Bowel Cancer, Iron Deficiency Anemia
Conditions
Brief summary
This project aim to investigate whether wireless capsule endoscopy(WCE) has a similar diagnostic yield as conventional endoscopy in detecting the cause of iron deficiency anemia (IDA)
Detailed description
IDA is common and 90-95% of cases are caused by bleeding from ulcers, tumours or vascular malformations in the oesophagus, stomach, duodenum, small intestine or the large bowel.Bleeding from more than one localisation is common. International guidelines recommend bidirectional endoscopy(gastro- and colonoscopy) to detect and treat the source of bleeding. Our hypothesis is that WCE is non-inferior to the combination of gastroscopy and colonoscopy in locating GI-bleeding and that complete examinations will be achieved in ≥90% of the examinations.
Interventions
Patients will be examined with gastroscopy, colonoscopy and WCE and the diagnostic yield of combined gastroscopy/colonoscopy will be compared to WCE
Sponsors
Study design
Eligibility
Inclusion criteria
* Referred to flexible endoscopy for a verified Iron Deficiency Anaemia
Exclusion criteria
* Unwillingness to participate * Not able to provide informed consent * Not understanding the instructions * Severe cardio-vascular disease New York Heart Association III-IV * Symptoms of bowel obstruction/previous bowel obstruction * Bowel surgery except for end to end anastomosis in the colon * Pregnancy
Design outcomes
Primary
| Measure | Time frame | Description |
|---|---|---|
| Diagnostic yield | 90 minutes | Mucosal lesions detected |
Secondary
| Measure | Time frame | Description |
|---|---|---|
| Adequate examinations | 90 minutes | Proportion of adequate examinations defined as both satisfactory bowel preparation and complete examination |
| Small bowel lesions | 90 minutes | Number of lesions detected in the small bowel |
| Complete examination | 90 minutes | Proportion of complete examinations |
| Bowel preparation | 90 minute | Proportion of satisfactory bowel preparation |
Countries
Sweden