Resumo

ANEZ, Marianela et al. Primeras experiencias con el uso de la videocápsula endoscópica para el estudio de pacientes con diagnóstico presuntivo de enfermedad del intestino delgado, en el servicio de gastroenterología del Hospital Universitario de Maracaibo - edo. Zulia, de diciembre-2008 a mayo-2009. Gen [online]. 2010, vol.64, n.1, pp.33-36. ISSN 0016-3503.

Objective: To characterize the utility of video capsule endoscopy for small intestine (VCE-SI) in the diagnosis of patients with enteropathy, from the Gastroenterology Service, Hospital Universitario de Maracaibo (GS-HUM). Methods: Fourteen cases studied by mean of VCE-SI were revised retrospectively, from December 2008 to May 2009. Results: 8 females, 6 males; age: 13 to 63 (X + 1DE: 42,9 + 15,8 years). Indications for VCE-SI: Chronic diarrhea (CD) (3), intestinal malabsorption syndrome (IMS) (3), duodenal and/or colonic angiodysplasia (DCAD) (3), Anemia and obscure gastrointestinal bleeding (AOGIB) (3), suspect of inflammatory intestinal disease (1) and chronic anemia without evident bleeding (1). More frequents findings were: vascular malformations, nodular whitish puncture over the mucous, atrophy and linear scars, erosions and normal intestinal mucosa; extraintestinal injuries: 50%; suboptimal visualization (feces or blood): 28,6%. VCE-SI was useful to elucidates the diagnosis in 100% of cases with CD, IMS or cases with DC, SMI y DCAD, and in 66% of cases with AOGIB. Results weren´t conclusive in 14,3% of cases. Conclusions: VCE-SI was a very useful tool for elucidation of etiologic diagnosis in cases of CD, IMS or DCAD in patients from GS-HUM. However, this technique should be complimented with another diagnostic resourses, in cases of suboptimal visualization or non conclusive findings