, Volume 56, Issue 8, pp 2497-2498

Age Should Not Be a Barrier to Performing Capsule Endoscopy in the Elderly with Anaemia

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We read with interest the article by Scaglione et al. [1] on the influence of age on capsule endoscopy (CE) in obscure gastrointestinal bleeding (OGB). We would like to share our observations in this area. We conducted a study to investigate the utility of CE in the elderly with recurrent anaemia ± overt bleeding and impact on subsequent management compared to the younger cohort.

A retrospective review of all 779 consecutive patients that underwent CE over a 7-year period (2002–2009) for OGB was conducted. Patients were categorised according to their age: group 1(≥70 years) and group 2 (<70 years). Thirty-five percent of patients (n = 272) were ≥70 years (group 1) with a median age of 76 years (range 70–92 years). The majority of patients in group 1 underwent CE for the indication of recurrent anaemia (n = 200) whilst overt bleeding consisted of 27% (n = 72). The diagnostic yield of CE in group 1 was 53%. There was no significant difference in the yield between those with anaemia or ove