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Case Report
Feasibility of small bowel capsule endoscopy in children under the age of 4 years: a single centre experience
  1. Babu Vadamalayan1,
  2. Michael Hii1,
  3. Justin Kark1,
  4. Ingvar Bjarnason2
  1. 1Pediatric Liver, GI and Nutrition Centre, King's College Hospital, London, UK
  2. 2Department of Gastroenterology, King's College Hospital, London, UK
  1. Correspondence to Dr Babu Vadamalayan, Paediatric Liver, GI and Nutrition Centre, King's College Hospital, Denmark Hill, London SE5 9RS, UK; babu.vadamalayan{at}nhs.net

Abstract

Data on the use of wireless capsule endoscopy (WCE) in younger children remain limited. However, this single centre study suggests that it is a relatively complication-free procedure that may be considered in younger children below 4 years of age, when small bowel pathology is suspected. We retrospectively reviewed the King's College Hospital WCE database between August 2009 and August 2011. Patients aged 4 years or younger were included in the study. Six children fulfilled the inclusion criteria. The indications for WCE were unexplained gastrointestinal tract (GIT) bleeding (n=4), chronic diarrhoea with (n=1) and without (n=1) GIT bleeding (n=1). All had an oesophagogastroduodenoscopy and an ileocolonoscopy before WCE. The mean age at the time of WCE was 2 years 6 months (range 1 year 7 months to 3 years 7 months). The mean weight at WCE was 13.3 kg (range 9–17 kg). Four children had a complete study.

  • ENDOSCOPIC PROCEDURES
  • ENTEROSCOPY
  • SMALL BOWEL ENTEROSCOPY
  • SMALL BOWEL DISEASE
  • BLEEDING

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