Initial experience of capsule endoscopy for evaluating small intestinal neoplasm

Objective: To assess the value of capsule endoscopy in diagnosis of small intestinal neoplasm, and to determine the risk of capsule endoscopy in the patients with small intestinal neoplasm. Methods: We analyzed the outcomes of 53 patients who accepted capsule endoscopy from July 2002 to January 2003 and compared the fields of capsule endoscopy with enteroclysis. Results: 9 patients who suffered with small intestinal neoplasm were involved in this study; the detected rate was 16.98%.3 patients had no symptom, and the detected rate in no symptom people was 11.11% （3/27）.6 patients had varied symptoms, including; hematochezia, abdominal pain, diarrhea.The mean duration of symptoms was 3.83 years （1~10y）.The fields of small intestinal neoplasm detected by capsule endoscopy were carcinoma, lymphoma, leiomyoma, polyp, lipoma, and submucosal mass lesion.6 patients performed enteroclysis, only one patient was identified with it.Capsule endoscopy was better than enteroclysis in diagnosis of small bowel neoplasm. Conclusion: Capsule endoscopy is a safe and well-tolerated modality for diagnosis of small bowel neoplasm.To reduce the risk that induced ileus by capsule endoscopy, performing enteroclysis is the best resolvent before capsule endoscopy.