Video Capsule Endoscopy To Detect Small Bowel Lesions- Experience From A Single Centre

Abstract

Background: Capsule endoscopy has been a ground breaking tool since its inception to diagnose small bowel lesions. Video capsule endoscopy stared operating in Bangladesh few years back. The objective of the study is to find out the indications, findings and diagnostic yields of different indications used in video capsule endoscopy. 

Patients and Methods: This cross sectional study was conducted at the inpatient department of medical Gastroenterology of National Gastroliver institute and hospital, Mohakhali, Dhaka from January 2024 till September 2025. 

Results: Out of 26 patients, 23 patients had undergone video capsule endoscpy for evaluation of small bowel bleeding. Rest of them were for suspected small bowel Crohns’ disease. The diagnostic yields of small bowel bleeding could be detected in 47.8% of the cases and evidence of Chrohn's disease was seen in 60% of the cases. One patient had capsule retention due to presence of stricture which was removed surgically. 

Conclusions: Video capsule endoscopy is a safe and effective procedure to detect small bowel pathology. Suspected Small bowel bleeding is the most common indication.