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Small Bowel: Preliminary Comparison of Capsule Endoscopy with Barium Study and CT¹

¹ From the Mayo Clinic, 13400 E Shea Blvd, Scottsdale, AZ 85259. From the 2002 RSNA scientific assembly. Received November 21, 2002; revision requested January 22, 2003; final revision received June 19; accepted August 6. Address correspondence to A.K.H. (e-mail: hara.amy@mayo.edu).

View larger version (71K): [in a new window]   Figure 1. CE Image in 72-year-old woman with obscure gastrointestinal bleeding. Ileal angioectasia (arrow) was demonstrated at CE but not depicted at SBFT examination or CT. Patient underwent ileal resection and has had no recurrent symptoms.

View larger version (96K): [in a new window]   Figure 2a. Images in 28-year-old woman suspected of having recurrent Crohn disease. Crohn disease was detected at CE, SBFT examination, and CT. (a) CE image shows one of multiple small ulcers (circle) in the terminal ileum. (b) Transverse CT scan shows thickening and enhancement (arrows) of the terminal ileum. (c) SBFT image reveals featureless terminal ileum with "rose-thorn" ulcerations (arrows).

View larger version (167K): [in a new window]   Figure 2b. Images in 28-year-old woman suspected of having recurrent Crohn disease. Crohn disease was detected at CE, SBFT examination, and CT. (a) CE image shows one of multiple small ulcers (circle) in the terminal ileum. (b) Transverse CT scan shows thickening and enhancement (arrows) of the terminal ileum. (c) SBFT image reveals featureless terminal ileum with "rose-thorn" ulcerations (arrows).

View larger version (177K): [in a new window]   Figure 2c. Images in 28-year-old woman suspected of having recurrent Crohn disease. Crohn disease was detected at CE, SBFT examination, and CT. (a) CE image shows one of multiple small ulcers (circle) in the terminal ileum. (b) Transverse CT scan shows thickening and enhancement (arrows) of the terminal ileum. (c) SBFT image reveals featureless terminal ileum with "rose-thorn" ulcerations (arrows).

View larger version (193K): [in a new window]   Figure 3. Coronal CT scan in 75-year-old man with obscure gastrointestinal bleeding shows stromal tumor (arrow). This tumor was not detected at CE because of retained food.

View larger version (113K): [in a new window]   Figure 4. CE image in 69-year-old man with obscure gastrointestinal bleeding shows carcinoid tumor (arrows). Tumor was not detected at SBFT examination or CT.