Abstract

CEDRON CHENG, Hugo, GARCIA ENCINAS, Carlos, DE LOS RIOS SENMACHE, Raúl et al. Obscure gastrointestinal bleding as initial presentation of Crohn's disease diagnosed by smal intestinal capsule endoscopy. Rev. gastroenterol. Perú, Jan./mar. 2010, vol.30, no.1, p.73-77. ISSN 1022-5129.

The present case illustrates a patient with obscure gastrointestinal bleeding which MiroCam® capsule endoscopy showed erosions and ulcers from distal jejunum to ileum. Considering that ileal ulcers where closer to ileocecal valve, ileoscopy was repeated. Diagnosis with new biopsies was Crohn disease. Capsule endoscopy is an innovative technology, which let us have high resolution color pictures through gastrointestinal tract for more effective and diagnostic view of small bowel in a minimal invasive way. New guidelines in obscure GI bleeding agreed that initial diagnostic imaging of the small bowel should be performed using capsule endoscopy. Ballon assisted enteroscopy, angiography and laparoscopy should be used as a follow-up procedure for targeted endoscopic treatment or for obtaining histopathological diagnosis.

Keywords: Obscure GI bleeding; Crohn disease; MiroCam; capsule endoscopy.