Diagnostic Yields and Clinical Impacts of Capsule Endoscopy

Hong, Seung Min; Jung, Sung Hoon; Baek, Dong Hoon

doi:10.3390/diagnostics11101842

Cited by 8 publications

(6 citation statements)

References 113 publications

(161 reference statements)

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“…Of all neoplasms involving the gastrointestinal tract, small bowel tumors comprise only 1-2 percent [8]. While Ewing sarcomas typically present in the bones of older children and young adults, they can also develop in extraskeletal locations in 20-30 percent of cases [9].…”

Section: Discussionmentioning

confidence: 99%

Unveiling the Unlikely: Extraskeletal Ewing Sarcoma Masquerading as Gastrointestinal Bleeding

Greenfield,

Wilson,

Schulte

et al. 2024

Cureus

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While Ewing sarcoma is traditionally a malignant tumor of bone, it may uncommonly present extraskeletally, leading to an array of puzzling presentations depending on the tissue involved. Here, we describe the case of a 66-year-old man who presented to the primary care office for evaluation of intermittent melena. He ultimately underwent capsule endoscopy and developed a secondary small bowel obstruction, unveiling his neoplasm. The tumor was then resected and managed with surveillance only, and the patient remains without evidence of disease after four years of follow-up.

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Section: Discussionmentioning

confidence: 99%

Unveiling the Unlikely: Extraskeletal Ewing Sarcoma Masquerading as Gastrointestinal Bleeding

Greenfield,

Wilson,

Schulte

et al. 2024

Cureus

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“…SBCE has an increased DY for SBTs compared to push enteroscopy [80] but similar detection rates when compared to DAE, both in the case of SBE [81] and DBE [82]. However, for several subgroup of patients, there is a demonstrated risk of false-negative SBCE results, such as for submucosal mass with minimal luminal expression or for those lesions proximally located in the small bowel [83]. For these reasons, when SBTs are suspected, cross-sectional small bowel imaging must follow a negative examination.…”

Section: The Synergy Of Capsule Endoscopy and Enteroscopy In Various ...mentioning

confidence: 99%

Small Bowel Capsule Endoscopy and Enteroscopy: A Shoulder-to-Shoulder Race

Singeap,

Sfarti,

Minea

et al. 2023

JCM

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Traditional methods have their limitations when it comes to unraveling the mysteries of the small bowel, an area historically seen as the “black box” of the gastrointestinal tract. This is where capsule endoscopy and enteroscopy have stepped in, offering a remarkable synergy that transcends the sum of their individual capabilities. From their introduction, small bowel capsule endoscopy and device-assisted enteroscopy have consistently evolved and improved, both on their own and interdependently. Each technique’s history may be told as a success story, and their interaction has revolutionized the approach to the small bowel. Both have advantages that could be ideally combined into a perfect technique: safe, non-invasive, and capable of examining the entire small bowel, taking biopsies, and applying therapeutical interventions. Until the realization of this perfect tool becomes a reality, the key for an optimal approach lies in the right selection of exploration method. In this article, we embark on a journey through the intertwined development of capsule endoscopy and enteroscopy, exploring the origins, technological advancements, clinical applications, and evolving inquiries that have continually reshaped the landscape of small bowel imaging.

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“…Capsule endoscopy (CE) is considered a safe and widely accepted first-line method for investigating the small bowel (SB) due to its noninvasive and patient-friendly benefits ( 1 ). Recently, CE has been introduced for colon investigations and is considered an alternative to colonoscopy in specific clinical circumstances, with a high success rate, low complication rates and patient preference ( 2 ).…”

Section: Introductionmentioning

confidence: 99%

A systematic review of capsule aspiration in capsule endoscopy

Thorndal,

Selnes,

Lei

et al. 2024

Ann Transl Med

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Background Capsule endoscopy (CE) is safe and widely accepted for small bowel (SB) investigation and an alternative to colonoscopy in specific clinical circumstances. As the capsule is orally ingested, the potential risk of aspiration is undoubtedly a constant concern among clinicians. However, it is a rare occurrence and often reported as isolated cases. Therefore, this review systematically compiles all the available data on capsule aspiration in the literature with an aim to provide an update on this complication of CE. Methods A systematic literature search was performed on PubMed with the search terms ‘capsule endoscopy’ AND ‘aspiration’, searched as keywords and MeSH. All observational cohort studies that reported aspiration among complications/outcomes, case reports and series on capsule aspiration were included. Manual citation search was performed. Two extractors reviewed abstract and full-text and performed data extraction. Results We found 95 relevant articles, and cross-checking references led to the inclusion of an additional 19 articles. We removed 57 and ended with 57 references—with 63 cases of aspirated capsules. One death was reported. The median age was 78, and there was male preponderance. The most common indication for CE was anaemia, and only aspiration of small bowel CE (SBCE) was reported. 61.9% of the aspirations were symptomatic; the most common symptom was coughing. 69.8% of capsules ended in the bronchus, but only 4 cases experienced desaturation. Thirty-two patients needed intervention for retrieval; the aspiration was self-resolved in the remaining. Only four patients had a history of dysphagia. Thirteen instances of aspiration were detected due to real-time viewing, and 24 cases from reviewing the capsule data afterwards. Conclusions With only 63 cases of aspirated capsules reported in the literature, this event remains rare, is safely managed, and should not discourage patients from the procedure. The importance of careful patient selection is crucial to minimize the likelihood of aspiration and capsule administration should be approached with precautions.

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Diagnostic Yields and Clinical Impacts of Capsule Endoscopy

Cited by 8 publications

References 113 publications

Unveiling the Unlikely: Extraskeletal Ewing Sarcoma Masquerading as Gastrointestinal Bleeding

Unveiling the Unlikely: Extraskeletal Ewing Sarcoma Masquerading as Gastrointestinal Bleeding

Small Bowel Capsule Endoscopy and Enteroscopy: A Shoulder-to-Shoulder Race

A systematic review of capsule aspiration in capsule endoscopy

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