colonoscopy or capsule endoscopy?

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jacenta
Regular Member


Date Joined Nov 2006
Total Posts : 47
   Posted 7/20/2008 5:03 PM (GMT -7)   
which test of two will give better more accurate results? my doctor suggested i have a colonoscopy because the medicare pays for it. but i have private insurance and they will pay part of my capsule endoscopy. but i dont know which test gives better results. any help? confused

yogaprof
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Date Joined Apr 2006
Total Posts : 1665
   Posted 7/20/2008 5:12 PM (GMT -7)   
if you can only do one, I would guess a colonoscopy, as then biopsies can be taken. yp
49 y/o woman.  Diagnosed 4/06 after colonscopy, SBFT, CT-scan all showed crohns. 3 months later, after pred and remicade, all tests showed no crohns. December '06 had adhesions cut through a laparoscopy. Now taking Glycolax, Ultra Fiber Plus, Florastor, and DHEA. Have become gluten-free diet per naturopath's tests.


gumby44
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Date Joined Nov 2007
Total Posts : 4096
   Posted 7/20/2008 5:16 PM (GMT -7)   
Have you had any tests before? The capsule swallow will show your small intestine but may move too fast for the large bowel. The colonoscopy will show your large intestine, but it can be hard to see the ileum or anywhere past it. If you haven't had any tests, you may benefit from both. The doc may know what is best to suggest based on symptoms...the tests are looking at two completely different areas.
49 yr. old female, diagnosed with Crohn's in small intestine and terminal ileum Sept-Oct. 2007. Also have IBS, and had Salmonella Dec. '07
currently taking Pentasa- 4 500mg pills per day, Metamucil and colace for constipation


jacenta
Regular Member


Date Joined Nov 2006
Total Posts : 47
   Posted 7/20/2008 6:12 PM (GMT -7)   
i have done both before! with colonoscopy he found inflamation near the ileum. with the capsule he found ulcers in the small intestine. this is a repeat test to see if the ulcers have cured after 8 months of antibiotic treatment. he said i could do either of them. i just thought ill skip the anesthesia again. grrrr

Jen77
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Date Joined Mar 2006
Total Posts : 2690
   Posted 7/20/2008 6:14 PM (GMT -7)   
Personally, I'd probably go for the capsule in that case. But then again I'll do just about anything to get out of a scope. LOL


~Jennifer
 
Diagnosed with Crohn's Disease 2/06 after sever GI bleed. Has been suffering since 1998. History of rectal fistula and gallbladder removal. Currently taking Prednisone: tapered to 2.5 mg *eek*, Asacol, Questran, Toprol XL (for high blood pressure).


CrohnieToo
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Date Joined May 2003
Total Posts : 9448
   Posted 7/20/2008 7:19 PM (GMT -7)   
I'd be inclined to go w/the PCE as well. More area is seen and you already know you've had involvement higher than the scope can reach.
Some people are like Slinkies... Not really good for anything, but they still bring a smile to your face when you push them down a flight of stairs.


jacenta
Regular Member


Date Joined Nov 2006
Total Posts : 47
   Posted 7/20/2008 8:36 PM (GMT -7)   
thank you for your replies! i just found out my insurance wont pay for the capsule so ill have to do the colonoscopy arghhhhhhhhhhhh

gumby44
Veteran Member


Date Joined Nov 2007
Total Posts : 4096
   Posted 7/20/2008 9:05 PM (GMT -7)   
Has it only been 8 months sinc you had the tests? They found a stricture in my ileum and ulcers in my small intestine (sounds similar to you). My doc says he will go by symptoms now to treat, and only repeat the colonoscopy every 5 years unless major complications arise. How do you feel??
49 yr. old female, diagnosed with Crohn's in small intestine and terminal ileum Sept-Oct. 2007. Also have IBS, and had Salmonella Dec. '07
currently taking Pentasa- 4 500mg pills per day, Metamucil and colace for constipation


jacenta
Regular Member


Date Joined Nov 2006
Total Posts : 47
   Posted 7/20/2008 9:45 PM (GMT -7)   
the colonoscopy id done it a year ago and capsule about 9 months ago because i was low in iron. he found the ulcers and put me in 3 different antibiotics. now because i have low white cells (like 1.3 as to the normal above 2) and low platelet count. my general practitioner thinks its because of all the antibiotics so i talked to the enterologist and he said since ive done the therapy for nearly 9 months i should check to see hows my intestines now. the iron levels are back to normal. i still have a bit of pain of my right side but apart from that nothing else major. no diarhea no constipation. normal

lilturbo
Regular Member


Date Joined Feb 2008
Total Posts : 298
   Posted 7/20/2008 9:48 PM (GMT -7)   
I had two colonoscopies before the docs gave me a capsule endoscopy. Only the capsule endoscopy confirmed that I actually had Crohn's. Before the capsule endoscopy the docs thought I had a severe case of UC, but the capsule endoscopy showed that I indeed had Crohn's.

I would do both if you can! Good Luck!
turboemma.blogspot.com/

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