Short article: Negative small-bowel cross-sectional imaging does not exclude capsule retention in high-risk patients

Rondonotti, Emanuele; Soncini, Marco; Girelli, C.M.; Russo, Antonio; Franchis, Roberto de

doi:10.1097/meg.0000000000000628

Cited by 27 publications

(13 citation statements)

References 19 publications

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“…For predicting CE retention, two methods have been attempted: dedicated small bowel cross-sectional techniques; and patency capsules. However, cross-sectional techniques and patency capsules are both effective in decreasing the retention rate, although neither able to completely eliminate the risk for retention [24]. We found that passage of the capsule was delayed in 10% of CD patients and 12.5% of intestinal tuberculosis patients.…”

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confidence: 69%

Comparison of small bowel findings using capsule endoscopy between Crohn’s disease and intestinal tuberculosis in Korea

Kim

Min

2020

Yeungnam Univ J Med

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Background: Little is known about capsule endoscopy (CE) findings in patients with intestinal tuberculosis who exhibit small bowel lesions. The aim of the present study was to distinguish between Crohn's disease (CD) and intestinal tuberculosis based on CE findings. Methods: Findings from 55 patients, who underwent CE using PillCam SB CE (Given Imaging, Yoqneam, Israel) between February 2003 and June 2015, were retrospectively analyzed. Results: CE revealed small bowel lesions in 35 of the 55 patients: 19 with CD and 16 with intestinal tuberculosis. The median age at diagnosis for patients with CD was 26 years and 36 years for those with intestinal tuberculosis. On CE, three parameters, ≥10 ulcers, >3 involved segments and aphthous ulcers, were more common in patients with CD than in those intestinal tuberculosis. Cobblestoning was observed in five patients with CD and in none with intestinal tuberculosis. The authors hypothesized that a diagnosis of small bowel CD could be made when the number of parameters in CD patients was higher than that for intestinal tuberculosis. The authors calculated that the diagnosis of either CD or intestinal tuberculosis would have been made in 34 of the 35 patients (97%). Conclusion: The number of ulcers and involved segments, and the presence of aphthous ulcers, were significantly higher and more common, respectively, in patients with CD than in those with intestinal tuberculosis. Cobblestoning in the small bowel may highly favor a diagnosis of CD on CE.

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confidence: 69%

Comparison of small bowel findings using capsule endoscopy between Crohn’s disease and intestinal tuberculosis in Korea

Kim

Min

2020

Yeungnam Univ J Med

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“…In the constrained by human error. 14 Some works suggest that physicians' performance is disappointing 15,16 and that the reporting accuracy in SBCE declines after reading a single capsule study. 17 Because incomplete visualization of the SB in terms of coverage and/or image quality affects mainly the detection and reporting of neoplastic lesions, 18 it becomes evident that adjustable frame rate and higher-resolution images are needed.…”

Section: Discussionmentioning

confidence: 99%

“…19 However, it still has several significant limitations such as the use, type, and timing of bowel preparation 20 ; the time required for conventional SBCE reading; and the overall suboptimal interobserver agreement between readers. 16 Moreover, the clinical relevance of any findings is vital for a conclusive diagnosis.…”

Section: Discussionmentioning

confidence: 99%

Development and Validation of an Artificial Intelligence Model for Small Bowel Capsule Endoscopy Video Review

et al. 2022

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Key Points Question Can artificial intelligence be applied in video review of small bowel capsule endoscopy (SBCE)? Findings In this diagnostic study of 5825 patients, a convolutional neural network solution was developed based on CE structured terminology (CEST) to allow a standardized computer-aided detection (CADe) approach. The convolutional neural network was associated with an increased detection rate of SB findings and reduced SBCE video reading times. Meaning This study suggests that a well-structured CADe algorithm, based on CEST, may change the human-based reading and reporting of SBCE videos.

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“…The main relevant limitation of VCE is the long time needed to review the recordings. The evaluation of small bowel mucosa is performed by an expert endoscopist who dedicates a slot of one working day for reading the entire VCE recording, with relevant costs [12]. Therefore, a pre-reading procedure performed by an expert and a specifically trained nurse would result in a time reduction of successive medical evaluations, as long as the initial assessment was accurate.…”

Section: Discussionmentioning

confidence: 99%

High Concordance between Trained Nurses and Gastroenterologists in Evaluating Recordings of Small Bowel Video Capsule Endoscopy (VCE)

Guarini

Marinis

Hassan

et al. 2018

JGLD

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Background & Aims: The video capsule endoscopy (VCE) is an accurate and validated tool to investigate the entire small bowel mucosa, but VCE recordings interpretation by the gastroenterologist is time-consuming.A pre-reading of VCE recordings by an expert nurse could be accurate and cost saving. We assessed the concordance between nurses and gastroenterologists in detecting lesions on VCE examinations.Methods: This was a prospective study enrolling consecutive patients who had undergone VCE in clinical practice. Two trained nurses and two expert gastroenterologists participated in the study. At VCE pre-reading the nurses selected any abnormalities, saved them as “thumbnails” and classified the detected lesions as a vascular abnormality, ulcerative lesion, polyp, tumor mass, and unclassified lesion. Then, the gastroenterologist evaluated and interpreted the selected lesions and, successively, reviewed the entire video for potential missed lesions. The time for VCE evaluation was recorded.Results: A total of 95 VCE procedures performed on consecutive patients (M/F: 47/48; mean age: 63 ± 12years, range: 27−86 years) were evaluated. Overall, the nurses detected at least one lesion in 54 (56.8%) patients.There was total agreement between nurses and gastroenterologists, no missing lesions being discovered at a second look of the entire VCE recording by the physician. The pre-reading procedure by nurse allowed a time reduction of medical evaluation from 49 (33-69) to 10 (8-16) minutes (difference: -79.6%).Conclusions: Our data suggest that trained nurses can accurately identify and select relevant lesions in thumbnails that subsequently were faster reviewed by the gastroenterologist for a final diagnosis. This could significantly reduce the cost of VCE procedure.

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Short article: Negative small-bowel cross-sectional imaging does not exclude capsule retention in high-risk patients

Cited by 27 publications

References 19 publications

Comparison of small bowel findings using capsule endoscopy between Crohn’s disease and intestinal tuberculosis in Korea

Comparison of small bowel findings using capsule endoscopy between Crohn’s disease and intestinal tuberculosis in Korea

Development and Validation of an Artificial Intelligence Model for Small Bowel Capsule Endoscopy Video Review

High Concordance between Trained Nurses and Gastroenterologists in Evaluating Recordings of Small Bowel Video Capsule Endoscopy (VCE)

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