ASGE Technology Status Evaluation Report: wireless capsule endoscopy

Mishkin, Daniel S.; Chuttani, Ram; Croffie, Joseph M.; DiSario, James A.; Liu, Julia; Shah, Raj J.; Somogyi, Lehel; Tierney, William M.; Song, Louis M. Wong Kee; Petersen, Bret T.

doi:10.1016/j.gie.2006.01.014

Cited by 249 publications

(141 citation statements)

References 75 publications

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“…Several guidelines and consensus documents by different organizations such as the European Society of Gastrointestinal Endoscopy (ESGE), the European Crohn's and Colitis Organisation (ECCO) and the American Society of Gastrointestinal Endoscopy (ASGE) have recommended CE in patients with suspected CD after a negative ileocolonoscopy and in absence of obstructive symptoms (1,(19)(20)(21)(22). In 2005, during the International Conference on Capsule Endoscopy (ICCE), it was established in a consensus document that suspicion of SB-CD should be based on the presence of clinical data (abdominal pain, diarrhea, weight loss, extra-intestinal conditions, etc.…”

Section: Discussionmentioning

confidence: 99%

Fecal calprotectin and C-reactive protein are associated with positive findings in capsule endoscopy in suspected small bowel Crohns disease

Valenzuela¹,

López²,

Fernández³

et al. 2016

Rev Esp Enferm Dig

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Background and aims:Capsule endoscopy is an extended tool for the diagnosis of small bowel Crohn's disease. However, factors associated with positive findings of this technique have not been well established. Our aim is to asses which factors are associated with a better diagnostic yield of capsule endoscopy in suspected small bowel Crohn's disease.Material and methods: This was a retrospective study including patients under capsule endoscopy because of suspected small bowel Crohn's disease. Demographic data of these patients, as well as symptoms and laboratory data including hemoglobin levels, count of leucocytes and platelets, and levels of C-reactive protein, erythrocyte sedimentation rate and fecal calprotectin were collected. Capsule endoscopy studies were classified as negative (no lesions) or positive (lesions suggestive of Crohn's disease). Descriptive, univariate and multivariate analysis were done, as well as diagnostic yield tests of the different markers for predicting lesions in capsule studies.Results: One hundred and twenty-four patients were included (85 women and 39 men). The average age was 38.21 years. Levels of C-reactive protein and fecal calprotectin were the markers more frequently associated with positive findings in capsule endoscopy. Calprotectin presented the best sensitivity as isolated marker. The association of altered levels of C-reactive protein and calprotectin showed the best specificity and predictive values.Conclusions: C-reactive protein and fecal calprotectin are appropriate biomarkers for selecting patients with suspected Crohn's disease of the small bowel for capsule endoscopy studies.

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Section: Discussionmentioning

confidence: 99%

Fecal calprotectin and C-reactive protein are associated with positive findings in capsule endoscopy in suspected small bowel Crohns disease

Valenzuela¹,

López²,

Fernández³

et al. 2016

Rev Esp Enferm Dig

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“…The PillCam ESO (Given Imaging, Israel) (esophageal capsule endoscopy, ECE) is a novel, wireless endoscope, similar in size to that of the standard PillCam smallbowel capsule endoscope (SBCE), which acquires videoimages from both ends of the device during passage through the esophagus, and it has been approved by the United States Food and Drug Administration [7] . ECE provides a potentially less invasive diagnostic alternative in evaluating diseases of the esophagus such as esophageal varices, Barrett's esophagus, and gastroesophageal reflux disease (GERD)/erosive esophagitis [8][9][10][11] .…”

Section: Introductionmentioning

confidence: 99%

Meta-analysis of capsule endoscopy in patients diagnosed or suspected with esophageal varices

Gao²,

Liao³

et al. 2009

WJG

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AIM:To review the literature on capsule endoscopy (CE) for detecting esophageal varices using conventional esophagogastroduodenoscopy (EGD) as the standard. METHODS:A strict literature search of studies comparing the yield of CE and EGD in patients diagnosed or suspected as having esophageal varices was conducted by both computer search and manual search. Data were extracted to estimate the pooled diagnostic sensitivity and specificity. RESULTS:There were seven studies appropriate for meta-analysis in our study, involving 446 patients. The pooled sensitivity and specificity of CE for detecting esophageal varices were 85.8% and 80.5%, respectively. In subgroup analysis, the pooled sensitivity and specificity were 82.7% and 54.8% in screened patients, and 87.3% and 84.7% in the screened/ patients under surveillance, respectively.CONCLUSION: CE appears to have acceptable sensitivity and specificity in detecting esophageal varices. However, data are insufficient to determine the accurate diagnostic value of CE in the screen/ surveillance of patients alone.

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“…Capsule endoscopy has allowed the evaluation of obscure gastrointestinal bleeding and iron-deficiency anemia since 2001, 11 and its indications have been expanded to screening for small bowel Crohn's disease, tumors, and familial polyposis. 11,12 The most common complication is retention, which has been reported in 0.75-2% of cases.…”

Section: Discussionmentioning

confidence: 99%

“…11,12 The most common complication is retention, which has been reported in 0.75-2% of cases. [13][14][15] Aspiration of the capsule is a rarer but more important complication.…”

Section: Discussionmentioning

confidence: 99%

A Case of Asymptomatic Aspiration of a Capsule Endoscope with a Successful Resolution

Choi¹,

Kim²,

Kim³

et al. 2010

Gut Liver

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Aspiration is a very rare complication of capsule endoscopy, but it is potentially life-threatening and should be considered an emergency requiring immediate intervention since it can evolve into major airway compromise and obstructive pneumonitis. We experienced a case of asymptomatic aspiration of a capsule in a 75-year-old man. The aspirated capsule was diagnosed on routine chest and abdomen X-rays to confirm its position after ingestion. The capsule was removed via bronchoscopy using a net, without sequelae, after inducing the patient to cough. To prevent this complication, a thorough history of swallowing disorders is needed before capsule ingestion, and patients with swallowing difficulties should have the capsule placed in the duodenum endoscopically. Moreover, on capsule aspiration, cough induction is the most effective method of capsule removal. (Gut Liver 2010;4:114-116)

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ASGE Technology Status Evaluation Report: wireless capsule endoscopy

Cited by 249 publications

References 75 publications

Fecal calprotectin and C-reactive protein are associated with positive findings in capsule endoscopy in suspected small bowel Crohns disease

Fecal calprotectin and C-reactive protein are associated with positive findings in capsule endoscopy in suspected small bowel Crohns disease

Meta-analysis of capsule endoscopy in patients diagnosed or suspected with esophageal varices

A Case of Asymptomatic Aspiration of a Capsule Endoscope with a Successful Resolution

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ASGE Technology Status Evaluation Report: wireless capsule endoscopy

Cited by 249 publications

References 75 publications

Fecal calprotectin and C-reactive protein are associated with positive findings in capsule endoscopy in suspected small bowel Crohns disease

Fecal calprotectin and C-reactive protein are associated with positive findings in capsule endoscopy in suspected small bowel Crohns disease

Meta-analysis of capsule endoscopy in patients diagnosed or suspected with esophageal varices

A Case of Asymptomatic Aspiration of a Capsule Endoscope with a Successful Resolution

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Product

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Fecal calprotectin and C-reactive protein are associated with positive findings in capsule endoscopy in suspected small bowel Crohns disease

Fecal calprotectin and C-reactive protein are associated with positive findings in capsule endoscopy in suspected small bowel Crohns disease