SMALL BOWEL LESIONS DETECTED WITH WIRELESS CAPSULE ENDOSCOPY IN PATIENTS WITH ACTIVE ULCERATIVE COLITIS AND WITH POST-PROCTOCOLECTOMY
Background: Although rare, duodenal lesions have been reported in association with ulcerative colitis (UC); however, there have been very few reports on small bowel lesions, and many aspects of their pathology and frequency remain unknown. This study determined whether small bowel lesions are prese...
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| Veröffentlicht in: | Digestive endoscopy 2011-10, Vol.23 (4), p.302-309 |
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| creator | HISABE, TAKASHI NINOMIYA, KAZEO MATSUI, TOSHIYUKI KARASHIMA, YOSHIHIKO SATO, YUHO NAGAHAMA, TAKASHI TAKAKI, YASUHIRO HIRAI, FUMIHITO YAO, KENSHI HIGASHI, DAIJIRO FUTAMI, KITARO IWASHITA, AKINORI |
| description | Background: Although rare, duodenal lesions have been reported in association with ulcerative colitis (UC); however, there have been very few reports on small bowel lesions, and many aspects of their pathology and frequency remain unknown. This study determined whether small bowel lesions are present in UC by using wireless capsule endoscopy (WCE).
Patients and Methods: WCE was performed on 20 patients with active UC and 10 who had undergone proctocolectomy.
Results: Small bowel lesions (e.g. edema or ulcers) were observed in 11 of the 30 patients (36.6%): in eight (40%) of the 20 patients with active UC and in three (33.3%) of the 10 post‐proctocolectomy patients. Ulcers that extended over a long segment or whole tertile of the small bowel were observed in five patients, and the disease type was extensive colitis in three of these and pouchitis in the other two. Age at onset was significantly lower in the 20 active UC patients that had small bowel lesions.
Conclusion: WCE revealed the presence of ulcers that extended over a long segment or a whole tertile in the small bowel in active extensive colitis and pouchitis. In future, it will be necessary to assess the clinical significance of small bowel lesions in UC in detail. |
| doi_str_mv | 10.1111/j.1443-1661.2011.01149.x |
| format | Article |
| fullrecord | <record><control><sourceid>proquest_pubme</sourceid><recordid>TN_cdi_proquest_miscellaneous_894820181</recordid><sourceformat>XML</sourceformat><sourcesystem>PC</sourcesystem><sourcerecordid>894820181</sourcerecordid><originalsourceid>FETCH-LOGICAL-c4319-ed5aef030dfa2e0679cf89447c64ecec80fe92142db6780f9232586cc1acaadc3</originalsourceid><addsrcrecordid>eNo9Ud1u2yAURtOmNe32ChN3u7ILGP9d7MIlrLVEjBXIou4GUYylZMnaxo2WPsDee7jJggTnoO8HcT4AIEYxDut6HWNKkwhnGY4JwjgOm5bx4R2YnIH3YIJKnEZplqQX4HIY1ghhUlL6EVwQXKYYlWgC_qpZJQS8kUsuoOCqlo2CU64503wKl7W-C8ecB0RBVrVqITjkzVQqJtt7WDewrXTNG62O3Irp-geHC8H4vHprmRS1rhWsmpNdK5WO2rlkWgYsvCNn95_Ah95uBv_5VK_A4jvX7C4S8rZmlYgcTXAZ-S61vkcJ6npLPMry0vVF-FHuMuqddwXqfUkwJd1DlodLSRKSFplz2DprO5dcga9H36fd4_PeDy9muxqc32zsb_-4H0wwK8I8CxyYX07M_cPWd-Zpt9ra3av5P7lA-HYk_Flt_OsZx8iMCZm1GYMwYxBmTMi8JWQOZsqbsQv66KhfDS_-cNbb3S-T5UmemmVza0gxW9KfN8rMkn_l7YkV</addsrcrecordid><sourcetype>Aggregation Database</sourcetype><iscdi>true</iscdi><recordtype>article</recordtype><pqid>894820181</pqid></control><display><type>article</type><title>SMALL BOWEL LESIONS DETECTED WITH WIRELESS CAPSULE ENDOSCOPY IN PATIENTS WITH ACTIVE ULCERATIVE COLITIS AND WITH POST-PROCTOCOLECTOMY</title><source>MEDLINE</source><source>Wiley Journals</source><creator>HISABE, TAKASHI ; NINOMIYA, KAZEO ; MATSUI, TOSHIYUKI ; KARASHIMA, YOSHIHIKO ; SATO, YUHO ; NAGAHAMA, TAKASHI ; TAKAKI, YASUHIRO ; HIRAI, FUMIHITO ; YAO, KENSHI ; HIGASHI, DAIJIRO ; FUTAMI, KITARO ; IWASHITA, AKINORI</creator><creatorcontrib>HISABE, TAKASHI ; NINOMIYA, KAZEO ; MATSUI, TOSHIYUKI ; KARASHIMA, YOSHIHIKO ; SATO, YUHO ; NAGAHAMA, TAKASHI ; TAKAKI, YASUHIRO ; HIRAI, FUMIHITO ; YAO, KENSHI ; HIGASHI, DAIJIRO ; FUTAMI, KITARO ; IWASHITA, AKINORI</creatorcontrib><description>Background: Although rare, duodenal lesions have been reported in association with ulcerative colitis (UC); however, there have been very few reports on small bowel lesions, and many aspects of their pathology and frequency remain unknown. This study determined whether small bowel lesions are present in UC by using wireless capsule endoscopy (WCE).
Patients and Methods: WCE was performed on 20 patients with active UC and 10 who had undergone proctocolectomy.
Results: Small bowel lesions (e.g. edema or ulcers) were observed in 11 of the 30 patients (36.6%): in eight (40%) of the 20 patients with active UC and in three (33.3%) of the 10 post‐proctocolectomy patients. Ulcers that extended over a long segment or whole tertile of the small bowel were observed in five patients, and the disease type was extensive colitis in three of these and pouchitis in the other two. Age at onset was significantly lower in the 20 active UC patients that had small bowel lesions.
Conclusion: WCE revealed the presence of ulcers that extended over a long segment or a whole tertile in the small bowel in active extensive colitis and pouchitis. In future, it will be necessary to assess the clinical significance of small bowel lesions in UC in detail.</description><identifier>ISSN: 0915-5635</identifier><identifier>EISSN: 1443-1661</identifier><identifier>DOI: 10.1111/j.1443-1661.2011.01149.x</identifier><identifier>PMID: 21951090</identifier><language>eng</language><publisher>Melbourne, Australia: Blackwell Publishing Asia</publisher><subject>Adult ; Capsule Endoscopy ; Chi-Square Distribution ; Colitis, Ulcerative - pathology ; Colitis, Ulcerative - surgery ; Duodenal Diseases - pathology ; Duodenal Diseases - surgery ; Female ; Humans ; Intestine, Small - pathology ; Intestine, Small - surgery ; Male ; pouchitis ; Pouchitis - pathology ; Pouchitis - surgery ; proctocolectomy ; Proctocolectomy, Restorative ; small bowel lesion ; Statistics, Nonparametric ; ulcerative colitis ; wireless capsule endoscopy</subject><ispartof>Digestive endoscopy, 2011-10, Vol.23 (4), p.302-309</ispartof><rights>2011 The Authors. Digestive Endoscopy © 2011 Japan Gastroenterological Endoscopy Society</rights><rights>2011 The Authors. Digestive Endoscopy © 2011 Japan Gastroenterological Endoscopy Society.</rights><lds50>peer_reviewed</lds50><oa>free_for_read</oa><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c4319-ed5aef030dfa2e0679cf89447c64ecec80fe92142db6780f9232586cc1acaadc3</citedby></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://onlinelibrary.wiley.com/doi/pdf/10.1111%2Fj.1443-1661.2011.01149.x$$EPDF$$P50$$Gwiley$$H</linktopdf><linktohtml>$$Uhttps://onlinelibrary.wiley.com/doi/full/10.1111%2Fj.1443-1661.2011.01149.x$$EHTML$$P50$$Gwiley$$H</linktohtml><link.rule.ids>314,780,784,1417,27924,27925,45574,45575</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/21951090$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>HISABE, TAKASHI</creatorcontrib><creatorcontrib>NINOMIYA, KAZEO</creatorcontrib><creatorcontrib>MATSUI, TOSHIYUKI</creatorcontrib><creatorcontrib>KARASHIMA, YOSHIHIKO</creatorcontrib><creatorcontrib>SATO, YUHO</creatorcontrib><creatorcontrib>NAGAHAMA, TAKASHI</creatorcontrib><creatorcontrib>TAKAKI, YASUHIRO</creatorcontrib><creatorcontrib>HIRAI, FUMIHITO</creatorcontrib><creatorcontrib>YAO, KENSHI</creatorcontrib><creatorcontrib>HIGASHI, DAIJIRO</creatorcontrib><creatorcontrib>FUTAMI, KITARO</creatorcontrib><creatorcontrib>IWASHITA, AKINORI</creatorcontrib><title>SMALL BOWEL LESIONS DETECTED WITH WIRELESS CAPSULE ENDOSCOPY IN PATIENTS WITH ACTIVE ULCERATIVE COLITIS AND WITH POST-PROCTOCOLECTOMY</title><title>Digestive endoscopy</title><addtitle>Dig Endosc</addtitle><description>Background: Although rare, duodenal lesions have been reported in association with ulcerative colitis (UC); however, there have been very few reports on small bowel lesions, and many aspects of their pathology and frequency remain unknown. This study determined whether small bowel lesions are present in UC by using wireless capsule endoscopy (WCE).
Patients and Methods: WCE was performed on 20 patients with active UC and 10 who had undergone proctocolectomy.
Results: Small bowel lesions (e.g. edema or ulcers) were observed in 11 of the 30 patients (36.6%): in eight (40%) of the 20 patients with active UC and in three (33.3%) of the 10 post‐proctocolectomy patients. Ulcers that extended over a long segment or whole tertile of the small bowel were observed in five patients, and the disease type was extensive colitis in three of these and pouchitis in the other two. Age at onset was significantly lower in the 20 active UC patients that had small bowel lesions.
Conclusion: WCE revealed the presence of ulcers that extended over a long segment or a whole tertile in the small bowel in active extensive colitis and pouchitis. In future, it will be necessary to assess the clinical significance of small bowel lesions in UC in detail.</description><subject>Adult</subject><subject>Capsule Endoscopy</subject><subject>Chi-Square Distribution</subject><subject>Colitis, Ulcerative - pathology</subject><subject>Colitis, Ulcerative - surgery</subject><subject>Duodenal Diseases - pathology</subject><subject>Duodenal Diseases - surgery</subject><subject>Female</subject><subject>Humans</subject><subject>Intestine, Small - pathology</subject><subject>Intestine, Small - surgery</subject><subject>Male</subject><subject>pouchitis</subject><subject>Pouchitis - pathology</subject><subject>Pouchitis - surgery</subject><subject>proctocolectomy</subject><subject>Proctocolectomy, Restorative</subject><subject>small bowel lesion</subject><subject>Statistics, Nonparametric</subject><subject>ulcerative colitis</subject><subject>wireless capsule endoscopy</subject><issn>0915-5635</issn><issn>1443-1661</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2011</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNo9Ud1u2yAURtOmNe32ChN3u7ILGP9d7MIlrLVEjBXIou4GUYylZMnaxo2WPsDee7jJggTnoO8HcT4AIEYxDut6HWNKkwhnGY4JwjgOm5bx4R2YnIH3YIJKnEZplqQX4HIY1ghhUlL6EVwQXKYYlWgC_qpZJQS8kUsuoOCqlo2CU64503wKl7W-C8ecB0RBVrVqITjkzVQqJtt7WDewrXTNG62O3Irp-geHC8H4vHprmRS1rhWsmpNdK5WO2rlkWgYsvCNn95_Ah95uBv_5VK_A4jvX7C4S8rZmlYgcTXAZ-S61vkcJ6npLPMry0vVF-FHuMuqddwXqfUkwJd1DlodLSRKSFplz2DprO5dcga9H36fd4_PeDy9muxqc32zsb_-4H0wwK8I8CxyYX07M_cPWd-Zpt9ra3av5P7lA-HYk_Flt_OsZx8iMCZm1GYMwYxBmTMi8JWQOZsqbsQv66KhfDS_-cNbb3S-T5UmemmVza0gxW9KfN8rMkn_l7YkV</recordid><startdate>201110</startdate><enddate>201110</enddate><creator>HISABE, TAKASHI</creator><creator>NINOMIYA, KAZEO</creator><creator>MATSUI, TOSHIYUKI</creator><creator>KARASHIMA, YOSHIHIKO</creator><creator>SATO, YUHO</creator><creator>NAGAHAMA, TAKASHI</creator><creator>TAKAKI, YASUHIRO</creator><creator>HIRAI, FUMIHITO</creator><creator>YAO, KENSHI</creator><creator>HIGASHI, DAIJIRO</creator><creator>FUTAMI, KITARO</creator><creator>IWASHITA, AKINORI</creator><general>Blackwell Publishing Asia</general><scope>BSCLL</scope><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>7X8</scope></search><sort><creationdate>201110</creationdate><title>SMALL BOWEL LESIONS DETECTED WITH WIRELESS CAPSULE ENDOSCOPY IN PATIENTS WITH ACTIVE ULCERATIVE COLITIS AND WITH POST-PROCTOCOLECTOMY</title><author>HISABE, TAKASHI ; NINOMIYA, KAZEO ; MATSUI, TOSHIYUKI ; KARASHIMA, YOSHIHIKO ; SATO, YUHO ; NAGAHAMA, TAKASHI ; TAKAKI, YASUHIRO ; HIRAI, FUMIHITO ; YAO, KENSHI ; HIGASHI, DAIJIRO ; FUTAMI, KITARO ; IWASHITA, AKINORI</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c4319-ed5aef030dfa2e0679cf89447c64ecec80fe92142db6780f9232586cc1acaadc3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2011</creationdate><topic>Adult</topic><topic>Capsule Endoscopy</topic><topic>Chi-Square Distribution</topic><topic>Colitis, Ulcerative - pathology</topic><topic>Colitis, Ulcerative - surgery</topic><topic>Duodenal Diseases - pathology</topic><topic>Duodenal Diseases - surgery</topic><topic>Female</topic><topic>Humans</topic><topic>Intestine, Small - pathology</topic><topic>Intestine, Small - surgery</topic><topic>Male</topic><topic>pouchitis</topic><topic>Pouchitis - pathology</topic><topic>Pouchitis - surgery</topic><topic>proctocolectomy</topic><topic>Proctocolectomy, Restorative</topic><topic>small bowel lesion</topic><topic>Statistics, Nonparametric</topic><topic>ulcerative colitis</topic><topic>wireless capsule endoscopy</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>HISABE, TAKASHI</creatorcontrib><creatorcontrib>NINOMIYA, KAZEO</creatorcontrib><creatorcontrib>MATSUI, TOSHIYUKI</creatorcontrib><creatorcontrib>KARASHIMA, YOSHIHIKO</creatorcontrib><creatorcontrib>SATO, YUHO</creatorcontrib><creatorcontrib>NAGAHAMA, TAKASHI</creatorcontrib><creatorcontrib>TAKAKI, YASUHIRO</creatorcontrib><creatorcontrib>HIRAI, FUMIHITO</creatorcontrib><creatorcontrib>YAO, KENSHI</creatorcontrib><creatorcontrib>HIGASHI, DAIJIRO</creatorcontrib><creatorcontrib>FUTAMI, KITARO</creatorcontrib><creatorcontrib>IWASHITA, AKINORI</creatorcontrib><collection>Istex</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>MEDLINE - Academic</collection><jtitle>Digestive endoscopy</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>HISABE, TAKASHI</au><au>NINOMIYA, KAZEO</au><au>MATSUI, TOSHIYUKI</au><au>KARASHIMA, YOSHIHIKO</au><au>SATO, YUHO</au><au>NAGAHAMA, TAKASHI</au><au>TAKAKI, YASUHIRO</au><au>HIRAI, FUMIHITO</au><au>YAO, KENSHI</au><au>HIGASHI, DAIJIRO</au><au>FUTAMI, KITARO</au><au>IWASHITA, AKINORI</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>SMALL BOWEL LESIONS DETECTED WITH WIRELESS CAPSULE ENDOSCOPY IN PATIENTS WITH ACTIVE ULCERATIVE COLITIS AND WITH POST-PROCTOCOLECTOMY</atitle><jtitle>Digestive endoscopy</jtitle><addtitle>Dig Endosc</addtitle><date>2011-10</date><risdate>2011</risdate><volume>23</volume><issue>4</issue><spage>302</spage><epage>309</epage><pages>302-309</pages><issn>0915-5635</issn><eissn>1443-1661</eissn><abstract>Background: Although rare, duodenal lesions have been reported in association with ulcerative colitis (UC); however, there have been very few reports on small bowel lesions, and many aspects of their pathology and frequency remain unknown. This study determined whether small bowel lesions are present in UC by using wireless capsule endoscopy (WCE).
Patients and Methods: WCE was performed on 20 patients with active UC and 10 who had undergone proctocolectomy.
Results: Small bowel lesions (e.g. edema or ulcers) were observed in 11 of the 30 patients (36.6%): in eight (40%) of the 20 patients with active UC and in three (33.3%) of the 10 post‐proctocolectomy patients. Ulcers that extended over a long segment or whole tertile of the small bowel were observed in five patients, and the disease type was extensive colitis in three of these and pouchitis in the other two. Age at onset was significantly lower in the 20 active UC patients that had small bowel lesions.
Conclusion: WCE revealed the presence of ulcers that extended over a long segment or a whole tertile in the small bowel in active extensive colitis and pouchitis. In future, it will be necessary to assess the clinical significance of small bowel lesions in UC in detail.</abstract><cop>Melbourne, Australia</cop><pub>Blackwell Publishing Asia</pub><pmid>21951090</pmid><doi>10.1111/j.1443-1661.2011.01149.x</doi><tpages>8</tpages><oa>free_for_read</oa></addata></record> |
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| subjects | Adult Capsule Endoscopy Chi-Square Distribution Colitis, Ulcerative - pathology Colitis, Ulcerative - surgery Duodenal Diseases - pathology Duodenal Diseases - surgery Female Humans Intestine, Small - pathology Intestine, Small - surgery Male pouchitis Pouchitis - pathology Pouchitis - surgery proctocolectomy Proctocolectomy, Restorative small bowel lesion Statistics, Nonparametric ulcerative colitis wireless capsule endoscopy |
| title | SMALL BOWEL LESIONS DETECTED WITH WIRELESS CAPSULE ENDOSCOPY IN PATIENTS WITH ACTIVE ULCERATIVE COLITIS AND WITH POST-PROCTOCOLECTOMY |
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