Use of an external real-time image viewer coupled with prespecified actions enhanced the complete examinations for capsule endoscopy
Background and Aim: The clinical utility of capsule endoscopy (CE) is often limited by incomplete small‐bowel transit. The aim was to determine whether the use of an external real‐time viewer could reduce delays caused by delayed gastric emptying of the capsule or delayed intestinal transit and als...
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| Veröffentlicht in: | Journal of gastroenterology and hepatology 2011-08, Vol.26 (8), p.1270-1274 |
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| container_title | Journal of gastroenterology and hepatology |
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| creator | Shiotani, Akiko Honda, Keisuke Kawakami, Makiko Nishi, Ryuji Murao, Takahisa Ishii, Manabu Matsumoto, Hiroshi Kusunoki, Hiroaki Hata, Jiro Haruma, Ken |
| description | Background and Aim: The clinical utility of capsule endoscopy (CE) is often limited by incomplete small‐bowel transit. The aim was to determine whether the use of an external real‐time viewer could reduce delays caused by delayed gastric emptying of the capsule or delayed intestinal transit and also improve the rate of positive findings.
Methods: We compared the proportion of completed exams and positive results among a group of patients studied before introduction of real‐time viewer and a group in which capsule transit through the esophagus, stomach, and small bowel was regularly monitored and actions (e.g. administration of water or intravenous metoclopramide) were taken if it was delayed.
Results: One hundred procedures in the viewer group and 100 control procedures in the age‐matched controls were analyzed. In the viewer group, additional water intake (22 cases) and/or administration of metoclopramide (26 cases) were required. Endoscopic‐assisted duodenal placement of the capsule was required in three cases. Overall one‐third (n = 33) of cases required viewer‐prompted interventions. The completion rate (86% vs 66%, P = 0.002) and the rate of positive findings (80% vs 67%, P = 0.04) were significantly higher in the viewer group compared to the no viewer group.
Conclusions: Checking the progress of the capsule with the external real‐time viewer improved the diagnostic yield and completion rate of CE. |
| doi_str_mv | 10.1111/j.1440-1746.2011.06734.x |
| format | Article |
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Methods: We compared the proportion of completed exams and positive results among a group of patients studied before introduction of real‐time viewer and a group in which capsule transit through the esophagus, stomach, and small bowel was regularly monitored and actions (e.g. administration of water or intravenous metoclopramide) were taken if it was delayed.
Results: One hundred procedures in the viewer group and 100 control procedures in the age‐matched controls were analyzed. In the viewer group, additional water intake (22 cases) and/or administration of metoclopramide (26 cases) were required. Endoscopic‐assisted duodenal placement of the capsule was required in three cases. Overall one‐third (n = 33) of cases required viewer‐prompted interventions. The completion rate (86% vs 66%, P = 0.002) and the rate of positive findings (80% vs 67%, P = 0.04) were significantly higher in the viewer group compared to the no viewer group.
Conclusions: Checking the progress of the capsule with the external real‐time viewer improved the diagnostic yield and completion rate of CE.</description><identifier>ISSN: 0815-9319</identifier><identifier>EISSN: 1440-1746</identifier><identifier>DOI: 10.1111/j.1440-1746.2011.06734.x</identifier><identifier>PMID: 21443670</identifier><language>eng</language><publisher>Melbourne, Australia: Blackwell Publishing Asia</publisher><subject>Adult ; Aged ; Aged, 80 and over ; Biological and medical sciences ; Capsule Endoscopy - instrumentation ; Case-Control Studies ; Chi-Square Distribution ; clinical intestinal disorders ; Computer Systems ; Digestive system. Abdomen ; Endoscopy ; Female ; Gastric Emptying ; Gastroenterology. Liver. Pancreas. Abdomen ; Gastrointestinal Transit - drug effects ; Humans ; Image Interpretation, Computer-Assisted ; Intestinal Diseases - diagnosis ; Intestinal Diseases - physiopathology ; Investigative techniques, diagnostic techniques (general aspects) ; Japan ; Male ; Medical sciences ; Metoclopramide - administration & dosage ; Middle Aged ; Predictive Value of Tests ; Retrospective Studies ; Time Factors ; wireless capsule imaging</subject><ispartof>Journal of gastroenterology and hepatology, 2011-08, Vol.26 (8), p.1270-1274</ispartof><rights>2011 Journal of Gastroenterology and Hepatology Foundation and Blackwell Publishing Asia Pty Ltd</rights><rights>2015 INIST-CNRS</rights><rights>2011 Journal of Gastroenterology and Hepatology Foundation and Blackwell Publishing Asia Pty Ltd.</rights><lds50>peer_reviewed</lds50><woscitedreferencessubscribed>false</woscitedreferencessubscribed><citedby>FETCH-LOGICAL-c4364-9d44431b84a1fbbea9c01e097ddc22f1a360912009e4142a989680af478ff2c63</citedby><cites>FETCH-LOGICAL-c4364-9d44431b84a1fbbea9c01e097ddc22f1a360912009e4142a989680af478ff2c63</cites></display><links><openurl>$$Topenurl_article</openurl><openurlfulltext>$$Topenurlfull_article</openurlfulltext><thumbnail>$$Tsyndetics_thumb_exl</thumbnail><linktopdf>$$Uhttps://onlinelibrary.wiley.com/doi/pdf/10.1111%2Fj.1440-1746.2011.06734.x$$EPDF$$P50$$Gwiley$$H</linktopdf><linktohtml>$$Uhttps://onlinelibrary.wiley.com/doi/full/10.1111%2Fj.1440-1746.2011.06734.x$$EHTML$$P50$$Gwiley$$H</linktohtml><link.rule.ids>314,780,784,1417,27924,27925,45574,45575</link.rule.ids><backlink>$$Uhttp://pascal-francis.inist.fr/vibad/index.php?action=getRecordDetail&idt=24387949$$DView record in Pascal Francis$$Hfree_for_read</backlink><backlink>$$Uhttps://www.ncbi.nlm.nih.gov/pubmed/21443670$$D View this record in MEDLINE/PubMed$$Hfree_for_read</backlink></links><search><creatorcontrib>Shiotani, Akiko</creatorcontrib><creatorcontrib>Honda, Keisuke</creatorcontrib><creatorcontrib>Kawakami, Makiko</creatorcontrib><creatorcontrib>Nishi, Ryuji</creatorcontrib><creatorcontrib>Murao, Takahisa</creatorcontrib><creatorcontrib>Ishii, Manabu</creatorcontrib><creatorcontrib>Matsumoto, Hiroshi</creatorcontrib><creatorcontrib>Kusunoki, Hiroaki</creatorcontrib><creatorcontrib>Hata, Jiro</creatorcontrib><creatorcontrib>Haruma, Ken</creatorcontrib><title>Use of an external real-time image viewer coupled with prespecified actions enhanced the complete examinations for capsule endoscopy</title><title>Journal of gastroenterology and hepatology</title><addtitle>J Gastroenterol Hepatol</addtitle><description>Background and Aim: The clinical utility of capsule endoscopy (CE) is often limited by incomplete small‐bowel transit. The aim was to determine whether the use of an external real‐time viewer could reduce delays caused by delayed gastric emptying of the capsule or delayed intestinal transit and also improve the rate of positive findings.
Methods: We compared the proportion of completed exams and positive results among a group of patients studied before introduction of real‐time viewer and a group in which capsule transit through the esophagus, stomach, and small bowel was regularly monitored and actions (e.g. administration of water or intravenous metoclopramide) were taken if it was delayed.
Results: One hundred procedures in the viewer group and 100 control procedures in the age‐matched controls were analyzed. In the viewer group, additional water intake (22 cases) and/or administration of metoclopramide (26 cases) were required. Endoscopic‐assisted duodenal placement of the capsule was required in three cases. Overall one‐third (n = 33) of cases required viewer‐prompted interventions. The completion rate (86% vs 66%, P = 0.002) and the rate of positive findings (80% vs 67%, P = 0.04) were significantly higher in the viewer group compared to the no viewer group.
Conclusions: Checking the progress of the capsule with the external real‐time viewer improved the diagnostic yield and completion rate of CE.</description><subject>Adult</subject><subject>Aged</subject><subject>Aged, 80 and over</subject><subject>Biological and medical sciences</subject><subject>Capsule Endoscopy - instrumentation</subject><subject>Case-Control Studies</subject><subject>Chi-Square Distribution</subject><subject>clinical intestinal disorders</subject><subject>Computer Systems</subject><subject>Digestive system. Abdomen</subject><subject>Endoscopy</subject><subject>Female</subject><subject>Gastric Emptying</subject><subject>Gastroenterology. Liver. Pancreas. Abdomen</subject><subject>Gastrointestinal Transit - drug effects</subject><subject>Humans</subject><subject>Image Interpretation, Computer-Assisted</subject><subject>Intestinal Diseases - diagnosis</subject><subject>Intestinal Diseases - physiopathology</subject><subject>Investigative techniques, diagnostic techniques (general aspects)</subject><subject>Japan</subject><subject>Male</subject><subject>Medical sciences</subject><subject>Metoclopramide - administration & dosage</subject><subject>Middle Aged</subject><subject>Predictive Value of Tests</subject><subject>Retrospective Studies</subject><subject>Time Factors</subject><subject>wireless capsule imaging</subject><issn>0815-9319</issn><issn>1440-1746</issn><fulltext>true</fulltext><rsrctype>article</rsrctype><creationdate>2011</creationdate><recordtype>article</recordtype><sourceid>EIF</sourceid><recordid>eNqNkU2P0zAQhi3Eii0LfwH5gjgl2Inz4QMHVLEtaLVIiGW5WVNnTF3yhZ1s2zs_HGdTyhVfbM087_jVO4RQzmIezttdzIVgES9EHieM85jlRSriwxOyODeekgUreRbJlMtL8tz7HWNMsCJ7Ri6TQKV5wRbk951H2hkKLcXDgK6FmjqEOhpsg9Q28APpg8U9Oqq7sa-xons7bGnv0PeorbGhAnqwXesptltodSgMWwx4E_ABw1xobAszYrowCHo_1qHRVp3XXX98QS4M1B5fnu4rcnf94etyHd18Xn1cvr-JdHArIlmJYJtvSgHcbDYIUjOOTBZVpZPEcEhzJnnCmETBRQKylHnJwIiiNCbReXpF3sxze9f9GtEPqrFeY11Di93oVVmUmRQZl4EsZ1K7znuHRvUuhOGOijM1rUDt1JS0mpJW0wrU4wrUIUhfnT4ZNw1WZ-HfzAPw-gSA11AbFzKz_h8n0rKQYvLwbub2tsbjfxtQn1br6RX00ay3fsDDWQ_upwr9IlP3tyt1y7Pl9y_re_Ut_QOEOrMH</recordid><startdate>201108</startdate><enddate>201108</enddate><creator>Shiotani, Akiko</creator><creator>Honda, Keisuke</creator><creator>Kawakami, Makiko</creator><creator>Nishi, Ryuji</creator><creator>Murao, Takahisa</creator><creator>Ishii, Manabu</creator><creator>Matsumoto, Hiroshi</creator><creator>Kusunoki, Hiroaki</creator><creator>Hata, Jiro</creator><creator>Haruma, Ken</creator><general>Blackwell Publishing Asia</general><general>Wiley-Blackwell</general><scope>BSCLL</scope><scope>IQODW</scope><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>7X8</scope></search><sort><creationdate>201108</creationdate><title>Use of an external real-time image viewer coupled with prespecified actions enhanced the complete examinations for capsule endoscopy</title><author>Shiotani, Akiko ; Honda, Keisuke ; Kawakami, Makiko ; Nishi, Ryuji ; Murao, Takahisa ; Ishii, Manabu ; Matsumoto, Hiroshi ; Kusunoki, Hiroaki ; Hata, Jiro ; Haruma, Ken</author></sort><facets><frbrtype>5</frbrtype><frbrgroupid>cdi_FETCH-LOGICAL-c4364-9d44431b84a1fbbea9c01e097ddc22f1a360912009e4142a989680af478ff2c63</frbrgroupid><rsrctype>articles</rsrctype><prefilter>articles</prefilter><language>eng</language><creationdate>2011</creationdate><topic>Adult</topic><topic>Aged</topic><topic>Aged, 80 and over</topic><topic>Biological and medical sciences</topic><topic>Capsule Endoscopy - instrumentation</topic><topic>Case-Control Studies</topic><topic>Chi-Square Distribution</topic><topic>clinical intestinal disorders</topic><topic>Computer Systems</topic><topic>Digestive system. Abdomen</topic><topic>Endoscopy</topic><topic>Female</topic><topic>Gastric Emptying</topic><topic>Gastroenterology. Liver. Pancreas. Abdomen</topic><topic>Gastrointestinal Transit - drug effects</topic><topic>Humans</topic><topic>Image Interpretation, Computer-Assisted</topic><topic>Intestinal Diseases - diagnosis</topic><topic>Intestinal Diseases - physiopathology</topic><topic>Investigative techniques, diagnostic techniques (general aspects)</topic><topic>Japan</topic><topic>Male</topic><topic>Medical sciences</topic><topic>Metoclopramide - administration & dosage</topic><topic>Middle Aged</topic><topic>Predictive Value of Tests</topic><topic>Retrospective Studies</topic><topic>Time Factors</topic><topic>wireless capsule imaging</topic><toplevel>peer_reviewed</toplevel><toplevel>online_resources</toplevel><creatorcontrib>Shiotani, Akiko</creatorcontrib><creatorcontrib>Honda, Keisuke</creatorcontrib><creatorcontrib>Kawakami, Makiko</creatorcontrib><creatorcontrib>Nishi, Ryuji</creatorcontrib><creatorcontrib>Murao, Takahisa</creatorcontrib><creatorcontrib>Ishii, Manabu</creatorcontrib><creatorcontrib>Matsumoto, Hiroshi</creatorcontrib><creatorcontrib>Kusunoki, Hiroaki</creatorcontrib><creatorcontrib>Hata, Jiro</creatorcontrib><creatorcontrib>Haruma, Ken</creatorcontrib><collection>Istex</collection><collection>Pascal-Francis</collection><collection>Medline</collection><collection>MEDLINE</collection><collection>MEDLINE (Ovid)</collection><collection>MEDLINE</collection><collection>MEDLINE</collection><collection>PubMed</collection><collection>CrossRef</collection><collection>MEDLINE - Academic</collection><jtitle>Journal of gastroenterology and hepatology</jtitle></facets><delivery><delcategory>Remote Search Resource</delcategory><fulltext>fulltext</fulltext></delivery><addata><au>Shiotani, Akiko</au><au>Honda, Keisuke</au><au>Kawakami, Makiko</au><au>Nishi, Ryuji</au><au>Murao, Takahisa</au><au>Ishii, Manabu</au><au>Matsumoto, Hiroshi</au><au>Kusunoki, Hiroaki</au><au>Hata, Jiro</au><au>Haruma, Ken</au><format>journal</format><genre>article</genre><ristype>JOUR</ristype><atitle>Use of an external real-time image viewer coupled with prespecified actions enhanced the complete examinations for capsule endoscopy</atitle><jtitle>Journal of gastroenterology and hepatology</jtitle><addtitle>J Gastroenterol Hepatol</addtitle><date>2011-08</date><risdate>2011</risdate><volume>26</volume><issue>8</issue><spage>1270</spage><epage>1274</epage><pages>1270-1274</pages><issn>0815-9319</issn><eissn>1440-1746</eissn><abstract>Background and Aim: The clinical utility of capsule endoscopy (CE) is often limited by incomplete small‐bowel transit. The aim was to determine whether the use of an external real‐time viewer could reduce delays caused by delayed gastric emptying of the capsule or delayed intestinal transit and also improve the rate of positive findings.
Methods: We compared the proportion of completed exams and positive results among a group of patients studied before introduction of real‐time viewer and a group in which capsule transit through the esophagus, stomach, and small bowel was regularly monitored and actions (e.g. administration of water or intravenous metoclopramide) were taken if it was delayed.
Results: One hundred procedures in the viewer group and 100 control procedures in the age‐matched controls were analyzed. In the viewer group, additional water intake (22 cases) and/or administration of metoclopramide (26 cases) were required. Endoscopic‐assisted duodenal placement of the capsule was required in three cases. Overall one‐third (n = 33) of cases required viewer‐prompted interventions. The completion rate (86% vs 66%, P = 0.002) and the rate of positive findings (80% vs 67%, P = 0.04) were significantly higher in the viewer group compared to the no viewer group.
Conclusions: Checking the progress of the capsule with the external real‐time viewer improved the diagnostic yield and completion rate of CE.</abstract><cop>Melbourne, Australia</cop><pub>Blackwell Publishing Asia</pub><pmid>21443670</pmid><doi>10.1111/j.1440-1746.2011.06734.x</doi><tpages>5</tpages></addata></record> |
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| subjects | Adult Aged Aged, 80 and over Biological and medical sciences Capsule Endoscopy - instrumentation Case-Control Studies Chi-Square Distribution clinical intestinal disorders Computer Systems Digestive system. Abdomen Endoscopy Female Gastric Emptying Gastroenterology. Liver. Pancreas. Abdomen Gastrointestinal Transit - drug effects Humans Image Interpretation, Computer-Assisted Intestinal Diseases - diagnosis Intestinal Diseases - physiopathology Investigative techniques, diagnostic techniques (general aspects) Japan Male Medical sciences Metoclopramide - administration & dosage Middle Aged Predictive Value of Tests Retrospective Studies Time Factors wireless capsule imaging |
| title | Use of an external real-time image viewer coupled with prespecified actions enhanced the complete examinations for capsule endoscopy |
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