Giuseppina Liguori
Italy
Case Report
Capsule Endoscopy Detection of Ileal Mucosa Alterations due to Cow Milk Malabsorption in a Celiac Patient
Author(s): Raffaele Pezzilli, Giuseppina Liguori and Carlo Calabrese
Raffaele Pezzilli, Giuseppina Liguori and Carlo Calabrese
We report a case of a 77-year-old man suffering from celiac disease admitted as an outpatient to our clinic for the persistence of bloating and diarrhea without macroscopic steatorrhea, weight loss or an increase in circulating carbohydrate antigen 19-9. An esophagogastroduodenoscopy showed H. pylori negative antral gastritis and atrophy of the duodenal mucosa and the results of a colonoscopy were normal. Abdominal contrast-enhanced computed tomography did not show any parenchymal alteration of the liver and pancreas. The patient underwent a capsule endoscopy and the examination showed the presence of villous atrophy with microerosions at the level of the medial jejunum, in the ileum, and some areas of lymphangiectasia. A repeated capsule endoscopy after starting a lactosefree diet showed the normalization of the jejunum-ileum villous atrophy. At present, the patient is in good genera.. View More»
DOI:
10.4172/2155-6121.1000125