The yield and safety of string capsule endoscopy in patients with dysphagia

Gilani, Nooman; Stipho, Sally; Shaukat, Masud; Akins, Rodney; Ramirez, Francisco C.

doi:10.1016/j.gie.2007.04.034

Cited by 18 publications

(17 citation statements)

References 19 publications

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“…Along with our results was Kumbum K et al [29], who stated that patients with esophageal strictures had longer duration of reflux symptoms, but on contrary to our results, patient tend to be older, and men were affected more than women. The incidence of malignant strictures was higher in studies by Satti SA et al [26], and Gillani N et al [30], found in 22.5% of the patients in their study. This difference may be due to geographical, dietary or life style implications in the etiology of esophageal or gastric malignancy.…”

Section: Discussionmentioning

confidence: 48%

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Endoscopic Findings in Egyptian Patients with Oesophageal Dysphagia at Different Age Groups

Gouda¹

2015

AJIM

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Dysphagia is the medical term for the symptom of difficulty in swallowing. Dysphagia can occur in all age groups, and its prevalence increases with aging. Diagnosis of dysphagia is important due to associated morbidity and mortality, so it warrants early evaluation. The current study aimed to determine the frequency of common endoscopic findings in Egyptian patients presenting with esophageal dysphagia. This cross-sectional, descriptive study was carried out in the department of Gastroenterology, faculty of medicine, Alexandria University in the period from January 2012 -December 2014. 127 patients with dysphagia were included in the study and were subjected to endoscopy. A total of 127 patients; 73 females (57.5%), and 54 males (42.5%) presenting with dysphagia were studied, the mean age was 49.56±16.41 years. gastro-esophageal reflux (GERD)/reflux esophagitis was the most common findings noted in 25(19.7%) patients, followed by esophageal stricture noted in 22 patients (17.3%), esophageal mass in 21 patients (16.5%), normal endoscopic findings in 20 patients (15.7%), achalasia of the esophagus in 12 patients (9.4%), eosinophilic esophagitis in 6 (4.7%) patients, esophageal web/rings in 5 (3.9%)patients, diffuse esophageal spasm in 4 patients ( 3.1%), foreign body impaction in 2 patients (1.6%), and hiatal hernia in 2 patients (1.6). 8 (6.3%) patients had findings other than the ones mentioned above. We concluded that GERD/reflux esophagitis, and esophageal strictures are the commonest causes of dysphagia in our population. Also malignant esophageal mass is the main cause of dysphagia in elderly population, both warrants early diagnosis and management.

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Section: Discussionmentioning

confidence: 48%

“…This was comparable with the (20.89%) frequency observed by Satti SA et al [26], in their study. In the study conducted by Gillani N et al [30], the frequency of normal upper GI endoscopy, however, was 32.5%. The difference may be due to geographic and genetic variation and may be due to difference in the sample size.…”

Section: Discussionmentioning

confidence: 85%

Endoscopic Findings in Egyptian Patients with Oesophageal Dysphagia at Different Age Groups

Gouda¹

2015

AJIM

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“…Gilani et al found normal esophagus in 32.5% of cases. 7 Krishnamurthy et al too found normal esophagus in 32.1% of cases. 6 Kidambi et al from the United States have reported an unspecified diagnosis accounted for 21.0% of cases.…”

Section: Discussionmentioning

confidence: 91%

“…6 Gilani et al, however, found it in only 5% of cases; this is explained in the fact that this study was conducted in the United States where the incidence of corrosive intake is low and peptic lesions are generally treated adequately. 7 Gupta et al have also reported that benign esophageal strictures were the commonest cause of dysphagia even in the elderly. 8 ►Table 4 compares the etiological profile of dysphagia in different parts of the world.…”

Section: Discussionmentioning

confidence: 96%

A Prospective Study Evaluating the Etiologic Spectrum in Patients with Dysphagia in Coastal Odisha Using Clinical Features and Endoscopy

Panigrahi

Khatua

Mishra

et al. 2019

Journal of Digestive Endoscopy

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Background There is scarcity of data on the etiological spectrum of dysphagia from India. The study was conducted to determine the etiological spectrum of dysphagia in coastal Odisha. Materials and MethodsConsecutive patients presenting with dysphagia to the gastroenterology outpatient department in 2017 were studied. Patients were evaluated with meticulous history, clinical examination, esophagogastroduodenoscopy, and chest X-ray. Barium study and endoscopic biopsy were done when necessary. Results Of 216 consecutive patients, 122 (56.48%) were male and 94 (43.52%) were female with a mean age of 42.3 ± 17.4 years. The common etiologies were benign stricture in 68 (31.48%) and esophageal carcinoma in 51 (23.62%). Other etiologies included achalasia cardia in 11 (5.09%), esophageal candidiasis in 10 (4.63%), pharyngeal cancer in 4 (1.85%), and esophageal web in 3 (1.39%). In 63 (29.17%) cases, no etiology was detected. Most of the benign strictures were due to corrosive injury in 48 (70.59%); other causes included peptic stricture (8, 11.76%), postsurgery (4, 5.88%), sclerotherapy-induced stricture (2, 2.94%), and pill-induced stricture (2, 2.94%); in 4 (5.88%) cases, the cause of stricture was not known. The most common cause of corrosive injury was acid injury in 38 (79.17%), followed by alkali injury in 4 (8.34%). In 6 (12.5%) cases, the nature of corrosive was not known. Most of the corrosive injuries were due to suicidal intake. Conclusion In this study, the most common cause of dysphagia was benign corrosive stricture due to suicidal intake of corrosives. Esophageal carcinoma, achalasia cardia, and esophageal candidiasis were other significant etiologies. Uncommon causes of dysphagia included esophageal web, pharyngeal cancer, and reflux esophagitis. AbstractKeywords ► barium study ► benign stricture ► corrosive injury ► esophagogastroduodenoscopy

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“…The main advantage of the latter is the ability of multiple passes across the esophagus and thus a better and detailed evaluation of any area of concern. The SCE device has been now used for the study of esophageal disorders including gastroesophageal reflux disease and screening of Barrett's esophagus, 5,9-11 dysphagia 12 and, esophageal varices. 4,[13][14][15][16] We found in this study that SCE had a sensitivity of 84% and a specificity of 72% for the diagnosis of esophageal varices of any size when compared to the gold standard EGD.…”

Section: Discussionmentioning

confidence: 99%

String capsule endoscopy for screening and surveillance of esophageal varices in patients with cirrhosis

Stipho

Tharalson²,

Hakim³

et al. 2012

jig

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The yield and safety of string capsule endoscopy in patients with dysphagia

Cited by 18 publications

References 19 publications

Endoscopic Findings in Egyptian Patients with Oesophageal Dysphagia at Different Age Groups

Endoscopic Findings in Egyptian Patients with Oesophageal Dysphagia at Different Age Groups

A Prospective Study Evaluating the Etiologic Spectrum in Patients with Dysphagia in Coastal Odisha Using Clinical Features and Endoscopy

String capsule endoscopy for screening and surveillance of esophageal varices in patients with cirrhosis

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