Cystic Fibrosis Clinical Trial
Official title:
Capsule Endoscopy in Cystic Fibrosis-Screening for Small Bowel Disease in Cystic Fibrosis Patient.
Cystic Fibrosis patients continue to have bowel problems even after adequate pancreatic enzyme supplementation. There may be pathology of the lining of the bowel. Capsule endoscopy will be used to photograph the entire bowel.
The capsule endoscope system (Given Imaging, Ltd.) consists of 3 elements: a disposable
capsule (PillCamTM SB) that acquires video images during natural propulsion through the
digestive system.
The video-capsule PillCamTM SB has been cleared by the FDA for use in patients over 10 years
of age for the detection of small intestinal disorders. It has been used in patients under
age 10 and has been placed with the use of a gastroscope in patients unable to swallow the
capsule. In fact, a new delivery device has been introduced recently that facilitates
placement of the video-capsule in pediatric patients.For the purposes of this study, only
patients over age 10 years who are able to swallow the capsule would be enrolled.
There are approximately 450 CF patients in the registry in Israel, with about 300 above the
age of 10. Study subjects would be enrolled from this registry population and would be
screened for the presence of the contraindications noted above. Patients would be assessed
for symptoms of possible small bowel lesions at the time of enrollment including
gastrointestinal bleeding, palpable abdominal mass, weight loss, diarrhea, and abdominal
pain. Markers of inflammation including stool calprotectin will be assessed in all patients.
These data would be recorded for further analysis.
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