A prospective two-center study comparing wireless capsule endoscopy with intraoperative enteroscopy in patients with obscure GI bleeding

Hartmann, Dirk; Schmidt, H.; Bolz, Georg; Schilling, Dieter; Kinzel, F.; Eickhoff, Axel; Huschner, W.; Möller, Kathleen; Jakobs, Ralf; Reitzig, P; Weickert, U.; Gellert, Klaus; Schultz, Harald; Klaus, Guenther; Hollerbuhl, Hartmut; Schimrigk, К.; Schulz, H.-J.; Riemann, J. F.

doi:10.1016/s0016-5107(05)00372-x

Cited by 303 publications

(180 citation statements)

References 32 publications

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“…CE facilitates effective decision-making regarding subsequent investigations and treatments [4] . Diagnostic yield of CE for OGIB varied between 31% and 91% [9,[17][18][19][20][21][22][23][24][25][26][27][28][29][30][31] . Lema and Ruano-Ravina [32] reviewed the published studies of CE for OGIB and reported that sensitivity ranged from 79% to 95% and specificity from 75% to 100%.…”

Section: Indicationsmentioning

confidence: 99%

Five years’ experience with capsule endoscopy in a single center

Kav¹,

Bayraktar²

2009

WJG

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Capsule endoscopy (CE) is a novel technology that facilitates highly effective and noninvasive imaging of the small bowel. Although its efficacy in the evaluation of obscure gastrointestinal bleeding (OGIB) has been proven in several trials, data on uses of CE in different small bowel diseases are rapidly accumulating in the literature, and it has been found to be superior to alternative diagnostic tools in a range of such diseases. Based on literature evidence, CE is recommended as a first-line investigation for OGIB after negative bidirectional endoscopy. CE has gained an important role in the diagnosis and follow-up of Crohn's disease and celiac disease and in the surveillance of small bowel tumors and polyps in selected patients. Capsule retention is the major complication, with a frequency of 1%-2%. The purpose of this review was to discuss the procedure, indications, contraindications and adverse effects associated with CE. We also review and share our five-year experience with CE in various small bowel diseases. The recently developed balloon-assisted enteroscopies have both diagnostic and therapeutic capability. At the present time, CE and balloon-assisted enteroscopies are complementary techniques in the diagnosis and management of small bowel diseases.

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Section: Indicationsmentioning

confidence: 99%

Five years’ experience with capsule endoscopy in a single center

Kav¹,

Bayraktar²

2009

WJG

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“…In the case of jejunal lesions, we can use push enteroscopy if double-balloon enteroscopy is not available (5,13,14). For many years this technique has been the most widely used and effective technique for the direct evaluation of the enteral mucosa.…”

Section: Discussionmentioning

confidence: 99%

“…We must remember that capsule endoscopy is not completely reliable (6,8,14,15), although it does enable us to explore the whole small intestine. Several studies have shown the superiority of this technique over other traditional approaches, including barium radiology.…”

Section: Discussionmentioning

confidence: 99%

Efficacy of pediatric colonoscopy used as push enteroscopy in the management of capsule endoscopy findings

Roldán

Carro

Huidobro

et al. 2009

Rev. esp. enferm. dig.

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“…In comparison, VCE has been shown to have a sensitivity, specificity, positive and negative predictive values of 95%, 75%, 95% and 86%, respectively. 10 Impact compared to existing technology VCE is now considered to be the first line test for investigating the small bowel. It is easy to perform, minimally invasive, and unlike previous radiological investigations, does not involve ionising radiation.…”

Section: Previous Researchmentioning

confidence: 99%