Camera pill reveals damage from anti-inflammatory drugs

Non-steroidal anti-inflammatory drugs (NSAIDs) may damage more of the intestine than previously thought, according to images taken by a swallowable, capsule-size camera pill used in a Baylor College of Medicine study.

According to the study, announced today at the Digestive Disease Week 2003 conference in Orlando, capsule endoscopy detected NSAIDs-related injury in the small bowel, an area of the gastrointestinal tract unreachable by other diagnostic tools such as endoscopes. The tool detected small bowel erosions in 62 percent of NSAID users compared to 5 percent of non-NSAID users.

“More than 100 million prescriptions for NSAIDS are written annually in the United States,” said Dr. David Graham, lead author of the study and a professor of medicine and molecular virology at Baylor in Houston and chief of the gastroenterology section of Houston VA Medical Center. “The study shows that the patients who take NSAIDs regularly have an increased risk of small intestinal mucosal ulceration and bleeding.”

NSAIDs are medications which reduce pain and inflammation over time. The drugs work by affecting chemicals in the body which cause inflammation, the prostaglandins. The same group of chemicals are also in the stomach, leading NSAIDs to cause indigestion, and possibly duodenal or stomach ulceration.

The capsule endoscope, developed by Given Imaging, allows medical professionals to view the entire small intestine. The system uses a disposable miniature video camera contained in a capsule, which the patient swallows. The capsule passes through the digestive tract, transmitting color images, without interfering with the patient’s normal activities. Capsule endoscopy diagnoses a range of diseases of the small intestine including Crohn’s Disease, Celiac disease, benign and malignant tumors of the small intestine, vascular disorders, medication related small bowel injury and pediatric small bowel disorders.

The study enrolled 40 patients, with a mean age of 49.5, who had arthritis including osteoarthritis, rheumatoid arthritis and gout. Twenty patients took NSAIDS daily for three months. Twenty patients took acetaminophen alone or nothing at all. All patients fasted overnight and underwent capsule endoscopy. The pylorus, the sphincter muscle that controls the lower opening of the stomach where it empties into the upper part of the small intestine, was marked on each video. Two investigators who were not told which therapy the participants received, reviewed each video beginning after the pylorus, where the small intestine starts.

Severe injury to the small bowel was seen in 23 percent of NSAID users compared to no severe injury in the controls. Severe damage was associated with high doses of indomethacin, naproxen, oxyprozocin and ibuprofen.

“This is a significant finding and suggests the need for periodic diagnostic monitoring with capsule endoscopy of patients who take NSAIDs regularly,” Graham said.

Media Contact

Anissa Anderson Orr EurekAlert!

Weitere Informationen:

http://research.bcm.tmc.edu/

Alle Nachrichten aus der Kategorie: Health and Medicine

This subject area encompasses research and studies in the field of human medicine.

Among the wide-ranging list of topics covered here are anesthesiology, anatomy, surgery, human genetics, hygiene and environmental medicine, internal medicine, neurology, pharmacology, physiology, urology and dental medicine.

Zurück zur Startseite

Kommentare (0)

Schreib Kommentar

Neueste Beiträge

Cyanobacteria: Small Candidates …

… as Great Hopes for Medicine and Biotechnology In the coming years, scientists at the Chair of Technical Biochemistry at TU Dresden will work on the genomic investigation of previously…

Do the twist: Making two-dimensional quantum materials using curved surfaces

Scientists at the University of Wisconsin-Madison have discovered a way to control the growth of twisting, microscopic spirals of materials just one atom thick. The continuously twisting stacks of two-dimensional…

Big-hearted corvids

Social life as a driving factor of birds’ generosity. Ravens, crows, magpies and their relatives are known for their exceptional intelligence, which allows them to solve complex problems, use tools…

By continuing to use the site, you agree to the use of cookies. more information

The cookie settings on this website are set to "allow cookies" to give you the best browsing experience possible. If you continue to use this website without changing your cookie settings or you click "Accept" below then you are consenting to this.

Close