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Goals: This study was performed to evaluate the use of wireless capsule endos copy in a community gastroenterology practice. Background: Experience with wirel ess capsule endoscopy at referral centers has been reported, but little has been reported about community gastroenterologists’ experience. Study: A retrospect ive review of charts and wireless capsule endoscopies performed at a community h ospital was performed. Results: A total of 99 wireless capsule endoscopies were reviewed and complete data were available in 72 cases. Indications included susp ected obscure GI bleeding in 97% of cases; 55% of patients were taking anti - platelet or anti- coagulant medications; 71% of examinations were complete . Pathologic findings included angioectasias (36% ), gastritis/erosions (21% ) , bleeding (18% ), small bowel ulcers (16% ), duodenitis (7% ), and small bow el erosions (6% ). Strictures, Crohn’ s disease, and tumors were each seen in 3% . There were no abnormal findings in 37% . One complication, nonnatural exc retion of the capsule, caused a transient bowel obstruction but passed without e ndoscopic intervention or surgery. Conclusions: In a community- based gastroent erology setting, wireless capsule endoscopy is a safe tool that shows abnormalit ies in a significant proportion of exams.
Goals: This study was performed to evaluate the use of wireless capsule endos copy in a community gastroenterology practice. Background: Experience with wirel ess capsule endoscopy at referral centers has been reported, but little has been reported about community gastroenterologists’ experience. retrospect ive review of charts and wireless capsule endoscopies performed at a community hospital was performed. Results: A total of 99 wireless capsule endoscopies were reviewed and complete data were available in 72 cases. Indications included susp ected obscure GI bleeding in 97% of cases Pathological findings included angioectasias (36%), gastritis / erosions (21%), bleeding (18%), small bowel ulcers (55% of patients were taking anti-platelet or anti- coagulant medications; 16%), duodenitis (7%), and small bowel erosions (6%). Strictures, Crohn’s disease, and tumors were each seen in 3%. There were no abnormal findings in 37%. One co mplication, nonnatural exc retion of the capsule, caused a transient bowel obstruction but passed without e ndoscopic intervention or surgery. Conclusions: In a community-based gastroent erology setting, wireless capsule endoscopy is a safe tool that shows abnormal phenomena in a significant proportion of exams.