Bruno Rosa et al. Pan-intestinal capsule endoscopy as first-line procedure in patients
with suspected mid or lower gastrointestinal bleeding
A prospective study including 100 patients with suspected mid–lower gastrointestinal
bleeding assessed the accuracy of pan-intestinal capsule endoscopy (PCE) compared
with colonoscopy for diagnosis of potentially hemorrhagic lesions (PHLs). PHLs were
diagnosed in 46 patients. PHLs were correctly identified in 96% (44/46) by PCE and
in 50% (23/46) by colonoscopy (P < 0.01). Furthermore, PCE could have allowed avoidance
of invasive procedures in more than half of patients (54%). It was concluded that
PCE could potentially be a first-line examination in patients with suspected mid–lower
gastrointestinal bleeding.
