SECOND-GENERATION COLON CAPSULE IN SMALL BOWEL AND COLON DISORDERS IN PEDIATRICS

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Abstract

Background: Aim of the study was to assess the diagnostic yield of second-generation colon capsule in pediatric gastrointestinal diseases. Patients and methods: Five patients with different symptoms of gastrointestinal diseases were included in the study. Among them were: suspicion on diffuse polyposis, intestinal bleeding, lymphangiectasia and inflammatory bowel disease. Image interpretation was made by experienced capsule users, previously trained on small bowel capsule and first generation colon capsule. Lesions or abnormal changes of the mucosa identified on capsule endoscopy served as indications for colonoscopy or esophagogastroduodenoscopy with biopsy or polypectomy if needed. Results: Standard white light endoscopy was made in all children without any adverse events. Second-generation colon capsule allows diagnosing Crohn’s disease in small intestine and colon, limphangiectasia of the ileum, single rectosigmoid polyp and diffuse polyposis of the colon. Conclusion: Second-generation colon capsule can be used as non-invasive screening method in children without serious complications, thus allowing differentiating indications for traditional white light endoscopy, which is usually made under general anesthesia in pediatrics.

About the authors

A. A. Shavrov

Scientific Centre of Children's Health, Moscow

Author for correspondence.
Email: shavrov@nczd.ru
PhD, Head of the Endoscopic Department of SCCH Russian Federation

A. Yu. Kharitonova

Scientific Centre of Children's Health, Moscow, Russian Federation

Email: anastesia08@mail.ru
MD, doctor of the Endoscopic Department of SCCH. Address: build. 1, 2, Lomonosovskii Avenue, Moscow, RF, 119991; tel.: +7 (499) 134-04-12 Russian Federation

A. A. Shavrov

Scientific Centre of Children's Health, Moscow, Russian Federation

Email: shavrovnczd@yandex.ru
endoscopist of the Endoscopic Department of SCCH. Address: build. 1, 2, Lomonosovskii Avenue, Moscow, RF, 119991; tel.: +7 (499) 134-04-12 Russian Federation

N. A. Kalashnikova

Ivanovo State Medical Academy, Russian Federation

Email: anastesia08@mail.ru

MD, assistant professor of the Department of Anatomy of Ivanovo State Medical Academy. Address: 8, Sheremet’evskii Avenue, Ivanovo, RF, 153012; tel.: +7 (4932) 30-06-22

Russian Federation

A. G. Talalaev

Scientific Centre of Children's Health, Moscow, Russian Federation

Email: talalaev@mail.ru
PhD, professor, Head of the Pathological and anatomic Laboratory of SCCH. Address: build. 1, 2, Lomonosovskii Avenue, Moscow, RF, 119991; tel.: +7 (495) 237-07-72 Russian Federation

S. G. Khomeriki

Central Institute of Gastroenterology, Moscow, Russian Federation

Email: xomep@mail.ru

PhD, professor, Head of the Pathomorphological Laboratory of Central RI of Gastroenterology. Address: 86, Entuziastov Highway, Moscow, RF, 111123; tel.: +7 (495) 304-30-39

Russian Federation

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