The prevalence of small-bowel polyps on video capsule endoscopy in patients with sporadic duodenal or ampullary adenomas

Awadie, Halim; Klein, Amir; Tate, David J.; Jideh, Bilel; Bar-Yishai, Iddo; Goodrick, Kathleen; Ahlenstiel, Golo; Bourke, Michael J.

doi:10.1016/j.gie.2020.07.029

Cited by 7 publications

(7 citation statements)

References 37 publications

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“…In this paper, comprehensive nursing intervention (CNI) is patient-centered, which is a care model starting from patients' multiangles and multidimensions, and taking di erent intervention measures in di erent stages and aspects, aiming at achieving the purpose of comprehensive nursing. At present, this nursing model has been carried out in various departments such as orthopedics & obstetrics and has shown favorable nursing e ects [4][5][6]. However, there is currently a paucity of studies regarding its impacts on the vital signs (VSs), NEs, and quality of life (QOL) of patients with gastrointestinal polyps treated by digestive endoscopy.…”

Section: Introductionmentioning

confidence: 99%

Analysis of the Influence of Comprehensive Nursing Intervention on Vital Signs and Negative Emotions of Patients with Gastrointestinal Polyps Treated by Digestive Endoscopy

Shi

Sang

2022

Computational Intelligence and Neuroscience

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This research sets out to elucidate the influence of comprehensive nursing intervention (CNI) on vital signs (VSs) and negative emotions (NEs) of patients with gastrointestinal polyps treated by digestive endoscopy. To address this, from January 2020 to February 2021, 92 cases of gastrointestinal polyps treated by digestive endoscopy in the Yuyao People’s Hospital of Zhejiang Province were partitioned into two different groups: the control group (CG; n = 46) intervened by routine nursing intervention, and the research group (RG; n = 46) treated by CNI based on routine care. The VSs, NEs, time of first postoperative exhaust and defecation, early food intake, length of stay (LOS), quality of life (QOL), nursing satisfaction, and the incidence of postoperative complications were compared between groups. When entering the operating room, elevated systolic/diastolic (SBP/DBP) was observed in CG compared with RG ( P < 0.05 ) while there was no statistical difference in SBP/DBP in RG before intervention and when entering the operating room ( P > 0.05 ). Statistically, less time of first exhaust and defecation as well as LOS and early food intake were observed in RG ( P < 0.05 ). The HAMA and HAMD scores declined in both arms postintervention, and the decrease was more obvious in RG ( P < 0.05 ). After intervention, the scores of various domains of GQOLI-74 elevated in both arms, and the increase was more obvious in RG ( P < 0.05 ). RG also showed a lower total complication rate and a higher degree of nursing satisfaction than CG ( P < 0.05 ). CNI for patients with gastrointestinal polyps treated by digestive endoscopy can obviously relieve their anxiety and depression, with stable VSs, short LOS, and low incidence of complications.

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Section: Introductionmentioning

confidence: 99%

Analysis of the Influence of Comprehensive Nursing Intervention on Vital Signs and Negative Emotions of Patients with Gastrointestinal Polyps Treated by Digestive Endoscopy

Shi

Sang

2022

Computational Intelligence and Neuroscience

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“… 2 The indications for small‐bowel endoscopy include obscure gastrointestinal bleeding, small‐bowel stenosis, tumors, and inflammatory bowel disease. 3 , 4 , 5 , 6 , 7 , 8 , 9 Previous studies have shown that the diagnostic yield of CE and balloon endoscopy in patients with the suspected small‐bowel disease is comparable. 10 , 11 , 12 However, with CE, a significant number of lesions are missed because images are either not captured (in cases when the capsule endoscope runs out of the battery or a lesion is located in the blind loop) or are of poor quality.…”

Section: Introductionmentioning

confidence: 99%

Diagnostic yield of proximal jejunal lesions with third‐generation capsule endoscopy

et al. 2022

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Objectives Capsule endoscopy (CE) has been shown to have poor diagnostic performance when the capsule passes quickly through the small bowel, especially the proximal jejunum. This study aimed to evaluate the diagnostic yield of proximal jejunal lesions with third‐generation CE technology. Methods We retrospectively examined 138 consecutive patients, 76 (55.0%) of whom were men. The patients’ median age was 70 years, and proximal jejunal lesions were detected by CE and/or double‐balloon endoscopy at Hiroshima University Hospital between January 2011 and June 2021. We analyzed the diagnostic accuracy of CE for proximal jejunal lesions and compared the characteristics of the discrepancy between the use of CE and double‐balloon endoscopy with Pillcam SB 2 (SB2) and Pillcam SB 3 (SB3). Results SB2 and SB3 were used in 48 (35%) and 90 (65%) patients, respectively. There was no difference in baseline characteristics between these groups. Small‐bowel lesions in the proximal jejunum comprised 75 tumors (54%), 50 vascular lesions (36%), and 13 inflammatory lesions (9%). The diagnostic rate was significantly higher in the SB3 group than in the SB2 group for tumors (91% vs. 72%, p < 0.05) and vascular lesions (97% vs. 69%, p < 0.01). For vascular lesions, in particular, the diagnostic rate of angioectasia improved in the SB3 group (100%) compared with that in the SB2 group (69%). Conclusions SB3 use improved the detection of proximal jejunal tumors and vascular lesions compared with SB2 use.

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“…and "Is this a sporadic DA, or does the patient have an underlying hereditary cancer syndrome?" The study by Awadie et al 1 in the current issue of Gastrointestinal Endoscopy used video capsule endoscopy (VCE) to determine the prevalence of downstream small-bowel adenomas in a cohort of patients with incidentally detected DAs. The authors speculated that the prevalence of VCE-detected small-bowel adenomas would fall between the low published rate observed in obscure GI bleeding (w10%) and the comparatively higher rate observed in hereditary polyposis syndromes.…”

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confidence: 99%

“…In light of the ASGE recommendations to reserve routine jejunoileal screening with VCE primarily for FAP patients with high Spigelman stage, it begs the question: is there any justifiable role for it in cases of sporadic ampullary or nonampullary duodenal adenomas (detected in 0.04%-0.12% and <0.5%, respectively)? 6 The study by Awadie et al 1 is the largest prospective study designed to define the prevalence of downstream adenomas in patients with sporadic DAs. 1 In this single-center study, data were collected from 2 cohorts of patients who underwent VCE prompted by different indications: 100 with DAs found on EGD (25% ampullary, 75% nonampullary) and 101 with obscure GI bleeding or iron-deficiency anemia.…”

mentioning

confidence: 99%

“…6 The study by Awadie et al 1 is the largest prospective study designed to define the prevalence of downstream adenomas in patients with sporadic DAs. 1 In this single-center study, data were collected from 2 cohorts of patients who underwent VCE prompted by different indications: 100 with DAs found on EGD (25% ampullary, 75% nonampullary) and 101 with obscure GI bleeding or iron-deficiency anemia. No polyps were found by the use of VCE in either group.…”

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confidence: 99%

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Capsule endoscopy in persons with duodenal adenomas: Focus on the colon instead?

Tokar

Higa

2021

Gastrointestinal Endoscopy

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The prevalence of small-bowel polyps on video capsule endoscopy in patients with sporadic duodenal or ampullary adenomas

Cited by 7 publications

References 37 publications

Analysis of the Influence of Comprehensive Nursing Intervention on Vital Signs and Negative Emotions of Patients with Gastrointestinal Polyps Treated by Digestive Endoscopy

Analysis of the Influence of Comprehensive Nursing Intervention on Vital Signs and Negative Emotions of Patients with Gastrointestinal Polyps Treated by Digestive Endoscopy

Diagnostic yield of proximal jejunal lesions with third‐generation capsule endoscopy

Capsule endoscopy in persons with duodenal adenomas: Focus on the colon instead?

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