| 소장 질환이 의심되는 소아에서 캡슐 내시경의 유용성 |
| 박혜진ㆍ이소연ㆍ고재성ㆍ서정기 |
| 서울대학교 의과대학 소아과학교실 |
| Usefulness of Capsule Endoscopy in Children with Suspected Small Bowel Disease |
| Hae Jin Park, M.D., So Yeon Lee, M.D., Jae Sung Ko, M.D. and Jeong Kee Seo, M.D. |
| Department of Pediatrics, Seoul National University College of Medicine, Seoul, Korea |
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| Abstract |
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Background/Aims:
The aim of our study is to investigate the diagnostic value and safety of capsule endoscopy (CE) in the pediatric patients with small bowel (SB) disease.
Methods:
We retrospectively reviewed the records of 29 children (mean age: 11.8 year) who underwent CE at Seoul National University Children's Hospital between November 2004 and April 2009.
Results:
Six (20%) of the total 29 patients could not swallow the capsule (mean age: 10.5 years), so the capsule was endoscopically placed into the stomach of these 6 patients. The CE examination for the entire SB was finished in 89.6% of the patients. The indications for CE studies were obscure gastrointestinal bleeding (OGIB) or anemia in 14 patients, intestinal polyposis in 8, abdominal pain in 4 and Crohn's disease in 3. The diagnostic yield of CE was 35.7% for OGIB or anemia, 37.5% for intestinal polyposis, 25% for abdominal pain and 33.3% for Crohn's disease. One patient had capsule retention during our CE investigations.
Conclusions:
CE is a safe and valuable tool for the detection of SB Crohn's disease, the focus of OGIB and the presence of SB polyps in pediatric patients. (Korean J Gastrointest Endosc 2009;39:346-351) |
| Key Words:
Capsule endoscopy, Child, Small bowel disease, Obscure gastrointestinal bleeding, Crohn's disease |
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