Aralik 2024
Kapsül endoskopinin gastroenteroloji pratiginde kullanimi: Tek merkez deneyimi
Utility of capsule endoscopy in gastroenterology practice:A single-center experience
- Ana Sayfa
- Sayılar
- Aralik 2024
- Kapsül endoskopinin gastroenteroloji pratiginde kullanimi: Tek merkez deneyimi...
Özet
ÖZET •Giris ve Amaç:Kapsül endoskopi gastrointestinal traktin degerlendirilmesinde kullanilan, kolay uygulanabilen ve girisimsel olmayanbir tanisal yöntemdir. Degerli bir tani yöntemi olmasina karsin Türkiye’de yaygin kullanimi mevcut degildir. Bu çalisma ile kapsül endoskopide tek merkez deneyimimizi aktarmayi ve kapsül endoskopinin gastroenteroloji pratiginde kullanimini arastirmayi amaçladik.Gereç ve Yöntem:Buretrospektif çalisma Antalya Egitim ve Arastirma Hastanesinde yürütüldü. 2018 ile 2024 yillari arasinda kapsül endoskopi ile degerlendirilen hast-alar çalismaya alindi.Bulgular:Çalismaya 31 hasta dahil edildi. En sik endikasyon asikar kanamali ince bagirsak kanamasi süphesi ve demireksikligi anemisi idi. Asikar kanamali ince bagirsak kanamasi süphesi ve demir eksikligi anemisi nedeniyle kapsül endoskopi yapilan hastalarda her iki grup için de en sik bulgu anjiyodisplaziler idi (her iki endikasyon için de n = 3, %33). Karin agrisi nedeniyle kapsül endoskopi yapilan hast-alardaki en sik bulgu ince bagirsakta ülserler idi (n = 5, %62). Crohn hastaligi tanisi bulunan ve hastalik aktivitesi degerlendirilen dört hastada daince bagirsak ülserleri saptandi. Çalismaya dahil edilen 31 hastanin 8’inde (%26), kapsül endoskopi endikasyonu ile iliskili bir bulguya rastlanmadi. Sonuç:Kapsül endoskopi aydinlatilmamis gastrointestinal sistem kanamalarindan in?amatuvar bagirsak hastaligi degerlendirmesine kadar genisbir çerçevede gastrointestinal sistem hastaliklarinin degerlendirmesinde faydalidir. Kapsül endoskopiye erisimin artirilmasi ve bu alanda gastroen-terologlarin egitimi, gastroenteroloji pratiginde tani koymada zorluk yasanan durumlarda fayda saglayacaktir.
Abstract
ABSTRACT •Background and Aims:Capsule endoscopy is an easy and a non-invasive diagnostic tool used in evaluation of gastrointestinaltract. Despite being a valuable diagnostic method, widespread use has not been established in Türkiye. With this study, we aimed to report our single-center experience with capsule endoscopy in order to both reveal our data and utility of capsule endoscopy in gastroenterology practice.Materials and Methods:This retrospective study was conducted at Antalya Training and Research Hospital. Patients evaluated by capsuleendoscopy between 2018 and 2024 were included in the study.Results:Thirty one patients were included in the study. Most common indications were overt bleeding with suspicion of small bowel bleeding and iron de?ciency anemia. Angiodysplasias were the most common ?nding in bothovert bleeding with suspicion of small bowel bleeding and iron de?ciency anemia groups (n = 3, 33% for both indications). Ulcers in small intestinewere the most common ?nding in patients with abdominal pain (n = 5, 62%). All of the four patients with Crohn’s disease evaluated for diseaseactivity had ulcers in small intestine. Out of 31 patients enrolled in the study, capsule endoscopy did not reveal an underlying condition related to clinical indication in 8 patients (26%).Conclusion:Capsule endoscopy is a valuable tool in evaluating gastrointestinal disorders ranging fromobscure bleeding to in?ammatory bowel diseases. Accessibility of capsule endoscopy devices and training of gastroenterologists will help thehealthcare team with diagnostic challenges in gastroenterology practice.
