Usefulness of wireless capsule endoscopy for detecting inflammatory bowel disease in children presenting with arthropathy
- نوع فایل : کتاب
- زبان : انگلیسی
- مؤلف : Andrea Taddio & Gabriele Simonini & Paolo Lionetti & Loredana Lepore & Stefano Martelossi & Alessandro Ventura & Rolando Cimaz
- چاپ و سال / کشور: 2011
Description
Inflammatory bowel disease (IBD) is a cause of chronic intestinal inflammation in children. In a subset of patients affected by IBD, arthropathy may be the leading presenting sign. In the past years, remarkable advances in gastrointestinal endoscopy techniques have been achieved; recently, the development of capsule endoscopy (CE) provided a non-invasive method for the complete endoscopic evaluation, including small bowel assessment. We report three children suffering from IBD but presenting with articular complaints in whom CE was a useful tool for detecting gut inflammation. Patients were investigated with the wireless CE: PillCam™ SB2 (Given Imaging, Yoqneam, Israel) capsule, the second-generation capsule, was used in our paediatric patients. Three patients were initially evaluated for arthropathy. Enteropathic arthritis was suspected for gastrointestinal symptoms and/or persistence of inflammatory markers elevation. In one of these children, conventional endoscopy was refused by parents, while in the other two children, CE was proposed as first-line diagnostic tool. In all patients, CE revealed to be safe and provided information that led to diagnosis. Paediatric rheumatologists should consider CE as a valid, non-invasive tool, eventually first level diagnostic approach in order to evaluate the presence of IBD in children presenting with chronic articular complaints.
Eur J Pediatr DOI 10.1007/s00431-011-1505-7 Received: 23 February 2011 / Accepted: 24 May 2011
