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Gastroenterologists have been debating the appropriate clinical applications of capsule endoscopy (CE) since the modality was first introduced. CE has a high diagnostic yield for gastrointestinal bleeding, small-bowel Crohn disease, and intestinal tumors, but how often do clinicians actually use these findings to change the clinical management of a patient — and do those changes improve treatment outcomes?
From 2002 through 2005, investigators identified 166 patients who underwent CE at a single hospital in the Netherlands. One year after each procedure was completed, the referring physician was sent a questionnaire asking whether the procedure’s findings had led to a change in clinical management (any change in medication, the performance o…