Clinical impact of a newly developed capsule endoscope: usefulness of a real-time image viewer for gastric transit abnormality
Background A new capsule endoscope has been developed by Olympus Medical Systems. The visualization and usefulness of its real-time image viewer for gastric transit abnormality were evaluated by using this new device. Methods Thirty-seven consecutive patients were enrolled. In cases of gastric trans...
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| Veröffentlicht in: | Journal of gastroenterology 2008-03, Vol.43 (3), p.186-192 |
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| creator | Ogata, Haruhiko Kumai, Koichiro Imaeda, Hiroyuki Aiura, Koichi Hisamatsu, Tadakazu Okamoto, Susumu Iwao, Yasushi Sugino, Yoshinori Kitajima, Masaki Hibi, Toshifumi |
| description | Background
A new capsule endoscope has been developed by Olympus Medical Systems. The visualization and usefulness of its real-time image viewer for gastric transit abnormality were evaluated by using this new device.
Methods
Thirty-seven consecutive patients were enrolled. In cases of gastric transit abnormality (gastric transit > 60 min, detected by the real-time viewer), intramuscular metoclopramide (10 mg) was administered. Diagnostic yield and gastric and small bowel transit times in ten patients receiving (group A) and 27 not receiving (group B) metoclopramide were analyzed.
Results
Median gastric transit time was longer in group A than in group B (110 vs. 24 min;
P
< 0.0001). Conversely, median small bowel transit time was shorter in group A than in group B (270 vs. 347 min;
P
< 0.05). Further, small bowel transit was complete in 9/10 patients (90%) in group A, and in 23/27 patients (85%) in group B, but the difference was not significant. Overall diagnostic yield was 78% (29/37 patients), and there was no significant difference in the ratio of abnormal findings documented between group A (8/10, 80%) and group B (21/27, 78%) patients.
Conclusions
This new technology allowed clear image interpretation, and the real-time viewer was useful for detecting gastric transit abnormalities and determining a need for metoclopramide administration in patients undergoing capsule endoscopy. |
| doi_str_mv | 10.1007/s00535-007-2140-y |
| format | Article |
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A new capsule endoscope has been developed by Olympus Medical Systems. The visualization and usefulness of its real-time image viewer for gastric transit abnormality were evaluated by using this new device.
Methods
Thirty-seven consecutive patients were enrolled. In cases of gastric transit abnormality (gastric transit > 60 min, detected by the real-time viewer), intramuscular metoclopramide (10 mg) was administered. Diagnostic yield and gastric and small bowel transit times in ten patients receiving (group A) and 27 not receiving (group B) metoclopramide were analyzed.
Results
Median gastric transit time was longer in group A than in group B (110 vs. 24 min;
P
< 0.0001). Conversely, median small bowel transit time was shorter in group A than in group B (270 vs. 347 min;
P
< 0.05). Further, small bowel transit was complete in 9/10 patients (90%) in group A, and in 23/27 patients (85%) in group B, but the difference was not significant. Overall diagnostic yield was 78% (29/37 patients), and there was no significant difference in the ratio of abnormal findings documented between group A (8/10, 80%) and group B (21/27, 78%) patients.
Conclusions
This new technology allowed clear image interpretation, and the real-time viewer was useful for detecting gastric transit abnormalities and determining a need for metoclopramide administration in patients undergoing capsule endoscopy.</description><identifier>ISSN: 0944-1174</identifier><identifier>EISSN: 1435-5922</identifier><identifier>DOI: 10.1007/s00535-007-2140-y</identifier><identifier>PMID: 18373160</identifier><language>eng</language><publisher>Japan: Springer Japan</publisher><subject>Abdominal Surgery ; Adult ; Aged ; Aged, 80 and over ; Alimmentary Tract ; Capsule Endoscopes ; Capsule Endoscopy - methods ; Colorectal Surgery ; Dopamine Antagonists - administration & dosage ; Female ; Gastroenterology ; Gastrointestinal Diseases - diagnosis ; Gastrointestinal Transit - physiology ; Hepatology ; Humans ; Male ; Medicine ; Medicine & Public Health ; Metoclopramide - administration & dosage ; Middle Aged ; Surgical Oncology</subject><ispartof>Journal of gastroenterology, 2008-03, Vol.43 (3), p.186-192</ispartof><rights>Springer Japan 2008</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c488t-8f614df3d6102681d48d67407316325c92148ee196354cdf23ffa8471eeeec7b3</citedby><cites>FETCH-LOGICAL-c488t-8f614df3d6102681d48d67407316325c92148ee196354cdf23ffa8471eeeec7b3</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://link.springer.com/content/pdf/10.1007/s00535-007-2140-y$$EPDF$$P50$$Gspringer$$H</linktopdf><linktohtml>$$Uhttps://link.springer.com/10.1007/s00535-007-2140-y$$EHTML$$P50$$Gspringer$$H</linktohtml><link.rule.ids>314,776,780,27901,27902,41464,42533,51294</link.rule.ids><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/18373160$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Ogata, Haruhiko</creatorcontrib><creatorcontrib>Kumai, Koichiro</creatorcontrib><creatorcontrib>Imaeda, Hiroyuki</creatorcontrib><creatorcontrib>Aiura, Koichi</creatorcontrib><creatorcontrib>Hisamatsu, Tadakazu</creatorcontrib><creatorcontrib>Okamoto, Susumu</creatorcontrib><creatorcontrib>Iwao, Yasushi</creatorcontrib><creatorcontrib>Sugino, Yoshinori</creatorcontrib><creatorcontrib>Kitajima, Masaki</creatorcontrib><creatorcontrib>Hibi, Toshifumi</creatorcontrib><title>Clinical impact of a newly developed capsule endoscope: usefulness of a real-time image viewer for gastric transit abnormality</title><title>Journal of gastroenterology</title><addtitle>J Gastroenterol</addtitle><addtitle>J Gastroenterol</addtitle><description>Background
A new capsule endoscope has been developed by Olympus Medical Systems. The visualization and usefulness of its real-time image viewer for gastric transit abnormality were evaluated by using this new device.
Methods
Thirty-seven consecutive patients were enrolled. In cases of gastric transit abnormality (gastric transit > 60 min, detected by the real-time viewer), intramuscular metoclopramide (10 mg) was administered. Diagnostic yield and gastric and small bowel transit times in ten patients receiving (group A) and 27 not receiving (group B) metoclopramide were analyzed.
Results
Median gastric transit time was longer in group A than in group B (110 vs. 24 min;
P
< 0.0001). Conversely, median small bowel transit time was shorter in group A than in group B (270 vs. 347 min;
P
< 0.05). Further, small bowel transit was complete in 9/10 patients (90%) in group A, and in 23/27 patients (85%) in group B, but the difference was not significant. Overall diagnostic yield was 78% (29/37 patients), and there was no significant difference in the ratio of abnormal findings documented between group A (8/10, 80%) and group B (21/27, 78%) patients.
Conclusions
This new technology allowed clear image interpretation, and the real-time viewer was useful for detecting gastric transit abnormalities and determining a need for metoclopramide administration in patients undergoing capsule endoscopy.</description><subject>Abdominal Surgery</subject><subject>Adult</subject><subject>Aged</subject><subject>Aged, 80 and over</subject><subject>Alimmentary Tract</subject><subject>Capsule Endoscopes</subject><subject>Capsule Endoscopy - methods</subject><subject>Colorectal Surgery</subject><subject>Dopamine Antagonists - administration & dosage</subject><subject>Female</subject><subject>Gastroenterology</subject><subject>Gastrointestinal Diseases - diagnosis</subject><subject>Gastrointestinal Transit - physiology</subject><subject>Hepatology</subject><subject>Humans</subject><subject>Male</subject><subject>Medicine</subject><subject>Medicine & Public Health</subject><subject>Metoclopramide - administration & dosage</subject><subject>Middle Aged</subject><subject>Surgical Oncology</subject><issn>0944-1174</issn><issn>1435-5922</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2008</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><sourceid>BENPR</sourceid><recordid>eNp1UU2LFDEQDaK44-gP8CLBg7fWVCfdnfEmg1-w4EXPIZNUhizppE26d-mLv90MPbAgmEuKynuv8uoR8hrYe2Bs-FAY63jX1LJpQbBmfUJ2IGqnO7TtU7JjByEagEHckBel3DEGnHXyObkByQcOPduRP8fgozc6UD9O2sw0OappxIewUov3GNKElho9lSUgxWhTMbX1kS4F3RIilrJRMurQzH7EKqTPSO89PmCmLmV61mXO3tA561j8TPUppjzq4Of1JXnmdCj46nrvya8vn38evzW3P75-P366bYyQcm6k60FYx20PrO0lWCFtPwh2McHbzhyqfYkIh553wljXcue0FANgPWY48T15t-lOOf1esMxq9MVgCDpiWooamKhqdXd78vYf4F1acqx_Uy0MUBfbsQqCDWRyKiWjU1OurvOqgKlLMmpLRl3KSzJqrZw3V-HlNKJ9ZFyjqIB2A5T6FM-YHyf_X_UvI3eacg</recordid><startdate>20080301</startdate><enddate>20080301</enddate><creator>Ogata, Haruhiko</creator><creator>Kumai, Koichiro</creator><creator>Imaeda, Hiroyuki</creator><creator>Aiura, Koichi</creator><creator>Hisamatsu, Tadakazu</creator><creator>Okamoto, Susumu</creator><creator>Iwao, Yasushi</creator><creator>Sugino, Yoshinori</creator><creator>Kitajima, Masaki</creator><creator>Hibi, Toshifumi</creator><general>Springer Japan</general><general>Springer Nature B.V</general><scope>CGR</scope><scope>CUY</scope><scope>CVF</scope><scope>ECM</scope><scope>EIF</scope><scope>NPM</scope><scope>AAYXX</scope><scope>CITATION</scope><scope>3V.</scope><scope>7RV</scope><scope>7T5</scope><scope>7X7</scope><scope>7XB</scope><scope>88E</scope><scope>8AO</scope><scope>8FI</scope><scope>8FJ</scope><scope>8FK</scope><scope>ABUWG</scope><scope>AFKRA</scope><scope>AZQEC</scope><scope>BENPR</scope><scope>CCPQU</scope><scope>FYUFA</scope><scope>GHDGH</scope><scope>H94</scope><scope>K9-</scope><scope>K9.</scope><scope>KB0</scope><scope>M0R</scope><scope>M0S</scope><scope>M1P</scope><scope>NAPCQ</scope><scope>PQEST</scope><scope>PQQKQ</scope><scope>PQUKI</scope><scope>7X8</scope><scope>8BM</scope></search><sort><creationdate>20080301</creationdate><title>Clinical impact of a newly developed capsule endoscope: usefulness of a real-time image viewer for gastric transit abnormality</title><author>Ogata, Haruhiko ; Kumai, Koichiro ; Imaeda, Hiroyuki ; Aiura, Koichi ; Hisamatsu, Tadakazu ; Okamoto, Susumu ; Iwao, Yasushi ; Sugino, Yoshinori ; Kitajima, Masaki ; Hibi, Toshifumi</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c488t-8f614df3d6102681d48d67407316325c92148ee196354cdf23ffa8471eeeec7b3</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2008</creationdate><topic>Abdominal Surgery</topic><topic>Adult</topic><topic>Aged</topic><topic>Aged, 80 and over</topic><topic>Alimmentary Tract</topic><topic>Capsule Endoscopes</topic><topic>Capsule Endoscopy - methods</topic><topic>Colorectal Surgery</topic><topic>Dopamine Antagonists - administration & dosage</topic><topic>Female</topic><topic>Gastroenterology</topic><topic>Gastrointestinal Diseases - diagnosis</topic><topic>Gastrointestinal Transit - physiology</topic><topic>Hepatology</topic><topic>Humans</topic><topic>Male</topic><topic>Medicine</topic><topic>Medicine & Public Health</topic><topic>Metoclopramide - administration & dosage</topic><topic>Middle Aged</topic><topic>Surgical Oncology</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Ogata, Haruhiko</creatorcontrib><creatorcontrib>Kumai, Koichiro</creatorcontrib><creatorcontrib>Imaeda, Hiroyuki</creatorcontrib><creatorcontrib>Aiura, Koichi</creatorcontrib><creatorcontrib>Hisamatsu, Tadakazu</creatorcontrib><creatorcontrib>Okamoto, Susumu</creatorcontrib><creatorcontrib>Iwao, Yasushi</creatorcontrib><creatorcontrib>Sugino, Yoshinori</creatorcontrib><creatorcontrib>Kitajima, Masaki</creatorcontrib><creatorcontrib>Hibi, Toshifumi</creatorcontrib><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>ProQuest Central (Corporate)</collection><collection>Proquest Nursing & Allied Health Source</collection><collection>Immunology Abstracts</collection><collection>Health & Medical Collection</collection><collection>ProQuest Central (purchase pre-March 2016)</collection><collection>Medical Database (Alumni Edition)</collection><collection>ProQuest Pharma Collection</collection><collection>Hospital Premium Collection</collection><collection>Hospital Premium Collection (Alumni Edition)</collection><collection>ProQuest Central (Alumni) (purchase pre-March 2016)</collection><collection>ProQuest Central (Alumni Edition)</collection><collection>ProQuest Central UK/Ireland</collection><collection>ProQuest Central Essentials</collection><collection>ProQuest Central</collection><collection>ProQuest One Community College</collection><collection>Health Research Premium Collection</collection><collection>Health Research Premium Collection (Alumni)</collection><collection>AIDS and Cancer Research Abstracts</collection><collection>Consumer Health Database (Alumni Edition)</collection><collection>ProQuest Health & Medical Complete (Alumni)</collection><collection>Nursing & Allied Health Database (Alumni Edition)</collection><collection>Consumer Health Database</collection><collection>Health & Medical Collection (Alumni Edition)</collection><collection>Medical Database</collection><collection>Nursing & Allied Health Premium</collection><collection>ProQuest One Academic Eastern Edition (DO NOT USE)</collection><collection>ProQuest One Academic</collection><collection>ProQuest One Academic UKI Edition</collection><collection>MEDLINE - Academic</collection><collection>ComDisDome</collection><jtitle>Journal of gastroenterology</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Ogata, Haruhiko</au><au>Kumai, Koichiro</au><au>Imaeda, Hiroyuki</au><au>Aiura, Koichi</au><au>Hisamatsu, Tadakazu</au><au>Okamoto, Susumu</au><au>Iwao, Yasushi</au><au>Sugino, Yoshinori</au><au>Kitajima, Masaki</au><au>Hibi, Toshifumi</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Clinical impact of a newly developed capsule endoscope: usefulness of a real-time image viewer for gastric transit abnormality</atitle><jtitle>Journal of gastroenterology</jtitle><stitle>J Gastroenterol</stitle><addtitle>J Gastroenterol</addtitle><date>2008-03-01</date><risdate>2008</risdate><volume>43</volume><issue>3</issue><spage>186</spage><epage>192</epage><pages>186-192</pages><issn>0944-1174</issn><eissn>1435-5922</eissn><abstract>Background
A new capsule endoscope has been developed by Olympus Medical Systems. The visualization and usefulness of its real-time image viewer for gastric transit abnormality were evaluated by using this new device.
Methods
Thirty-seven consecutive patients were enrolled. In cases of gastric transit abnormality (gastric transit > 60 min, detected by the real-time viewer), intramuscular metoclopramide (10 mg) was administered. Diagnostic yield and gastric and small bowel transit times in ten patients receiving (group A) and 27 not receiving (group B) metoclopramide were analyzed.
Results
Median gastric transit time was longer in group A than in group B (110 vs. 24 min;
P
< 0.0001). Conversely, median small bowel transit time was shorter in group A than in group B (270 vs. 347 min;
P
< 0.05). Further, small bowel transit was complete in 9/10 patients (90%) in group A, and in 23/27 patients (85%) in group B, but the difference was not significant. Overall diagnostic yield was 78% (29/37 patients), and there was no significant difference in the ratio of abnormal findings documented between group A (8/10, 80%) and group B (21/27, 78%) patients.
Conclusions
This new technology allowed clear image interpretation, and the real-time viewer was useful for detecting gastric transit abnormalities and determining a need for metoclopramide administration in patients undergoing capsule endoscopy.</abstract><cop>Japan</cop><pub>Springer Japan</pub><pmid>18373160</pmid><doi>10.1007/s00535-007-2140-y</doi><tpages>7</tpages></addata></record> |
| fulltext | fulltext |
| identifier | ISSN: 0944-1174 |
| ispartof | Journal of gastroenterology, 2008-03, Vol.43 (3), p.186-192 |
| issn | 0944-1174 1435-5922 |
| language | eng |
| recordid | cdi_proquest_miscellaneous_70440714 |
| source | MEDLINE; Springer Nature - Complete Springer Journals |
| subjects | Abdominal Surgery Adult Aged Aged, 80 and over Alimmentary Tract Capsule Endoscopes Capsule Endoscopy - methods Colorectal Surgery Dopamine Antagonists - administration & dosage Female Gastroenterology Gastrointestinal Diseases - diagnosis Gastrointestinal Transit - physiology Hepatology Humans Male Medicine Medicine & Public Health Metoclopramide - administration & dosage Middle Aged Surgical Oncology |
| title | Clinical impact of a newly developed capsule endoscope: usefulness of a real-time image viewer for gastric transit abnormality |
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