Utility of Capsule Endoscopy for the Classification of Crohn's Disease: A Multicenter Study in Korea |
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Authors: | Cheol Hee Park Jin Oh Kim Myung-Gyu Choi Kyung Jo Kim Young-Ho Kim Yong Sik Kim Tae Il Kim Jae Hyuk Do Ji Kon Ryu Jeong Seop Moon Soo-Heon Park Ki-Nam Shim Kee Myung Lee In Seok Lee Hoon Jai Chun |
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Institution: | Department of Internal Medicine, College of Medicine, Hallym University, Anyang, Korea. |
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Abstract: | Capsule endoscopy can detect lesions associated with Crohn's disease in the small bowel that go unrecognized by conventional radiologic imaging. The aim of this study was to assess the value of capsule endoscopy in the classification of patients with Crohn's disease. This study was carried out on 52 patients with known Crohn's disease. Small bowel follow-through findings were compared with capsule endoscopic findings. All patients were classified according to the extent of the disease: small bowel-colon type, small bowel type, or colon type. Seventeen patients who were reported as being normal showed evidence of small bowel Crohn's disease according to capsule endoscopy. Differences were observed between the small bowel follow-through and the capsule endoscopy classification (kappa=0.54). Treatment was changed based on the results of wireless capsule endoscopy in 15 patients. |
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Keywords: | Capsule Classification Endoscopy Crohn's disease Small intestine |
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