Researchers suggest capsule endoscopy should be the first-line modality for detecting small bowel Crohn's disease in patients without endoscopic or clinical suspicion of stenosis, according to an article published in Clinical Gastroenterology and Hepatology.
Researchers performed a prospective, blind study of 93 patients who underwent ileocolonoscopy, magnetic resonance imaging enterography, computed tomography enterography and capsule endoscopy, if stenosis was not suspected. Results showed capsule endoscopy had a 100 percent sensitivity rate and 91 percent specificity rate for diagnosis of Crohn's disease of the terminal ileum. By contrast, MRE had 81 percent and 86 percent rates of sensitivity and specificity, respectively; and CTE had 76 percent and 85 percent rates of sensitivity and specificity, respectively.
Capsule endoscopy detected proximal Crohn's disease in 18 patients, whereas MRE and CTE each detected it in two and six patients, respectively.
Read the study about capsule endoscopy.
Read other coverage about capsule endoscopy:
- 10 Recent Findings on GI Quality Issues
- Mayo Clinic Gastroenterologist Details Role of Endoscopic Imaging in Small Bowel
- Remote-Controlled Capsule Endoscopy Safe and Effective for Screening
Researchers performed a prospective, blind study of 93 patients who underwent ileocolonoscopy, magnetic resonance imaging enterography, computed tomography enterography and capsule endoscopy, if stenosis was not suspected. Results showed capsule endoscopy had a 100 percent sensitivity rate and 91 percent specificity rate for diagnosis of Crohn's disease of the terminal ileum. By contrast, MRE had 81 percent and 86 percent rates of sensitivity and specificity, respectively; and CTE had 76 percent and 85 percent rates of sensitivity and specificity, respectively.
Capsule endoscopy detected proximal Crohn's disease in 18 patients, whereas MRE and CTE each detected it in two and six patients, respectively.
Read the study about capsule endoscopy.
Read other coverage about capsule endoscopy:
- 10 Recent Findings on GI Quality Issues
- Mayo Clinic Gastroenterologist Details Role of Endoscopic Imaging in Small Bowel
- Remote-Controlled Capsule Endoscopy Safe and Effective for Screening