Wireless capsule endoscopy in enteropathy induced by nonsteroidal anti-inflammatory drugs in pigs

Dig Dis Sci. 2010 Sep;55(9):2471-7. doi: 10.1007/s10620-009-1066-z. Epub 2009 Dec 16.

Abstract

Aim: The aim of this study is to evaluate the diagnostic yield of capsule endoscopy in nonsteroidal anti-inflammatory drug (NSAID)-induced enteropathy in pigs.

Materials and methods: Indomethacin (400 mg/day) was administrated orally for 10 days to eight female pigs weighing 36.3+/-2.4 kg. Afterwards, capsule endoscopy was performed, using the EndoCapsule system (Olympus Optical Co., Tokyo, Japan). The following morning, pharmacological euthanasia and immediate autopsy were performed.

Results: Small bowel injury compatible with NSAID-induced enteropathy was observed in 7/8 animals. The most common lesions were red spots and erosions. Ulcers and small intestinal bleeding were identified sporadically. Sensitivity and specificity of capsule endoscopy were 83.3% and 95.8%, respectively.

Conclusion: Our results indicate that wireless capsule endoscopy is a highly accurate noninvasive method for evaluation of experimental NSAID-induced enteropathy.

Publication types

  • Evaluation Study
  • Research Support, Non-U.S. Gov't

MeSH terms

  • Animals
  • Anti-Inflammatory Agents, Non-Steroidal*
  • Capsule Endoscopy*
  • Disease Models, Animal
  • Duodenal Ulcer / chemically induced
  • Duodenal Ulcer / diagnosis
  • Duodenum / pathology
  • Female
  • Ileum / pathology
  • Indomethacin*
  • Intestinal Diseases / chemically induced
  • Intestinal Diseases / diagnosis*
  • Intestinal Mucosa / pathology
  • Intestine, Small / pathology*
  • Jejunum / pathology
  • Peptic Ulcer Hemorrhage / chemically induced
  • Peptic Ulcer Hemorrhage / diagnosis
  • Predictive Value of Tests
  • Sensitivity and Specificity
  • Sus scrofa

Substances

  • Anti-Inflammatory Agents, Non-Steroidal
  • Indomethacin