Capsule endoscopy in diagnosis of small bowel diseases: a health technology assessment

Li, Xiang Lian; Shen, Jian Tong; Li, You Ping; Tang, Chaowei; Huang, Li; Li, Cui Cui; Yu, Jia Jie; Wang, Ying Jiang; Yang, Zong Xia

doi:10.1111/jebm.12095

Cited by 2 publications

(2 citation statements)

References 30 publications

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“…Currently, common indications for SBCE include OGIB, Crohn's disease, small-bowel tumors, polyps, celiac disease, and other inflammatory disorders. [910111213141516171819] The life span of the battery that delivers power to the capsule is approximately 8–12 h. Given the limited battery life, approximately 20–30% of capsules fail to reach the cecum within the recording time. [2021] The value of SBCE is limited in patients who receive an incomplete examination because SBCE may miss lesions in the distal segments of the small bowel and thus require further examinations that increase costs.…”

Section: Discussionmentioning

confidence: 99%

Association between hypokalemia and small bowel capsule endoscopy completion rates in patients in South China: A prospective single-center study

Gan¹,

Tie-li²,

Su³

et al. 2019

Saudi J Gastroenterol

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Background/Aims:Approximately 20–30% of small bowel capsule endoscopies (SBCEs) do not reach the cecum at the completion of the examination. We aimed to determine whether hypokalemia influences the completion rate and small bowel transit time (SBTT) of SBCE.Patients and Methods:From January to December 2017, 112 patients (18–75 years old) who underwent SBCE were assessed consecutively for enrolment in our study. On the day of the procedure, a blood test was performed prior to capsule ingestion. The completion rate, gastric transit time (GTT), SBTT, and diagnostic yield were recorded for each SBCE.Results:The SBCE completion rate was lower in the hypokalemia group than that in the normal potassium group (55.6% (15/27) vs. 76.5% (65/85), P = 0.036). The median GTT was 55.5 ± 47.1 min in the hypokalemia group and 46.7 ± 44.5 min in the normal potassium group (P > 0.05). The median SBTT was 412.8 ± 123.3 min in the hypokalemia group and 367.3 ± 172.5 min in the normal potassium group (P > 0.05). The diagnostic yields of the hypokalemia and normal potassium groups were 74.1% and 78.8%, respectively (P = 1.00).Conclusion:Hypokalemia may decrease the SBCE completion rate. Physicians should consider the possibility of hypokalemia after bowel preparation because this condition is not rare. Potassium deficiencies should be rectified prior to performing SBCE procedures to increase the SBCE completion rate.

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Section: Discussionmentioning

confidence: 99%

Association between hypokalemia and small bowel capsule endoscopy completion rates in patients in South China: A prospective single-center study

Gan¹,

Tie-li²,

Su³

et al. 2019

Saudi J Gastroenterol

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“…79,80 Small-bowel capsule endoscopy (SBCE) is an efficient method used to evaluate the small bowel. 81 A meta-analysis has shown high sensitivity of SBCE in detecting lesions in the small bowel of suspected or established CD patients compared to other methods, including CTE, MRE, and colonoscopy with ileoscopy. 82 These findings indicate the potential of SBCE in diagnosing and evaluating CD.…”

Section: Endoscopy and Biopsymentioning

confidence: 99%

Diagnosis and management of inflammatory bowel disease

Li,

Cheng,

et al. 2024

J Evidence Based Medicine

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Inflammatory bowel disease (IBD) is a chronic and relapsing immune‐mediated disease of the gastrointestinal tract with a gradually increasing global incidence and prevalence. A prolonged course of IBD leads to a decline in patient quality of life and the creation of a substantial economic burden on society. Owing to the lack of specific diagnostic markers, the diagnosis of IBD still needs a gold standard based on a combination of clinical manifestations, imaging, laboratory, and endoscopic results. Accordingly, the current goals of IBD treatment are to alleviate clinical symptoms and reduce recurrence rates. Therefore, it is imperative to develop a standard set of procedures to diagnose and treat IBD. In this review, we summarize prominent and emerging studies, outline classical and contemporary approaches to diagnosing and managing IBD, and integrate multiple guidelines. Furthermore, we propose the possibility of establishing an early and comprehensive diagnostic workflow and personalized management strategy in the future. We aim to enhance the quality and standardization of diagnostic and treatment procedures for IBD.

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Capsule endoscopy in diagnosis of small bowel diseases: a health technology assessment

Cited by 2 publications

References 30 publications

Association between hypokalemia and small bowel capsule endoscopy completion rates in patients in South China: A prospective single-center study

Association between hypokalemia and small bowel capsule endoscopy completion rates in patients in South China: A prospective single-center study

Diagnosis and management of inflammatory bowel disease

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