OGIB/IDA, relevant findings having an impact on the diagnosis were found in 60% of the cases. In the group with chronic and recurrent abdominal pain, CE brought relevant findings in 43%. CE findings had an impact on therapy in 44% of the patients. Conclusions : CE could be a useful tool for clinical work-up of difficult paediatric cases, not only in the indication of IDA/OGIB, but also for selected cases of recurrent abdominal pain, but prospective controlled trials including emerging techniques like CT enterography are mandatory.

File(s) associated to this reference

Fulltext file(s):

Restricted access
PPE AR-Capsule endoscopy in pediatrics... 2007-Acta gastroenterol Belg 70 11-14.docPublisher postprint6.44 MBRequest copy

Bookmark and Share SFX Query

All documents in ORBi are protected by a user license.