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Wireless Capsule Endoscopy in Small Bowel Crohn’s Disease

Authors:

Subasinghege Dona Lilanthi Padmika Subasinghe ,

National Hospital, Sri Lanka., LK
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Nawagamuwage Iresha Chandima Perera,

National Hospital Sri Lanka, LK
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Asoka Ratnatilaka

National Hospital Sri Lanka, LK
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Abstract

Crohn’s disease (CD) is one of the two types of inflammatory bowel disease (IBD) characterized by immune-mediated granulomatous bowel inflammation leading to a variety of intestinal and extra-intestinal manifestations. Although gastrointestinal endoscopy remains an important investigation in macroscopic diagnosis, the subgroup of 20-30% patients with small bowel-limited disease does not benefit either from endoscopy or barium studies. We report a case of a young Sri lankan male who presented with long term malabsorption and chronic hypoalbuminemia, extensively investigated for the underlying cause finally being diagnosed to have small bowel Crohn’s disease following wireless video capsule endoscopy. The case highlights the fact that with the advent and increased use of wireless capsule endoscopy, a better alternative is available for evaluating suspected small bowel CD without radiation exposure and its use should be made popular among the clinicians since the facility is available in the government sector and the prevalence of IBD is found to be significant in the local population than it was once thought to be.
DOI: http://doi.org/10.4038/amj.v10i1.7536
How to Cite: Subasinghe, S.D.L.P., Perera, N.I.C. & Ratnatilaka, A., (2016). Wireless Capsule Endoscopy in Small Bowel Crohn’s Disease. Anuradhapura Medical Journal. 10(1), pp.11–13. DOI: http://doi.org/10.4038/amj.v10i1.7536
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Published on 01 Sep 2016.
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