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Capsule Endoscopy in Inflammatory Bowel Disease Type Unclassified and Indeterminate Colitis Serologically Negative by Sandra Lopes; Pedro Figueiredo; Francisco Portela; Paulo Freire; Nuno Almeida; Clotilde Lérias; Hermano Gouveia; Maximino Correia Leitão is a Medicine article available to read on EtoBox.
What is Capsule Endoscopy in Inflammatory Bowel Disease Type Unclassified and Indeterminate Colitis Serologically Negative about?
## Background: The value of capsule endoscopy in the setting of inflammatory bowel disease type unclassified (IBDU) and indeterminate colitis (IC) remains obscure. The aim was to evaluate the clinical impact of capsule endoscopy on IBDU/IC patients with negative serology. Methods: Eighteen patients with long-standing IBDU (n 1⁄4 14) and IC (n 1⁄4 4) were enrolled to undergo a capsule endoscopy and then followed prospectively. Lesions considered diagnostic of Crohn's disease (CD) were 4 or more erosions/ulcers and/or a stricture. The median follow-up time after capsule endoscopy was 32 6 11 months (23-54 months). Results: Total enteroscopy was possible in all patients. In 2 patients the examination was normal (Group 1). In 9 patients subtle findings were observed (Group 2): focal villi denudation (n 1⁄4 1) and fewer than 4 erosions/ulcers (n 1⁄4 8). In 7 patients, 4 or more erosions/ulcers were detected (Group 3), leading to a diagnosis of CD. However, their treatment was not reassessed on the basis of the capsule findings. Until now, a definitive diagnosis has been achieved in 2 additional patients: 1 from Group 1 (ulcerative colitis) and another patient from Group 2 (CD), who bega
Who reads Capsule Endoscopy in Inflammatory Bowel Disease Type Unclassified and Indeterminate Colitis Serologically Negative?
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- Author
- Sandra Lopes; Pedro Figueiredo; Francisco Portela; Paulo Freire; Nuno Almeida; Clotilde Lérias; Hermano Gouveia; Maximino Correia Leitão
- Publisher
- John Wiley and Sons; Oxford University Press; Oxford University Press (OUP) (ISSN 1078-0998)
- Published
- 2010
- Language
- EN
- Field
- Medicine (Health Sciences)