Wireless video capsule in pediatric patients with functional abdominal pain

R. Shamir, B. Hino, C. Hartman, D. Berkowitz, O. Eshach-Adiv, R. Eliakim

Research output: Contribution to journalArticlepeer-review

41 Scopus citations

Abstract

OBJECTIVES: Upper endoscopy (esophagogastroduodenoscopy [EGD]) has a limited role, if any, in the evaluation of functional abdominal pain (FAP). Nevertheless, children with intractable FAP are occasionally referred to EGD to rule out intestinal pathology. We evaluated the role of wireless video capsule endoscopy (VCE) in children referred for EGD with a diagnosis of FAP. PATIENTS AND METHODS: Ten children older than 10 years of age were prospectively enrolled. Children were first studied with the PillCam SB (VCE; Given Imaging, Yokneam, Israel) followed by standard EGD within 2 weeks. After the completion of the study, a questionnaire of tolerance and content regarding the 2 procedures was completed by the patients. RESULTS: Physical examinations and laboratory tests were within normal limits in all of the patients. Patients swallowed the endoscopic capsules without difficulty. There were no complications. VCE identified gastritis in 4 patients (confirmed by biopsies), whereas EGD detected erosive gastritis in only 1 of the 4 children. EGD detected no duodenal abnormalities. VCE detected Crohn disease in the small intestine and cecum in 1 patient. VCE was ranked by 8 patients as convenient and as a preferable procedure compared with EGD. CONCLUSION: The results of this small cohort suggest that in children with FAP, VCE is more sensitive than EGD for detection of macroscopic gastric and small bowel pathologies.

Original languageEnglish
Pages (from-to)45-50
Number of pages6
JournalJournal of Pediatric Gastroenterology and Nutrition
Volume44
Issue number1
DOIs
StatePublished - Jan 2007
Externally publishedYes

Keywords

  • Children
  • Functional abdominal pain
  • Upper endoscopy
  • Video capsule endoscopy

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