The Use of Capsule Endoscopy For Diagnosis of Iron Deficiency Anemia: A Retrospective Analysis
Conclusion: We report a 33.9% positive yield, with 65.8% of patients undergoing further workup as a result of CE and 12.7% requiring therapeutic intervention. We conclude that CE plays an important role in the investigation of IDA and occult gastrointestinal bleeding and has important implications on further management.
CONCLUSIONS: VCE is useful for the diagnosis of MD and should be used as a valuable and less invasive examination to confirm or establish a diagnosis. PMID: 32450705 [PubMed - as supplied by publisher]
A 62-year-old man presented with anemia (hemoglobin level of 6.9 g/dL). He had 3 months history of intermittent painless melena. However, the underlying cause of the bleeding had not been identified despite extensive investigations, including upper gastrointestinal endoscopy, colonoscopy, and small bowel capsule endoscopy. Abdominal contrast-enhanced computed tomography showed a nonenhancing cystic lesion located at the pancreatic body measuring 10 mm in diameter. The cystic lesion was adjacent to the splenic artery and accompanied by upstream dilatation of the main pancreatic duct.
This study aimed to study the endoscopic yield, appropriateness, and complications of pediatric endoscopy performed by adult gastroenterologists in an adult endoscopic suite. Methods: This a retrospective study in which records of all the patients less than 18 years of age who underwent endoscopy in the last 5 years were studied. The indications of endoscopy in children were categorized as appropriate or inappropriate per the latest guidelines by American Society for Gastrointestinal Endoscopy and North American Society for Pediatric Gastroenterology, Hepatology and Nutrition. Positive endoscopic yield was defined as t...
CONCLUSION: Balloon-assisted enteroscopy and capsule endoscopy are effective methods for diagnosis of hemolymphangioma. Enteroscopic injection sclerotherapy is an effective treatment. PMID: 32308353 [PubMed - in process]
We report the case of a 6-year-old boy with EGE. He was diagnosed as having immediate-type food allergies (egg, milk and wheat) by oral food challenges at 1 year of age. OIT for each food was carried out, and the amounts of the offending foods were able to be gradually increased without causing any immediate-type allergy symptoms. However, the total IgE and specific IgE values were remarkably increased at the age of 4 years and 4 months. He first developed oral mucosa symptoms and vomiting at 4 years and 10 months of age, and they gradually worsened. Stopping eggs and milk alleviated the symptoms. Nevertheless, he still oc...
An 82-year-old woman with small-bowel resection and percutaneous gastrostomy (PEG) tube insertion for mesenteric ischemia 2 months ago was admitted for anemia. Her hemoglobin level was 8 g/dL with no overt gastrointestinal bleeding. Upper endoscopy visualized erosion of the internal gastrostomy bumper through the wall of the gastric body (Figures A and B), consistent with buried bumper syndrome. No other gastric or duodenal ulcers were identified. Computerized tomography located the bumper in the anterior abdominal wall, not entirely within the stomach (Figures C and D).
CONCLUSION: This case was characterized by the highest degree of malignancy and by multiorgan metastases, and it was the first case of intestinal GT uncovered by capsule endoscopy. PMID: 32116424 [PubMed - in process]
ConclusionVE is a new useful tool for the preoperative collection of data on small polypoid lesions in the small bowel.
CONCLUSION: The CTP score but not HVPG or MELD were risk factors for severe PHG. Importantly, anemia and especially IDA are significantly more common in patients with severe PHG. PMID: 31912289 [PubMed - as supplied by publisher]
ConclusionThis case also emphasizes the critical significance of a mutual multidisciplinary approach to occult gastrointestinal bleeding. The management of angiodysplasia is considered as multidisciplinary team work that would consist of expertise from different departments as in endoscopy, angiography, and gastrointestinal surgery.