Capsule endoscopy vs. push enteroscopy and enteroclysis in suspected small-bowel Crohn's disease

Chong, A.; Taylor, Andrew; Miller, Ashley M.; Hennessy, Oliver; Connell, William; Desmond, Paul

doi:10.1016/s0016-5107(04)02571-4

Cited by 145 publications

(79 citation statements)

References 15 publications

Supporting

Mentioning

Contrasting

Unclassified

Order By: Relevance

“…In a small study done by Rastogi et al [15], despite its high diagnostic yield, CE had a positive influence on the clinical outcome in a small proportion of patients. However, CE changed the management in 70% of patients with Crohn’s disease and also shortened the time to diagnosis in obscure occult bleeding [16, 17]. …”

Section: Discussionmentioning

confidence: 99%

Capsule Endoscopy of the Upper Gastrointestinal Tract – The Need for a Second Endoscopy

Peter

Heuss²,

Beglinger³

et al. 2005

Digestion

View full text Add to dashboard Cite

Background and Aims: Capsule endoscopy (CE) has been recognised as an important investigational tool in the diagnosis of gastrointestinal disease. Studies have shown that CE can identify lesions in the upper gastrointestinal tract as well as in the small intestine. However, contrary to conventional oesophagogastroscopy results, the role of CE findings in the diagnostic algorithm of disorders such as gastrointestinal bleeding has not been well understood. We evaluated the frequency of lesions identified in the oesophagus and the stomach as well as their significance. Methods: We retrospectively evaluated patients who had undergone video CE over the last 2 years at our institution. Indication and findings in the oesophagus and the stomach were analysed and compared to previous oesophagogastroscopy findings. Patients in whom lesions were identified were followed up retrospectively for the significance of these findings. Results: 95 patients were included in the analysis (47 males, 48 females, mean ± SD age of 54.62 ± 19.2 years). The commonest indication for CE was gastrointestinal bleeding (45%), the second commonest anaemia (28%). CE identified significant lesions in the stomach of 11/95 (11.57%) patients. These lesions had been overlooked in 9/95 (9%) of patients by conventional oesophagogastroscopy prior to CE examination (p value < 0.05). Eight of 95 (8%) patients had oesophageal abnormalities detected by CE. The diagnosis changed the treatment of 8/11 (82%) patients with significant lesions. Conclusions: CE has an undefined role in evaluating upper gastrointestinal lesions. Significant lesions missed at oesophagogastroscopy were identified during CE examination. This study underpins the importance of a second conventional endoscopy in the diagnostic algorithm.

show abstract

Section: Discussionmentioning

confidence: 99%

Capsule Endoscopy of the Upper Gastrointestinal Tract – The Need for a Second Endoscopy

Peter

Heuss²,

Beglinger³

et al. 2005

Digestion

View full text Add to dashboard Cite

show abstract

“…However, 14% of asymptomatic volunteers and another 7% of those on placebo medication show at least one such ulcer [59]. Thus, earlier studies may have overinflated the diagnostic yield of capsule endoscopy [15,60,61]. In addition, as noted earlier capsule endoscopy does not reliably assess the small bowel wall.…”

Section: Barium-carbon Dioxide Enteroclysis Vs Capsule Endoscopymentioning

confidence: 97%

Comparison of capsule endoscopy with enteroclysis in the investigation of small bowel disease

et al. 2008

View full text Add to dashboard Cite

Purpose: To compare results of capsule endoscopy with those of barium enteroclysis or CT enteroclysis. Methods: Retrospective review of hospital records revealed 65 patients who had an enteroclysis and small bowel capsule endoscopy. The diagnostic yield of capsule endoscopy was compared with the enteroclysis using Fisher's exact test. Results: The main indications were obscure gastrointestinal bleeding (n = 37) and suspected Crohn disease (n = 17). Radiologic studies included CT enteroclysis (n = 30), and fluoroscopic barium enteroclysis with carbon dioxide (n = 18) or with methylcellulose (n = 17). Capsule endoscopy had a higher diagnostic yield (8/17) compared to barium-methylcellulose cellulose enteroclysis (1/17) (P = 0.02). The diagnostic yield of capsule endoscopy was not significantly different compared with barium-carbon dioxide (12/18 vs. 10/18) enteroclysis or with CT enteroclysis (9/30 vs. 8/30). Vascular lesions were better assessed with capsule endoscopy. However, the CT enteroclysis found more lesions in patients with chronic abdominal pain. Conclusion: Barium-carbon dioxide enteroclysis and CT enteroclysis have similar diagnostic yields for small bowel disease compared to capsule endoscopy. Barium methylcellulose has an inferior diagnostic yield.

show abstract

“…Other studies have compared SBCE with enteroclysis, but small sample sizes have limited the ability to show a significant advantage [24,41,42]. In one meta-analysis, the pooled OR for detecting abnormalities in patients with known or suspected Crohn's disease was 5.4 (95 %CI 3.0 -9.9) for SBCE compared with enteroclysis [40], but this again needs to be interpreted cautiously without information about the specificity of the procedure.…”

Section: Sbce Compared With Sbft/enteroclysismentioning

confidence: 99%

Role of small-bowel endoscopy in the management of patients with inflammatory bowel disease: an international OMED–ECCO consensus

Bourreille¹,

Ignjatovic²,

Aabakken³

et al. 2009

Endoscopy

303

185

View full text Add to dashboard Cite

show abstract

Capsule endoscopy vs. push enteroscopy and enteroclysis in suspected small-bowel Crohn's disease

Cited by 145 publications

References 15 publications

Capsule Endoscopy of the Upper Gastrointestinal Tract – The Need for a Second Endoscopy

Capsule Endoscopy of the Upper Gastrointestinal Tract – The Need for a Second Endoscopy

Comparison of capsule endoscopy with enteroclysis in the investigation of small bowel disease

Role of small-bowel endoscopy in the management of patients with inflammatory bowel disease: an international OMED–ECCO consensus

Contact Info

Product

Resources

About