Capsule Endoscopy as a Diagnostic Tool for Inflammatory Bowel Disease in a Patient with Multiple Myeloma
), Isna Mahmudah(2), Muhammad Miftahussurur(3),
(1) Department of Internal Medicine, Faculty of Medicine, Universitas Airlangga/Dr. Soetomo Hospital, Surabaya
(2) Department of Internal Medicine, Faculty of Medicine, Universitas Airlangga/Dr. Soetomo Hospital, Surabaya
(3) Division of Gastroentero-Hepatology, Department of Internal Medicine, Faculty of Medicine-Dr. Soetomo Teaching Hospital, Universitas Airlangga, Surabaya Helicobacter pylori and Microbiota Study Group, Institute of Tropical Disease, Universitas Airlangga, Surabaya
Corresponding Author
Abstract
Capsule endoscopy is an important tool for minimally invasive evaluation of the small bowel, allowing improved diagnostic yield with low complication rates relative to traditional modalities. Here, we present the first case of inflammatory bowel disease (IBD) diagnosed by a capsule endoscopy in Surabaya. There was a case of a patient who suffered chronic diarrhea for four months. When the patient experienced persistent diarrhea, generalized weakness was then reported as a symptom. The patient then received a conventional endoscopy and was planned for a colonoscopy. However, the endoscopy was canceled due to the patient's respiratory distress. The patient underwent capsule endoscopy, where hyperemia and erosion from the small intestine to the colon were found. The diagnosis of IBD was established and the patient was given sulfasalazine 500 mg every 24 hours. In order to image the small intestine endoscopically, capsule endoscopy remains to be the preferred method. This case serves as an example of the advantages of capsule endoscopy, especially in terms of the diagnosis of inflammatory bowel disease.
Keywords
References
Singeapl AM, Stanciul C, Trifan A. Capsule endoscopy: The road ahead. World J Gastroenterol. 2016 Jan;22(1):369-78.
Maulahela H, Fauzi A. Small bowel malignancy in a patient with obscure gastrointestinal bleeding in Cipto Mangunkusumo Hospital, diagnosed using double balloon enteroscopy: a case series. Indones J Gastroenterol Hepatol Dig Endosc. 2017;18(2):118–212.
aratinal Ol v.,l Makarchukl PA,l Vysotskayal LL.l Crohn’sl Diseasel Andl Multiplel Myeloma:L Al Clinicall Casel Andl Literaturel REVIEW.l Koloproktologia.l 2019l Augl 23;18(3(69)):84–95.l
Brandtzaeg P, Halstensen TS, Kett K, Krajčil P, Kvale D, Rognum TO, et al. Immunobiology and immunopathology of human gut mucosa: humoral immunity and intraepithelial lymphocytes. Gastroenterology. 1989 Dec;97(6):1562–84.
Itol H.l IL-6l andl Crohnsl disease.l Currl Drugl Targetsl Inflamml Allergy.l 2003l Jun;2(2):125–30.l
Brandtzaeg P, Halstensen TS, Kett K, Krajčil P, Kvale D, Rognum TO, et al. Immunobiology and immunopathology of human gut mucosa: humoral immunity and intraepithelial lymphocytes. Gastroenterology. 1989 Dec;97(6):1562–84.
Carterl A,l Tatarskyl I.l Thel physiopathologicall significancel ofl benignl monoclonall gammopathy:l Al studyl ofl 64l cases.l Brl Jl Haematol.l 1980l Dec;46(4):565–74.l
Greippl PR,l Lustl JA.l Pathogeneticl relationl betweenl monoclonall gammopathiesl ofl undeterminedl significancel andl multiplel myeloma.l Steml Cells.l 1995l Aug;13l Suppll 2:10–21.l
Iddanl G,l Meronl G,l Glukhovskyl A,l Swainl P.l Wirelessl capsulel endoscopy.l Nature.l 2000l May;405(6785):417.l
Rokkasl T,l Papaxoinisl K,l Triantafylloul K,l Pistiolasl D,l Ladasl SD.l Doesl purgativel preparationl influencel thel diagnosticl yieldl ofl smalll bowell videol capsulel endoscopy?:l Al meta-analysis.l Aml Jl Gastroenterol.l 2009l Jan;104(1):219–27.l
Marshalll CA,l Cavel DR.l Preparationl forl videol capsulel endoscopy:l Al clearl choice?l Gastrointestl Endosc.l 2017l Jan;85(1):194–5.l
Chetcutil Zammitl S,l McAlindonl ME,l Halel MF,l Sandersl DS,l Healyl A,l Thurstonl V,l etl al.l Smalll bowell ulcersl onl capsulel endoscopyl andl theirl significance.l Inflamml Bowell Dis.l 2019l Apr;25(5):e55.l
Esakil M,l Matsumotol T,l Ohmiyal N,l Washiol E,l Morishital T,l Sakamotol K,l etl al.l Capsulel endoscopyl findingsl forl thel diagnosisl ofl Crohn’sl disease:l al nationwidel case-controll study.l Jl Gastroenterol.l 2019l Mar;54(3):249–60.l
Ennsl RA,l Hookeyl L,l Armstrongl D,l Bernsteinl CN,l Heitmanl SJ,l Teshimal C,l etl al.l Clinicall practicel guidelinesl forl thel usel ofl videol capsulel endoscopy.l Gastroenterology.l 2017l Feb;152(3):497–514.l
Pomerail Dl De,l Daniellsl C,l Davidl H,l Allanl J,l Ducel I,l Mutwakill M,l etl al.l Wirelessl capsulel endoscopy.l 2000;405(May):417–8.l
Friedrichl K,l Gehrkel S,l Stremmell W,l Siegl A.l Firstl clinicall triall ofl al newlyl developedl capsulel endoscopel withl panoramicl sidel viewl forl smalll bowel:l Al pilotl study.l Journall ofl Gastroenterologyl andl Hepatologyl (Australia).l 2013;28(9):1496–501.l
Anastasiosl ,l K.l Dabos,l M.l P.l Keuchel ETl andl M.l Howl shouldl wel dol colonl capsulel endoscopyl reading:l al practicall guide.l Therapeuticl Advancesl inl Gastrointestinall Endoscopyl Review.l 2021;14(6):1–15.l
Gheorghel C,l Iacobl R,l Bancilal I.l Olympusl capsulel endoscopyl forl smalll bowell examination.l Journall ofl Gastrointestinall andl Liverl Diseases.l 2007;16(3):309–13.l
Rezapourl M,l Amadil C,l Gersonl LB.l Retentionl associatedl withl videol capsulel endoscopy:l systematicl reviewl andl meta-analysis.l Gastrointestl Endosc.l 2017;85(6):1157-1168.e2.l
Chauhanl V,l Tanwarl A,l Nijhawanl S.l Capsulel Endoscopy:l Whatl Wel Knowl andl Whatl Isl Newl inl thel Horizon.l Journall ofl Digestivel Endoscopy.l 2019;10(02):083–9.l
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DOI: 10.24871/2632025280-286
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