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Usefulness of wireless capsule endoscopy for detecting inflammatory bowel disease in children presenting with arthropathy.
Taddio, Andrea; Simonini, Gabriele; Lionetti, Paolo; Lepore, Loredana; Martelossi, Stefano; Ventura, Alessandro; Cimaz, Rolando.
Afiliação
  • Taddio A; Department of Sciences of Reproduction and Development, Institute of Child Health IRCCS Burlo Garofolo, University of Trieste, Via dell'Istria 65/1, 34100 Trieste, Italy. ataddio@yahoo.it
Eur J Pediatr ; 170(10): 1343-7, 2011 Oct.
Article em En | MEDLINE | ID: mdl-21643650
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.
Assuntos

Texto completo: 1 Base de dados: MEDLINE Assunto principal: Artrite Juvenil / Doenças Inflamatórias Intestinais / Endoscopia por Cápsula Tipo de estudo: Diagnostic_studies / Observational_studies / Prognostic_studies / Risk_factors_studies Limite: Adolescent / Child / Humans / Male Idioma: En Revista: Eur J Pediatr Ano de publicação: 2011 Tipo de documento: Article País de afiliação: Itália

Texto completo: 1 Base de dados: MEDLINE Assunto principal: Artrite Juvenil / Doenças Inflamatórias Intestinais / Endoscopia por Cápsula Tipo de estudo: Diagnostic_studies / Observational_studies / Prognostic_studies / Risk_factors_studies Limite: Adolescent / Child / Humans / Male Idioma: En Revista: Eur J Pediatr Ano de publicação: 2011 Tipo de documento: Article País de afiliação: Itália