Year 2013 Vol. 21 No 1

ENDOSKOPY

V.A. KASHCHENKO 1, D.V. RASPEREZA 1, V.P. AKIMOV 2

VIDEO CAPSULE ENDOSCOPY IN DIAGNOSTICS OF GASTROINTESTINAL BLEEDINGS

FSB ME Clinical hospital 122 named after L.G. Sokolov of FMBA of Russian Federation 1,
SBEE HPE North-Western State Medical University named after I.I.Mechnikov 2, Saint-Petersburg. The Russian Federation

Objectives. To present the potential of the video capsule endoscopy in the diagnostics of the gastrointestinal bleedings.
Methods. The results of the video capsule endoscopy in the clinical hospital 122 of FMBA of Russia from April, 2010 till December, 2011 have been analyzed. 32 patients (17 males and 15 females) have been surveyed during this period. The video capsule EU type 1 (Olympus corporation) was used in the research.
Results. Out of total 32 patients, the pathological changes in the mucous membrane of the small intestine were revealed in 17 (53,1%): small bowel neoplasia in 2; adenocarcinoma (bleeding) in 1; leiomyosarcoma (bleeding) in 1); Crons disease in 6; angiodysplasia in 2; celiac disease in 1; portal hypertensive enteropathy in 1; an intestinal lymphangiectasia in 2; lymphfollicular hyperplasia in 1; polyp of the small intestine in 1; cicatricial changes of the intestinal anastomosis in 1. In the abdominal surgery the leading indication for the capsule endoscopy conduction is considered to be a small intestine bleeding. An active bleeding in the small intestine lumen in 2 out of 4 patients with the signs of the "hidden" gastrointestinal bleeding has been registered. The cause one of them was established on the basis of images assessment obtained by means of the capsule (adenocarcinoma); in the other case the character of the bleeding origin was determined only intraoperatively (leiomyosarcoma).
Conclusions. The video capsule endoscopy permits to obtain the unavailable earlier information concerning the state of the small intestine and to improve significant the diagnostic yieldel in the cases of gastrointestinal bleedings. In patients with a clinical picture of anemia and gastrointestinal bleeding the video capsule endoscopy is recommended as the third diagnostic method at negative results of gastroduodenoscopy and colonoscopy.

Keywords: video capsule endoscopy, small intestine, gastrointestinal bleeding
p. 64 69 of the original issue
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Address for correspondence:
191015, Rossiiskaia Federatsiia, g. Sankt-Peterburg, ul. Kirochnaia, d. 41, GBOU VPO Severo-Zapadnyi gosudarstvennyi meditsinskii universitet im. I.I.Mechnikova, kafedra khirurgii im. N.D. Monastyrskogo,
e-mail: akimov.spbmapo@ mail.ru,
Akimov Vladimir Pavlovich
Information about the authors:
Kashchenko V.A. MD, the chief surgeon of FSB ME Clinical hospital 122 named after L.G. Sokolov of FMBA of Russian Federation .
Raspereza D.V. Endoscopist of FSB ME Clinical hospital 122 named after L.G. Sokolov of FMBA of Russian Federation.
Akimov V.P. MD, professor of surgery chair named after N.D. Monastyrsky of SBEE HPE North-western State Medical University named after I.I. Mechnikov.
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