Clinical Endoscopy

Original Articles

Capsule enteroscopy versus small-bowel ultrasonography for the detection and differential diagnosis of intestinal diseases: Luca Elli, Erica Centorrino, Andrea Costantino, Maurizio Vecchi, Stefania Orlando, Mirella Fraquelli; Clin Endosc 2022;55(4):532-539. Published online July 28, 2022; DOI: https://doi.org/10.5946/ce.2021.224

Background
/Aims: Capsule enteroscopy (CE) and intestinal ultrasonography (IUS) are techniques that are currently used for investigating small-bowel (SB) diseases. The aim of this study was to compare the main imaging findings and the lesion detection rate (LDR) of CE and IUS in different clinical scenarios involving the SB.
Methods
We retrospectively enrolled patients who underwent CE and IUS for obscure gastrointestinal bleeding (OGIB), complicated celiac disease (CeD), and suspected or known inflammatory bowel disease (IBD). We evaluated the LDR of both techniques. The accuracy of IUS was determined using CE as the reference standard.
Results
A total of 159 patients (113 female; mean age, 49±19 years) were enrolled. The LDR was 55% and 33% for CE and IUS (p<0.05), respectively. Subgroup analysis showed that the LDR of CE was significantly higher than that of IUS in patients with OGIB (62% vs. 14%, p<0.05) and CeD (55% vs. 35%, p<0.05). IUS showed a similar LDR to CE in patients with suspected or known IBD (51% vs. 46%, p=0.83).
Conclusions
CE should be preferred in cases of OGIB and CeD, whereas IUS should be considered an early step in the diagnosis and follow-up of IBD even in patients with a proximal SB localization of the disease.

Citations

Citations to this article as recorded by

Past, Present, and Future of Noninvasive Tests to Assess Gluten Exposure, Celiac Disease Activity, and End-Organ Damage
Jocelyn A. Silvester, Luca Elli, Chaitan Khosla, Jason A. Tye-Din
Gastroenterology.2024; 167(1): 159. CrossRef
Saudi consensus guidance for the diagnosis and management of inflammatory bowel disease in children and adolescents
Omar I. Saadah, Turki AlAmeel, Ahmed Al Sarkhy, Mohammed Hasosah, Abdulrahman Al-Hussaini, Majid A. Almadi, Badr Al-Bawardy, Talal A. Altuwaijri, Mohammed AlEdreesi, Shakir A. Bakkari, Othman R. Alharbi, Nahla A. Azzam, Abdulelah Almutairdi, Khalidah A. A
Saudi Journal of Gastroenterology.2024;[Epub] CrossRef
The role of videocapsule endoscopy in the diagnosis and follow-up of celiac disease: a scoping review
Roberta Elisa Rossi, Valeria Poletti, Benedetta Masoni, Angelo Zullo, Matteo Colombo, Cesare Hassan, Alessandro Repici
Expert Review of Gastroenterology & Hepatology.2024; 18(10): 673. CrossRef
A practical approach for small bowel bleeding
Sung Eun Kim, Hyun Jin Kim, Myeongseok Koh, Min Cheol Kim, Joon Sung Kim, Ji Hyung Nam, Young Kwan Cho, A Reum Choe
Clinical Endoscopy.2023; 56(3): 283. CrossRef
Small Bowel Imaging in Celiac Disease: Is there a role for Small Bowel Ultrasound?
Roberta Elisa Rossi, Anita Busacca, Luca Brandaleone, Benedetta Masoni, Sara Massironi, Mirella Fraquelli, Alessandro Repici
Current Gastroenterology Reports.2023; 25(12): 430. CrossRef

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A Single-Center Randomized Controlled Trial Evaluating Timing of Preparation for Capsule Enteroscopy: Katherine R. Black, Wiley Truss, Cynthia I. Joiner, Shajan Peter, Frederick H. Weber; Clin Endosc 2015;48(3):234-238. Published online May 29, 2015; DOI: https://doi.org/10.5946/ce.2015.48.3.234

Abstract PDF PubReader ePub

Background/Aims

Intestinal lavage (IL) administration immediately before capsule enteroscopy (CE) is superior to lavage the day before the procedure. We aimed to determine the effect of IL timing on CE diagnostic yield.

Methods

Patients referred for CE were randomized prospectively into two equal groups according to the timing of IL with 2 L of polyethylene glycol solution. Group A and B underwent IL over 2 hours beginning 14 and 4 hours, respectively, before the scheduled CE. The primary outcome measure was preparation quality, measured with a predetermined validated grading scale.

Results

A total of 34 patients were randomized. The frequency of mucosal abnormalities (77% vs. 82%, p=not significant [NS]) and diagnostic yield (47% vs. 53%, p=NS) were similar between the two groups. Moreover, no significant association between the quality of small bowel preparation and the timing at which the purgative for IL was administered was observed (overall fluid transparency, p=0.936; overall mucosal invisibility, p=0.091).

Conclusions

Day-before IL is equivalent to same-day IL in terms of overall preparation quality, proportion of complete studies to cecum, small bowel transit time, frequency of identified mucosal abnormalities, and overall diagnostic yield.

Citations

Citations to this article as recorded by

Preparation Regimens to Improve Capsule Endoscopy Visualization and Diagnostic Yield (PrepRICE): a multicenter randomized trial
Maria Manuela Estevinho, Mara Sarmento Costa, Rita Franco, Inês Pestana, Pedro Marílio Cardoso, Sara Archer, Maria Inês Canha, João Correia, Pedro Mesquita, Lídia Roque Ramos, Adélia Rodrigues, Catarina Gomes, Sandra Lopes, Rolando Pinho
Gastrointestinal Endoscopy.2024;[Epub] CrossRef
Preparation, Timing, Prokinetics, and Surface Agents in Video Capsule Endoscopy
Elizabeth Squirell, Michelle Ricci, Lawrence Hookey
Gastrointestinal Endoscopy Clinics of North America.2021; 31(2): 251. CrossRef
Bowel Preparation With Polyethylene Glycol 3350 or Fasting Only Before Peroral Single-balloon Enteroscopy
Frank Lenze, Tobias Nowacki, Sabine Schöppner, Hansjörg Ullerich, Dominik Bettenworth, Paola Soriani, Tommaso Gabbani, Vincenzo G. Mirante, Dirk Domagk, Mauro Manno, Philipp Lenz
Journal of Clinical Gastroenterology.2020; 54(2): 170. CrossRef
Optimal Bowel Preparation for Capsule Endoscopy and Device-assisted Enteroscopy
Hyun Joo Song
The Korean Journal of Gastroenterology.2020; 75(2): 74. CrossRef
Quality Indicators for Small Bowel Capsule Endoscopy
Ki-Nam Shim, Seong Ran Jeon, Hyun Joo Jang, Jinsu Kim, Yun Jeong Lim, Kyeong Ok Kim, Hyun Joo Song, Hyun Seok Lee, Jae Jun Park, Ji Hyun Kim, Jaeyoung Chun, Soo Jung Park, Dong-Hoon Yang, Yang Won Min, Bora Keum, Bo-In Lee
Clinical Endoscopy.2017; 50(2): 148. CrossRef
Systematic review and meta-analysis: is bowel preparation still necessary in small bowel capsule endoscopy?
Diana E. Yung, Emanuele Rondonotti, Catherine Sykes, Marco Pennazio, John N. Plevris, Anastastios Koulaouzidis
Expert Review of Gastroenterology & Hepatology.2017; 11(10): 979. CrossRef
Optimal Bowel Preparation for Video Capsule Endoscopy
Hyun Joo Song, Jeong Seop Moon, Ki-Nam Shim
Gastroenterology Research and Practice.2016; 2016: 1. CrossRef
Superiority of the Split-dose PEG Regimen for Small-Bowel Capsule Endoscopy
Pedro Magalhães-Costa, Joana Carmo, Miguel Bispo, Sofia Santos, Cristina Chagas
Journal of Clinical Gastroenterology.2016; 50(7): e65. CrossRef
What Is the Optimal Timing of Bowel Preparation for Video Capsule Endoscopy?
Hyun Joo Song, Ki-Nam Shim
Clinical Endoscopy.2015; 48(3): 183. CrossRef

8,125 View
81 Download
7 Web of Science
9 Crossref

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