Abstract
Background & Aims: This study was undertaken to prospectively compare the clinical outcomes of small bowel radiographs with the wireless capsule endoscopy. Methods: Twenty-two patients were selected consecutively because of suspected small bowel disease. Two patients were excluded owing to ileal stenosis. Thus, the results of barium follow-through and the Given M2A wireless video capsule (Given Imaging Ltd., Yoqneam, Israel) endoscopy were compared in 20 patients (13 men; mean age, 52.5 yr; range, 29-78 yr). Results: Barium follow-through was normal in 17 patients and showed ileal nodularity in 3 patients. Capsule endoscopy was normal in 3 patients and showed positive findings in the remaining 17 patients. The barium study was considered diagnostic in 4 (20%) patients. The capsule endoscopy was considered diagnostic in 9 (45%) patients, suspicious in 8 (40%) patients, and failed in 3 (15%) patients. For obscure gastrointestinal (GI) bleeding, the diagnostic potential of barium follow-through was much worse as compared with the capsule endoscopy (5% vs. 31%, P <0.05). Capsule endoscopy was well tolerated and better accepted by patients when compared with the most recently performed endoscopic procedure. Conclusions: The video capsule endoscope was found to be superior to small bowel radiograph for evaluation of small bowel diseases. However, this novel wireless endoscope system needs further assessment because of limitations such as difficulties in interpretation of potentially nonspecific findings.
| Original language | English |
|---|---|
| Pages (from-to) | 999-1005 |
| Number of pages | 7 |
| Journal | Gastroenterology |
| Volume | 123 |
| Issue number | 4 |
| DOIs | |
| Publication status | Published - Oct 1 2002 |
Fingerprint
ASJC Scopus subject areas
- Gastroenterology
Cite this
A prospective trial comparing small bowel radiographs and video capsule endoscopy for suspected small bowel disease. / Costamagna, Guido; Shah, Saumil K.; Riccioni, Maria Elena; Foschia, Francesca; Mutignani, Massimiliano; Perri, Vincenzo; Vecchioli, Amorino; Brizi, Maria Gabriella; Picciocchi, Aurelio; Marano, Pasquale.
In: Gastroenterology, Vol. 123, No. 4, 01.10.2002, p. 999-1005.Research output: Contribution to journal › Article
}
TY - JOUR
T1 - A prospective trial comparing small bowel radiographs and video capsule endoscopy for suspected small bowel disease
AU - Costamagna, Guido
AU - Shah, Saumil K.
AU - Riccioni, Maria Elena
AU - Foschia, Francesca
AU - Mutignani, Massimiliano
AU - Perri, Vincenzo
AU - Vecchioli, Amorino
AU - Brizi, Maria Gabriella
AU - Picciocchi, Aurelio
AU - Marano, Pasquale
PY - 2002/10/1
Y1 - 2002/10/1
N2 - Background & Aims: This study was undertaken to prospectively compare the clinical outcomes of small bowel radiographs with the wireless capsule endoscopy. Methods: Twenty-two patients were selected consecutively because of suspected small bowel disease. Two patients were excluded owing to ileal stenosis. Thus, the results of barium follow-through and the Given M2A wireless video capsule (Given Imaging Ltd., Yoqneam, Israel) endoscopy were compared in 20 patients (13 men; mean age, 52.5 yr; range, 29-78 yr). Results: Barium follow-through was normal in 17 patients and showed ileal nodularity in 3 patients. Capsule endoscopy was normal in 3 patients and showed positive findings in the remaining 17 patients. The barium study was considered diagnostic in 4 (20%) patients. The capsule endoscopy was considered diagnostic in 9 (45%) patients, suspicious in 8 (40%) patients, and failed in 3 (15%) patients. For obscure gastrointestinal (GI) bleeding, the diagnostic potential of barium follow-through was much worse as compared with the capsule endoscopy (5% vs. 31%, P <0.05). Capsule endoscopy was well tolerated and better accepted by patients when compared with the most recently performed endoscopic procedure. Conclusions: The video capsule endoscope was found to be superior to small bowel radiograph for evaluation of small bowel diseases. However, this novel wireless endoscope system needs further assessment because of limitations such as difficulties in interpretation of potentially nonspecific findings.
AB - Background & Aims: This study was undertaken to prospectively compare the clinical outcomes of small bowel radiographs with the wireless capsule endoscopy. Methods: Twenty-two patients were selected consecutively because of suspected small bowel disease. Two patients were excluded owing to ileal stenosis. Thus, the results of barium follow-through and the Given M2A wireless video capsule (Given Imaging Ltd., Yoqneam, Israel) endoscopy were compared in 20 patients (13 men; mean age, 52.5 yr; range, 29-78 yr). Results: Barium follow-through was normal in 17 patients and showed ileal nodularity in 3 patients. Capsule endoscopy was normal in 3 patients and showed positive findings in the remaining 17 patients. The barium study was considered diagnostic in 4 (20%) patients. The capsule endoscopy was considered diagnostic in 9 (45%) patients, suspicious in 8 (40%) patients, and failed in 3 (15%) patients. For obscure gastrointestinal (GI) bleeding, the diagnostic potential of barium follow-through was much worse as compared with the capsule endoscopy (5% vs. 31%, P <0.05). Capsule endoscopy was well tolerated and better accepted by patients when compared with the most recently performed endoscopic procedure. Conclusions: The video capsule endoscope was found to be superior to small bowel radiograph for evaluation of small bowel diseases. However, this novel wireless endoscope system needs further assessment because of limitations such as difficulties in interpretation of potentially nonspecific findings.
UR - http://www.scopus.com/inward/record.url?scp=0036789127&partnerID=8YFLogxK
UR - http://www.scopus.com/inward/citedby.url?scp=0036789127&partnerID=8YFLogxK
U2 - 10.1053/gast.2002.35988
DO - 10.1053/gast.2002.35988
M3 - Article
C2 - 12360460
AN - SCOPUS:0036789127
VL - 123
SP - 999
EP - 1005
JO - Gastroenterology
JF - Gastroenterology
SN - 0016-5085
IS - 4
ER -