Utilidad de la cápsula endoscópica como método diagnóstico en el estudio de patología de intestino delgado

• EDGAR SANHUEZA B ^[2] ; PATRICIO IBÁÑEZ ^[2] ; RAÚL ARAYA ^[1] ; IRIS DELGADO ^[3] ; SOLEDAD QUEZADA ^[2] ; LILIANA JADUE ^[3] ; CLAUDIO NAVARRETE ^[2]
  1. [1] Hospital Militar de Santiago

     Hospital Militar de Santiago

     Santiago, Chile

     
  2. [2] Clínica Alemana de Santiago Departamento de Enfermedades Digestivas
  3. [3] Universidad del Desarrollo-Clínica Alemana Facultad de Medicina Centro de Epidemiología y Políticas de Salud Pública

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• Localización: Revista Médica de Chile, ISSN-e 0034-9887, Vol. 138, Nº. 3, 2010, págs. 303-308
• Idioma: español
• Títulos paralelos:
  • Experience with capsule endoscopy diagnostic tool for the small intestine
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• Resumen

  • Background: Wireless capsule endoscopy (CE) is a relatively new method to evaluate the small intestine. Aim: To evaluate the indications of CE in our center and assess whether specific indications are associated with best results during CE studies. Material and Methods: Retrospective analysis of 69 patients aged 9 to 85 years (36 males) subjected to a CE at our institution between April 2004 and October 2007. Results: The most common indications for CE were overt gastrointestinal bleeding in 43.5% of patients, iron deficiency anemia in 39.1 %, suspicion of a small bowel tumor in 4.3%, chronic diarrhea in 4.3% and abdominalpain in 2.9%. CE was normal in 23.2% and was able to find lesions in 76.8% of the studies. Gastrointestinal bleeding, followed by iron deficiency anemia were the indications associated with the higher rates of positive findings during CE. Conclusions: Gastrointestinal bleeding and iron deficiency anemia were the indications that obtained the best diagnostic y ield for CE.