Diagnostic yield of small-bowel capsule endoscopy in patients with iron-deficiency anemia: a systematic review

Koulaouzidis, Anastasios; Rondonotti, Emanuele; Giannakou, Andry; Plevris, John

doi:10.1016/j.gie.2012.07.035

Cited by 113 publications

(83 citation statements)

References 39 publications

(154 reference statements)

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“…In conclusion, this first multicenter study conducted in routine clinical practice with the largest series of CapsoCam SV collected so far, confirms that VCE with 360° panoramicview is safe and provides clinical and technical performances similar to those reported in the literature with frontal-view VCEs [17,18,[31][32][33]. Our data also suggest that CapsoCam SV seems to be particularly effective in scoping some areas of the GI tract (ie, the proximal small bowel and the upper GI tract).…”

Section: A C C E P T E D Accepted Manuscriptsupporting

confidence: 83%

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Small-bowel capsule endoscopy with panoramic view: results of the first multicenter, observational study (with videos)

Tontini

Wiedbrauck

Cavallaro

et al. 2017

Gastrointestinal Endoscopy

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Section: A C C E P T E D Accepted Manuscriptsupporting

confidence: 83%

“…It is possible that this approach generated a selection bias. However, there are several robust studies [31][32][33] reporting the performances of frontal-view capsule endoscopy for these 2 indications that we can reliably compare with.…”

Section: A C C E P T E D Accepted Manuscriptmentioning

confidence: 99%

Small-bowel capsule endoscopy with panoramic view: results of the first multicenter, observational study (with videos)

Tontini

Wiedbrauck

Cavallaro

et al. 2017

Gastrointestinal Endoscopy

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“…7 In routine clinical practice, SBCE is usually the initial test because of its non-invasiveness, ability to view the entire small bowel, and guidance of the initial route of balloon-assisted enteroscopy (BAE), in those cases where patients with positive findings on SBCE will require biopsies or therapeutic intervention. 8 Koulaouzidis et al 9 reported a pooled diagnostic yield of 66.6% (95% CI: 61.0% -72.3%) in patients with iron-deficiency anemia submitted to SBCE.…”

Section: Diagnostic Yield Of Sbcementioning

confidence: 99%

Current Clinical Indications for Small Bowel Capsule Endoscopy

Rosa

Cotter

2015

Acta Med Port

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RESUMOIntrodução: A enteroscopia por cápsula é o exame de primeira linha no diagnóstico de diversas patologias do intestino delgado. Este artigo tem por objectivo rever e analisar criticamente as indicações actuais para enteroscopia por cápsula na prática clínica. Material e Métodos: Revisão bibliográfica suportada em artigos indexados na PubMed. Resultados e Discussão: A enteroscopia por cápsula permite a avaliação não invasiva da mucosa do intestino delgado, com elevado rendimento diagnóstico. Em doentes com hemorragia digestiva de causa obscura, o rendimento da enteroscopia por cápsula aumenta quando realizada precocemente após o evento hemorrágico. O tratamento das angiectasias com enteroscopia assistida por balão permite diminuir a recidiva hemorrágica, enquanto o risco de recidiva em doentes com enteroscopia por cápsula "negativa" é controverso. A entero-TC/entero-RM podem superiorizar-se à enteroscopia por cápsula no diagnóstico de alguns tumores. O 'Smooth Protruding Index on Capsule Endoscopy' (score SPICE) auxilia na diferenciação entre verdadeiros tumores submucosos e abaulamentos não patológicos. A enteroscopia por cápsula é valiosa em doentes com suspeita de doença de Crohn quando a ileocolonoscopia não é diagnóstica, permitindo também estadiar a extensão e actividade das lesões em doentes com diagnóstico prévio de doença de Crohn, com potenciais implicações prognósticas e terapêuticas. A enteroscopia por cápsula permite ainda o diagnóstico de complicações em doentes com doença celíaca refractária. Conclusões: Actualmente, a importância da enteroscopia por cápsula é reconhecida no contexto da hemorragia digestiva de causa obscura e/ou suspeita de tumores do intestino delgado, bem como na suspeita de doença de Crohn ou em doentes com doença de Crohn conhecida para determinar a localização, extensão e actividade da doença, e ainda para a investigação de doentes com doença celíaca refractária. Palavras-chave: Doenças Intestinais; Endoscopia por Cápsula. ABSTRACT Introduction:Small bowel capsule endoscopy is currently the first line diagnostic examination for many diseases affecting the small bowel. This article aims to review and critically address the current indications of small bowel capsule endoscopy in clinical practice. Material and Methods: Bibliographic review of relevant and recent papers indexed in PubMed.

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“…Large studies identify a definite bleeding source in 50-60 % of patients [37,38,[69][70][71]. The DY is usually calculated taking into account only lesion with high bleeding potential; in fact, SB lesions identified at capsule endoscopy are usually divided into three subgroups: (1) highly relevant lesions (P2) such as angioectasia, large ulcerations, tumours or varices; (2) uncertain relevance lesions (P1) such as red spots, small isolated erosions; (3) low relevance lesions (P0) such as visible submucosal veins, non-bleeding diverticula, nodules without mucosal break [72].…”

Section: Diagnostic Accuracy Of Capsule Endoscopy In Patients With Ogibmentioning

confidence: 99%

“…Although several [48,71,75] studies have assessed the yield of CE in OGIB, the exact significance of the lesions identified and their impact on clinical outcome has not been adequately examined. Unfortunately, the majority of studies on CE in OGIB are focused on potential changes in management, rather than on evaluating long-term outcomes.…”

Section: Impact On Long-term Outcomesmentioning

confidence: 99%