Dr. Pietro Schettino

*********Medicina e Chirurgia********* CHIRURGIA DELL'APPARATO DIGERENTE ENDOSCOPIA DIGESTIVA CHIRURGICA

Archivio per dicembre, 2011

CONVEGNO NAZIONALE: “ENDOSCOPIA DIGESTIVA – NUOVE FRONTIERE”

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EMORRAGIE DIGESTIVE VARICOSE
P. SCHETTINO (NA)
HST NEL CA COLON
A. LENA (PA)
ORGANIZZAZIONE DELL’ENDOSCOPIA D’URGENZA
F. ZARCONE (PA)
COLONSCOPIA ROBOTICA : TEORIA E REALTA’
R. BOZZI (NA)

Efficancy of capsule endoscopy in the follow up of Crohn’s disease.

Wireless capsule endoscopy (WCE) represents an advanced for small bowel imaging.

suspected Crohn’s disease represents one of the main indication of vce where it’s usefull

in terms of site and localizzation of the disease, drugs responsivness and in the follow up

of IBD patients, optimizing clinical and therapeutic work up.
We studied with vce a patient of yrs, with ileal Crohn’s disease in mild activity,

inflammatory tipes, without obstructive symptoms.
The current therapy was 5ASA not full dosage, also the patient’s compliance

is not very well. Not significant modifications in terms of bioumoral flogosis levels,

and protein spectrum. Anemia with diarrea and abdominal pain is the only

symtoms referred at hospital admission.
We performed a colonoscopy with ileoscopy that confirmed the diagnosis of

distal ileum Crohn’s disease; the vce following it was usufull to evaluate possible

proximal ileum and dejunum localization and also if is needed to modificate

the patient’s therapy the small bowel study with vce confirmed the ileum

( proximal and distal ) site, without any other localization and it was efficacy

to optimaze the current therapywith budesonide 9 gr 7 die plus 5 ASA 2,4 gr / die

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