2%), post-cholecystectomy states in 20 (13.1%), ampullary neoplasia in 15 (15.8%), cholangiocarcinoma in 14 (9.2%) and pancreatic head cancer in 9 (5.9%). Sensitivity, specificity, positive predictive value, negative predictive value and accuracy of EUS for patients with abnormal EUS was 89.5%, 100.0%, 100.0%, 91.2% and 90.9%,

respectively. Conclusion: After diagnosis of CBD dilation by transabdominal ultrasonography, EUS may be a reasonable choice for determining the etiology of dilated CBD. Key Word(s): 1. EUS; 2. CBD dilatation; Presenting Author: ABDELMOUNEMELTAYEIB ABDO Additional Authors: DEENAALI ABDEL-SATIR Corresponding Afatinib in vitro Author: ABDELMOUNEMELTAYEIB ABDO Affiliations: Ibn-sina hospital Objective: Until a few years back, evaluation of small bowel pathology was unsatisfactory because of the inability to completely visualize the small bowel mucosa with the available endoscopic and radiological techniques. Since the advent of capsule endoscopy at the beginning of the millennium it became the gold standard for the diagnosis of most diseases of the small intestine. At present capsule endoscopy still have some click here limitations; it lacks the ability to obtain tissue

biopsy or provide endoscopic treatment and cannot be controlled remotely. But the near future foreshadows capsules that can perform drug delivery and tissue sampling. Although, capsule endoscopy is considered a simple, safe, and a non-invasive reliable technique, retention of the capsule is the main complication of the procedure. Methods: We analysed the clinical experience of the MiRo CE in 119 patients with suspected small bowel diseases in the department of gastroenterology at ibn-sina and Fedail hospitals in Sudan, during the period from January 2010 to June 2011. It

was done to assess the diagnostic yield of the capsule endoscopy in such patients. The complications that may occur with capsule endoscopy. And to evaluate the effect of small bowel transit time on the diagnostic yield of the capsule endoscopy and assess Immune system whether longer gastric transit time would decrease the rate of complete examination of the small bowel. Results: One hundred nineteen patients, 69 male and 50 female were enrolled. The main indication for capsule endoscopy was OGIB, the CE identified the cause of bleeding in 39 of the 61 patients (63.9%) presented with obscure GI bleeding and Angiodysplasia was the main finding in such patients comprising 31.1%. Other indications for CE were small bowel diarrhea in 21 patients (17.6%), evaluation of Crohn’sdisease in 5 patients (4.2), chronic abdominal pain in 18 patients (17.6%), non-responding celiac disease in 3 patients (2.5%) and 4 patients presented with suspicion of small bowel malignancy. Gastric and small bowel transit time are defined as time interval between the first the last pictures taken in corresponding gastrointestinal tract. The mean small bowel transit time was 5 h 18 min.