Abstract：
BACKGROUND:Celiac disease may be complicated by symptoms that raise the suspicion of small-intestinal malignancy. The objective is to evaluate wireless capsule endoscopy (WCE) in complicated celiac disease. METHODS:This is a prospective study at a university referral center. There were 47 patients. The indications for WCE were abdominal pain (57%), cancer surveillance (23%), blood in the stool, or persistent iron deficiency (19%). RESULTS:Findings were consistent with celiac disease in 87%: atrophy (68%), fissuring (62%), and mosaic pattern (19%), extending to the ileum in 34%. Unexpected findings were ulceration in 45% (n = 21), cancer (1), polyps (1), stricture (1), submucosal mass (1), ulcerated nodular mucosa (2), and intussusception (1) were seen in 60%. CONCLUSIONS:WCE has a high yield in complicated celiac disease, by identifying mucosal abnormalities and by excluding adenocarcinoma.
journal_name
Gastrointest Endoscjournal_title
Gastrointestinal endoscopyauthors
Culliford A,Daly J,Diamond B,Rubin M,Green PHdoi
10.1016/s0016-5107(05)01566-xkeywords:
subject
Has Abstractpub_date
2005-07-01 00:00:00pages
55-61issue
1eissn
0016-5107issn
1097-6779pii
S0016-5107(05)01566-Xjournal_volume
62pub_type
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journal_title：Gastrointestinal endoscopy
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