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Focused Review Series: Updates on Capsule Endoscopy from Esophagus to Colon
Current Status of Interpretation of Small Bowel Capsule Endoscopy
Su Hwan Kim, Dong-Hoon Yang, Jin Su Kim
Clin Endosc 2018;51(4):329-333.   Published online July 31, 2018
DOI: https://doi.org/10.5946/ce.2018.095
AbstractAbstract PDFPubReaderePub
Capsule endoscopy (CE) has revolutionized direct small bowel imaging and is widely used in clinical practice. Remote visualization ofbowel images enables painless, well-tolerated endoscopic examinations. Small bowel CE has a high diagnostic yield and the ability toexamine the entire small bowel. The diagnostic yield of CE relies on lesion detection and interpretation. In this review, issues related tolesion detection and interpretation of CE have been addressed, and the current status of automated reading software development hasbeen reviewed. Clinical significance of an external real-time image viewer has also been described.

Citations

Citations to this article as recorded by  
  • A structured framework to evaluate capsule endoscope locomotion systems
    Deepak Kumar Dinkar, M Hasan Shaheed, Eldrid Herrington, Kaspar Althoefer, Mohamed Adhnan Thaha
    Progress in Biomedical Engineering.2024; 6(4): 042003.     CrossRef
  • Prediction of Significant Lesions on Capsule Endoscopy in Patients with Suspected Small Bowel Bleeding: External Validation of SSB Capsule Dx Score
    Tiago Lima Capela, Tiago Cúrdia Gonçalves, Bruno Rosa, José Cotter
    Digestive Diseases.2024; : 1.     CrossRef
  • Closed-loop active control of the magnetic capsule endoscope with a robotic arm based on image navigation
    Bo Ye, Yingbing Fu, Shicong Zhang, Hao Wang, Guo Fang, Wei Zha, Amit Krishna Dwivedi
    Journal of Magnetism and Magnetic Materials.2023; 565: 170268.     CrossRef
  • KAPSUL ENDOSKOPİYASI İLƏ İNCƏ BAĞIRSAQ MÜAYİNƏSİNDƏ MÖVCUD VƏZİYYƏT VƏ GƏLƏCƏK PERSPEKTİVLİYİ
    Həbib Həsənzadə, Amalya Həsənova Həbib Həsənzadə, Amalya Həsənova
    PAHTEI-Procedings of Azerbaijan High Technical Educational Institutions.2023; 34(11): 105.     CrossRef
  • Design and implementation of a highly integrated dual hemisphere capsule robot
    Yongshun Zhang, Xu Liu, Guanxi Liu, Xuan Ji, Huiyuan Yang, Zhenhu Liu
    Biomedical Microdevices.2022;[Epub]     CrossRef
  • Preparation of image databases for artificial intelligence algorithm development in gastrointestinal endoscopy
    Chang Bong Yang, Sang Hoon Kim, Yun Jeong Lim
    Clinical Endoscopy.2022; 55(5): 594.     CrossRef
  • Monitoring established Crohn’s disease with pan-intestinal video capsule endoscopy in Europe: clinician consultation using the nominal group technique
    Cristina Carretero, Franck Carbonnel, Marc Ferrante, Torben Knudsen, Nancy Van Lent, Alan J. Lobo, Lucian Negreanu, Ana Vojvodic, Salvatore Oliva
    Current Medical Research and Opinion.2021; 37(9): 1547.     CrossRef
  • 3D reconstruction of small bowel lesions using stereo camera-based capsule endoscopy
    Seung-Joo Nam, Yun Jeong Lim, Ji Hyung Nam, Hyun Seok Lee, Youngbae Hwang, Junseok Park, Hoon Jai Chun
    Scientific Reports.2020;[Epub]     CrossRef
  • Development of a scoring system to predict a positive diagnosis on video capsule endoscopy for suspected small bowel bleeding
    Neil B. Marya, Li Wang, Sonya Dasharathy, Vivy T. Cusumano, Tien Dong, M. Phillip Fejleh, Jennifer Phan, Adarsh M. Thaker, Ashwinee Condon, Alireza Sedarat, V. Raman Muthusamy, David R. Cave, Stephen Kim
    Techniques and Innovations in Gastrointestinal Endoscopy.2020; 22(4): 178.     CrossRef
  • A New Active Locomotion Capsule Endoscopy under Magnetic Control and Automated Reading Program
    Dong Jun Oh, Kwang Seop Kim, Yun Jeong Lim
    Clinical Endoscopy.2020; 53(4): 395.     CrossRef
  • A survey on contemporary computer-aided tumor, polyp, and ulcer detection methods in wireless capsule endoscopy imaging
    Tariq Rahim, Muhammad Arslan Usman, Soo Young Shin
    Computerized Medical Imaging and Graphics.2020; 85: 101767.     CrossRef
  • Follow-up on: optimizing lesion detection in small bowel capsule endoscopy and beyond: from present problems to future solutions
    Michael Vasilakakis, Anastasios Koulaouzidis, Diana E Yung, John N Plevris, Ervin Toth, Dimitris K Iakovidis
    Expert Review of Gastroenterology & Hepatology.2019; 13(2): 129.     CrossRef
  • Capsule endoscopy for small‐intestinal disorders: Current status
    Naoki Hosoe, Kaoru Takabayashi, Haruhiko Ogata, Takanori Kanai
    Digestive Endoscopy.2019; 31(5): 498.     CrossRef
  • 7,682 View
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Focused Review Series: Current Issues and Future Directions of Small Bowel Endoscopic Evaluation
The Usefulness of Capsule Endoscopy for Small Bowel Tumors
Dae Young Cheung, Jin Su Kim, Ki-Nam Shim, Myung-Gyu Choi, Korean Gut Image Study Group
Clin Endosc 2016;49(1):21-25.   Published online January 28, 2016
DOI: https://doi.org/10.5946/ce.2016.49.1.21
AbstractAbstract PDFPubReaderePub
Video capsule endoscopy (VCE) has expanded the range of endoscopic examination of the small bowel. The clinical application of VCE is mainly for obscure gastrointestinal bleeding (OGIB) and small bowel tumor is one of the clinically significant diagnoses of VCE, often requiring subsequent invasive interventions. Small bowel tumors are detected with a frequency of around 4% with VCE in indications of OGIB, iron deficiency anemia, unexplained abdominal pain, and others. Protruding mass with bleeding, mucosal disruption, irregular surface, discolored area, and white villi are suggested as the VCE findings of small bowel tumor. Device assisted enteroscopy (DAE), computed tomography enteroclysis/enterography and magnetic resonance enteroclysis/enterography also have clinical value in small bowel examination and tumor detection, and they can be used with VCE, sequentially or complementarily. Familial adenomatous polyposis, Peutz-Jeghers syndrome, melanoma, lymphoma, and neuroendocrine tumor with hepatic metastasis are the high risk groups for small bowel tumors, and surveillance programs for small bowel tumors are needed. VCE and radiological imaging have value in screening, and in selected cases, DAE can provide more accurate diagnosis and endoscopic treatment. This review describes the usefulness and clinical impact of VCE on small bowel tumors.

Citations

Citations to this article as recorded by  
  • Post-Transplant Lymphoproliferative Disorder Presenting as a Gastrointestinal Fistulous Tract in a Heart Transplant Recipient: Case Report and Literature Review
    Nour Hasan, Ramia Zakhour, Luz Helena Gutierrez Sanchez, Audrey R. Lloyd, Geling Li, Clara L. Ortiz, Cecelia Hutto
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    Sang Jun Sohn, Kanat Batyrbekov, Ainura Galiakbarova, Laura Yerdaliyeva, Jamilya Kaibullayeva, Jeongwoo Ju, Haejin Lee, Yeoun Joo Lee
    Kosin Medical Journal.2024; 39(3): 179.     CrossRef
  • Videocapsular endoscopy in the diagnosis of gastrointestinal diseases
    E. V. Usacheva, I. V. Druk, E. V. Nadey, N. A. Usachev
    Experimental and Clinical Gastroenterology.2023; (3): 61.     CrossRef
  • Capsule endoscopy diagnosis of gastrointestinal melanoma
    Silvia Fernández No�l, Alberto García Picazo, Julia Gutiérrez de Prado, Blanca Otero Torrón, Diego Jara Casas, Cristina Garfia Castillo, Óscar Caso Maestro, Carlos Jiménez Romero
    Revista Española de Enfermedades Digestivas.2023;[Epub]     CrossRef
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    Thomas Aparicio, Atanas Pachev, Pierre Laurent-Puig, Magali Svrcek
    Cancers.2022; 14(9): 2268.     CrossRef
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    Priya Oka, Reena Sidhu
    Current Opinion in Gastroenterology.2022; 38(3): 270.     CrossRef
  • Capsule endoscopy - a non-invasive modality to investigate the GI tract: out with the old and in with the new?
    Priya Oka, Mark McAlindon, Reena Sidhu
    Expert Review of Gastroenterology & Hepatology.2022; 16(7): 591.     CrossRef
  • Small Bowel Perforation Due to Rare Metastasis From Stage IV Lung Adenocarcinoma
    Francesco Sautto, Sarah Tinsley, Vladimir Neychev
    Cureus.2022;[Epub]     CrossRef
  • Effect of Nonsteroidal Anti-inflammatory Agents on Small Intestinal Injuries as Evaluated by Capsule Endoscopy
    Sang Pyo Lee, Jin Lee, Sea Hyub Kae, Hyun Joo Jang, Eun Suk Jung
    Digestive Diseases and Sciences.2021; 66(8): 2724.     CrossRef
  • Role of Video Capsule Endoscopy as a Prelude to Deep Enteroscopy
    Dejan Micic, Carol E. Semrad
    Gastrointestinal Endoscopy Clinics of North America.2021; 31(2): 331.     CrossRef
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    Stefania Chetcuti Zammit, Reena Sidhu
    Current Opinion in Gastroenterology.2021; 37(3): 234.     CrossRef
  • Peutz-Jeghers syndrome
    Ilja Tacheci, Marcela Kopacova, Jan Bures
    Current Opinion in Gastroenterology.2021; 37(3): 245.     CrossRef
  • Can we predict an incomplete capsule endoscopy? Results of a multivariate analysis using a logistic regression model
    Elena Macías, Alfonso Elosua González, José Francisco Juanmartiñena, Ana Borda Martín, Inmaculada Elizalde, Ignacio Fernández-Urién
    Revista Española de Enfermedades Digestivas.2021;[Epub]     CrossRef
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    Mohammed Fawaz, Kamal Kataria, Ankita Singh, Saugata Samadder
    BMJ Case Reports.2021; 14(9): e244381.     CrossRef
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    Seung Min Hong, Sung Hoon Jung, Dong Hoon Baek
    Diagnostics.2021; 11(10): 1842.     CrossRef
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  • CT Imaging of Small Bowel Neoplasms
    Andrew Lee, Nicholas Voutsinas, William L. Simpson, Sara C. Lewis, Ally Rosen
    Contemporary Diagnostic Radiology.2020; 43(16): 1.     CrossRef
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    Eun Ran Kim
    Clinical Endoscopy.2020; 53(4): 410.     CrossRef
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    Lupe Sanchez-Mete, Vittoria Stigliano
    Tumori Journal.2019; 105(1): 12.     CrossRef
  • Magnetic Steering of Capsule Endoscopy Improves Small Bowel Capsule Endoscopy Completion Rate
    Yuan-Yuan Luo, Jun Pan, Yi-Zhi Chen, Xi Jiang, Wen-Bin Zou, Yang-Yang Qian, Wei Zhou, Xiao Liu, Zhao-Shen Li, Zhuan Liao
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    Jakob Koefoed Tingsgaard, Amalie Henriksen, Lauge Hjorth Mikkelsen, Nille Behrendt, Linea Cecilie Melchior, Lars Bo Svendsen, Steffen Heegaard
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    Mafalda Sousa, Rolando Pinho, Adélia Rodrigues, João Carvalho
    Gastroenterología y Hepatología (English Edition).2018; 41(10): 663.     CrossRef
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    Hey-Long Ching, Mark E. McAlindon, Reena Sidhu
    Current Opinion in Gastroenterology.2017; 33(3): 181.     CrossRef
  • Spontaneous peeled ileal giant lipoma caused by lower gastrointestinal bleeding
    Jung Ho Kim, Hyun Hwa Yoon, Seok Hoo Jeong, Hyun Sun Woo, Won-Suk Lee, Seung Joon Choi, Seog Gyun Kim, Seung Yeon Ha, Kwang An Kwon
    Medicine.2017; 96(51): e9253.     CrossRef
  • The characteristics and outcomes of small bowel adenocarcinoma: a multicentre retrospective observational study
    Hiroyuki Sakae, Hiromitsu Kanzaki, Junichiro Nasu, Yutaka Akimoto, Kazuhiro Matsueda, Masao Yoshioka, Masahiro Nakagawa, Shinichiro Hori, Masafumi Inoue, Tomoki Inaba, Atsushi Imagawa, Masahiro Takatani, Ryuta Takenaka, Seiyu Suzuki, Toshiyoshi Fujiwara,
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  • Vidéocapsule endoscopique dans l’exploration de l’intestin grêle : indications et perspectives
    A. Sportes, G. Rahmi, M. Delvaux, G. Gay
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  • 8,693 View
  • 196 Download
  • 31 Web of Science
  • 32 Crossref
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Original Article
Indications for Detection, Completion, and Retention Rates of Small Bowel Capsule Endoscopy Based on the 10-Year Data from the Korean Capsule Endoscopy Registry
Yun Jeong Lim, Oh Young Lee, Yoon Tae Jeen, Chi Yeon Lim, Dae Young Cheung, Jae Hee Cheon, Byong Duk Ye, Hyun Joo Song, Jin Su Kim, Jae Hyuk Do, Kwang Jae Lee, Ki-Nam Shim, Dong Kyung Chang, Cheol Hee Park, Byung Ik Jang, Jeong Seop Moon, Hoon Jai Chun, Myung-Gyu Choi, Jin Oh Kim, Korean Gut Image Study Group
Clin Endosc 2015;48(5):399-404.   Published online September 30, 2015
DOI: https://doi.org/10.5946/ce.2015.48.5.399
AbstractAbstract PDFPubReaderePub
Background/Aims

Capsule endoscopy (CE) is widely used. However, CE has limitations including incomplete examination, inadequate bowel preparation, and retention. The aim of this study was to estimate the indications for and detection, completion, and retention rates of small intestine CE based on the 10-year data from the Korean Capsule Endoscopy Registry.

Methods

Twenty-four hospitals participated in this study. Clinical information, such as reasons for CE, method and quality of bowel preparation, and incomplete examination and capsule retention rates, was collected and analyzed.

Results

A total of 2,914 CEs were registered. The most common reason for CE was obscure gastrointestinal bleeding (59%). Significant lesions were detected in 66% of cases. Positive CE diagnosis occurred in 63% of cases. The preparation method did not significantly affect the quality of bowel preparation for CE. The overall incomplete rate was 33%, and was high in the elderly and those with poor bowel preparation. Capsule retention was 3% and high in patients with small bowel tumors and Crohn's disease and in children under 10 years of age.

Conclusions

CE is a valuable technique; while the overall detection rate is high, incompletion and retention rates are also relatively high. CE should be carefully considered in the elderly and children less than 10 years of age, as well as in patients with small bowel tumors and Crohn's disease.

Citations

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Focused Review Series: Endoscopic Disinfection in the Era of MERS
Clinical Practice Guidelines for Endoscope Reprocessing
Hyun Jin Oh, Jin Su Kim
Clin Endosc 2015;48(5):364-368.   Published online September 30, 2015
DOI: https://doi.org/10.5946/ce.2015.48.5.364
AbstractAbstract PDFPubReaderePub

Gastrointestinal endoscopy is effective and safe for the screening, diagnosis, and treatment of gastrointestinal disease. However, issues regarding endoscope-transmitted infections are emerging. Many countries have established and continuously revise guidelines for endoscope reprocessing in order to prevent infections. While there are common processes used in endoscope reprocessing, differences exist among these guidelines. It is important that the reprocessing of gastrointestinal endoscopes be carried out in accordance with the recommendations for each step of the process.

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Original Article
Performance and Clinical Role of Endoscopic Ultrasound Fine Needle Aspiration for Diagnosing Gastrointestinal Intramural Lesions
Hea Jung Sung, Yu Kyung Cho, Eun Young Park, Sung Jin Moon, Chul Hyun Lim, Jin Su Kim, Jae Myung Park, In Seok Lee, Sang Woo Kim, Myung-Gyu Choi, Kyu Yong Choi
Clin Endosc 2013;46(6):627-632.   Published online November 19, 2013
DOI: https://doi.org/10.5946/ce.2013.46.6.627
AbstractAbstract PDFPubReaderePub
Background/Aims

We evaluated the performance, clinical role, and diagnostic accuracy of endoscopic ultrasound-guided fine needle aspiration (EUS-FNA) in gastrointestinal intramural lesions.

Methods

Procedural and pathologic data were reviewed from consecutive patients undergoing EUS-FNA for intramural lesions. Final diagnoses were determined by surgical histopathologic conformation and the diagnosis of malignancy, including clinical follow-up with repeat imaging.

Results

Forty-six patients (mean age, 47 years; 24 males) underwent EUS-FNA. Lesions were located in the stomach (n=31), esophagus (n=5), and duodenum (n=10). The median lesion size was 2 cm (range, 1 to 20.6). Final diagnoses were obtained in 22 patients (48%). EUS-FNA was diagnostic in 40 patients (87%). The diagnostic accuracy of cytology for differentiating between benign and malignant lesions was 82%; diagnostic error occurred in three patients (6%). The cytologic results influenced clinical judgment in 78% cases. The primary reasons for negative or no clinical impact were false-negative results, misdirected patient management, and inconclusive cytology.

Conclusions

EUS-FNA exhibited an 87% diagnostic yield for gastrointestinal intramural lesions; the accuracy of cytology for differentiating malignancy was 82%. The limitations of EUS-FNA were primarily because of nondiagnostic sampling (9%) and probable diagnostic error (6%); these factors may influence the clinical role of EUS-FNA.

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